Terrebonne General Medical Center


About the Facility

CMS Certification Number (CCN)
19T008
Ownership Type
Government
CMS Region
Dallas
Certification Date
Address
8166 Main Street
Phone Number
(985) 873-4721

Facility Medical Condition Statistics

All other conditions
37
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
25
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
23
Spinal cord disease or condition (non-traumatic)
13
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
34

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
225
Predicted number of infections (B)
0.612
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
149
Denominator
149
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.7
Denominator
134
Average observed change score
14.0
Change in patients ability to move around
Average risk-adjusted change score
29.1
Denominator
134
Average observed change score
29.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
81
Denominator
134
Facility rate
60.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
73
Denominator
134
Facility rate
54.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
149
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
2.532
Comparative performance category
No Different than the National Benchmark
Patient days
2,293
Predicted number of infections (B)
1.183
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
58
Number of health care workers
63
Rate of flu vaccination
92.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
12
Number of eligible stays
186
Unadjusted potentially preventable readmission rate
6.45
Risk-standardized potentially preventable readmission rate (RSRR)
8.15
Lower limit of the 95% confidence interval on the RSRR
6.43
Upper limit of the 95% confidence interval on the RSRR
10.49
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
6
Number of eligible stays
204
Unadjusted potentially preventable readmission rate
2.94
Risk-standardized potentially preventable readmission rate (RSRR)
4.21
Lower limit of the 95% confidence interval on the RSRR
2.92
Upper limit of the 95% confidence interval on the RSRR
6.28
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)
108
Number of eligible stays
163
Observed discharge to community rate
66.26
Risk-standardized discharge to community rate
66.32
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
59.85
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.86
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
184
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
147
Denominator
149
Facility rate
98.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
148
Facility observed rate
4.1
Facility risk-adjusted rate
3.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
17
Number of health care workers
19
Rate of COVID-19 vaccination
89.5