Caldwell Memorial Hospital


About the Facility

CMS Certification Number (CCN)
19T190
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
P.o. Box 899
Phone Number
(318) 649-6111

Facility Medical Condition Statistics

All other conditions
84
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
11
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
19

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
89
Predicted number of infections (B)
0.128
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
130
Denominator
130
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.5
Denominator
115
Average observed change score
11.3
Change in patients ability to move around
Average risk-adjusted change score
21.4
Denominator
115
Average observed change score
21.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
47
Denominator
115
Facility rate
40.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
33
Denominator
115
Facility rate
28.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
130
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
2.163
Comparative performance category
No Different than the National Benchmark
Patient days
3,486
Predicted number of infections (B)
1.385
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
10
Number of health care workers
22
Rate of flu vaccination
45.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
14
Number of eligible stays
108
Unadjusted potentially preventable readmission rate
12.96
Risk-standardized potentially preventable readmission rate (RSRR)
9.24
Lower limit of the 95% confidence interval on the RSRR
7.18
Upper limit of the 95% confidence interval on the RSRR
11.66
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
8
Number of eligible stays
118
Unadjusted potentially preventable readmission rate
6.78
Risk-standardized potentially preventable readmission rate (RSRR)
5.57
Lower limit of the 95% confidence interval on the RSRR
3.44
Upper limit of the 95% confidence interval on the RSRR
8.70
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)
51
Number of eligible stays
86
Observed discharge to community rate
59.30
Risk-standardized discharge to community rate
61.97
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
54.33
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.38
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.07
Number of eligible episodes
156
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
129
Denominator
130
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
129
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
80
Number of health care workers
82
Rate of COVID-19 vaccination
97.6