P a M Specialty Hospital of Covington


About the Facility

CMS Certification Number (CCN)
19TA48
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
20050 Crestwood Blvd
Phone Number
(985) 875-7525

Facility Medical Condition Statistics

All other conditions
70
Brain disease or condition (non-traumatic)
25
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
37
Nervous system disorder (excluding stroke)
125
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
67

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
355
Predicted number of infections (B)
0.512
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
317
Denominator
317
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.3
Denominator
281
Average observed change score
8.6
Change in patients ability to move around
Average risk-adjusted change score
25.5
Denominator
282
Average observed change score
21.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
114
Denominator
282
Facility rate
40.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
118
Denominator
282
Facility rate
41.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
317
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
1.225
Comparative performance category
No Different than the National Benchmark
Patient days
4,596
Predicted number of infections (B)
2.446
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
171
Number of health care workers
255
Rate of flu vaccination
67.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
23
Number of eligible stays
192
Unadjusted potentially preventable readmission rate
11.98
Risk-standardized potentially preventable readmission rate (RSRR)
8.62
Lower limit of the 95% confidence interval on the RSRR
6.77
Upper limit of the 95% confidence interval on the RSRR
10.67
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
13
Number of eligible stays
219
Unadjusted potentially preventable readmission rate
5.94
Risk-standardized potentially preventable readmission rate (RSRR)
5.03
Lower limit of the 95% confidence interval on the RSRR
3.42
Upper limit of the 95% confidence interval on the RSRR
7.00
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)
111
Number of eligible stays
182
Observed discharge to community rate
60.99
Risk-standardized discharge to community rate
64.64
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.41
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.39
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
288
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
313
Denominator
317
Facility rate
98.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
316
Facility observed rate
0.3
Facility risk-adjusted rate
0.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
173
Number of health care workers
195
Rate of COVID-19 vaccination
88.7