North Oaks Rehabilitation Hospital, L L C


About the Facility

CMS Certification Number (CCN)
193044
Ownership Type
Government
CMS Region
Dallas
Certification Date
Address
1900 S Morrison Blvd
Phone Number
(985) 542-7777

Facility Medical Condition Statistics

All other conditions
108
Brain disease or condition (non-traumatic)
51
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
43
Hip or knee replacement, amputation or other bone or joint condition
58
Nervous system disorder (excluding stroke)
33
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
75

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Catheter days
192
Predicted number of infections (B)
0.209
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
364
Denominator
365
Facility rate
99.7
Change in patients ability to care for themselves
Average risk-adjusted change score
12.2
Denominator
314
Average observed change score
13.1
Change in patients ability to move around
Average risk-adjusted change score
36.3
Denominator
314
Average observed change score
38.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
168
Denominator
314
Facility rate
53.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
222
Denominator
314
Facility rate
70.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
365
Facility rate
0.5
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.314
Comparative performance category
No Different than the National Benchmark
Patient days
5,331
Predicted number of infections (B)
2.279
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
74
Number of health care workers
97
Rate of flu vaccination
76.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
46
Number of eligible stays
393
Unadjusted potentially preventable readmission rate
11.70
Risk-standardized potentially preventable readmission rate (RSRR)
10.10
Lower limit of the 95% confidence interval on the RSRR
8.24
Upper limit of the 95% confidence interval on the RSRR
12.51
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
10
Number of eligible stays
410
Unadjusted potentially preventable readmission rate
2.44
Risk-standardized potentially preventable readmission rate (RSRR)
3.74
Lower limit of the 95% confidence interval on the RSRR
2.54
Upper limit of the 95% confidence interval on the RSRR
5.03
Comparative performance category
No Different than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
245
Number of eligible stays
329
Observed discharge to community rate
74.47
Risk-standardized discharge to community rate
72.53
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.77
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.60
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.97
Number of eligible episodes
409
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
363
Denominator
365
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
365
Facility observed rate
0.8
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
25
Number of health care workers
36
Rate of COVID-19 vaccination
69.4