Accord Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
193070
Ownership Type
Non-profit
CMS Region
Dallas
Certification Date
Address
59355 River West Drive, Suite 100
728 North Blvd Baton Rouge, La 70802
Phone Number
(225) 687-8100

Facility Medical Condition Statistics

All other conditions
52
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
-
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
15
Nervous system disorder (excluding stroke)
44
Spinal cord disease or condition (non-traumatic)
-
Spinal cord injury (traumatic)
-
Stroke
39

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
60
Predicted number of infections (B)
0.110
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
157
Denominator
157
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.5
Denominator
137
Average observed change score
7.6
Change in patients ability to move around
Average risk-adjusted change score
22.5
Denominator
137
Average observed change score
15.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
48
Denominator
137
Facility rate
35.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
32
Denominator
137
Facility rate
23.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
157
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Patient days
1,919
Predicted number of infections (B)
0.674
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
31
Number of health care workers
66
Rate of flu vaccination
47.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
1
Number of eligible stays
39
Unadjusted potentially preventable readmission rate
2.56
Risk-standardized potentially preventable readmission rate (RSRR)
8.20
Lower limit of the 95% confidence interval on the RSRR
6.40
Upper limit of the 95% confidence interval on the RSRR
10.79
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
2
Number of eligible stays
45
Unadjusted potentially preventable readmission rate
4.44
Risk-standardized potentially preventable readmission rate (RSRR)
4.84
Lower limit of the 95% confidence interval on the RSRR
3.30
Upper limit of the 95% confidence interval on the RSRR
6.82
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)
20
Number of eligible stays
30
Observed discharge to community rate
66.67
Risk-standardized discharge to community rate
67.26
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
57.34
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.11
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.06
Number of eligible episodes
234
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
116
Denominator
157
Facility rate
73.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
157
Facility observed rate
0.6
Facility risk-adjusted rate
0.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
52
Number of health care workers
61
Rate of COVID-19 vaccination
85.2