Rehabilitation Hospital of Southern New Mexico,Inc


About the Facility

CMS Certification Number (CCN)
323032
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
4441 E Lohman Ave
Phone Number
(575) 521-6400

Facility Medical Condition Statistics

All other conditions
98
Brain disease or condition (non-traumatic)
23
Brain injury (traumatic)
75
Hip or femur fracture
109
Hip or knee replacement, amputation or other bone or joint condition
152
Nervous system disorder (excluding stroke)
56
Spinal cord disease or condition (non-traumatic)
31
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
144

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.019
SIR 95% confidence interval - upper limit
1.892
Comparative performance category
No Different than the National Benchmark
Catheter days
1,682
Predicted number of infections (B)
2.607
Number of infections reported (A)
1
SIR (A/B)
0.384
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
656
Denominator
656
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
16.7
Denominator
583
Average observed change score
18.8
Change in patients ability to move around
Average risk-adjusted change score
39.3
Denominator
583
Average observed change score
41.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
484
Denominator
583
Facility rate
83.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
452
Denominator
583
Facility rate
77.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
656
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.530
SIR 95% confidence interval - upper limit
2.718
Comparative performance category
No Different than the National Benchmark
Patient days
12,893
Predicted number of infections (B)
4.591
Number of infections reported (A)
6
SIR (A/B)
1.307
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
202
Number of health care workers
293
Rate of flu vaccination
68.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
34
Number of eligible stays
616
Unadjusted potentially preventable readmission rate
5.52
Risk-standardized potentially preventable readmission rate (RSRR)
7.58
Lower limit of the 95% confidence interval on the RSRR
6.14
Upper limit of the 95% confidence interval on the RSRR
9.33
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
32
Number of eligible stays
668
Unadjusted potentially preventable readmission rate
4.79
Risk-standardized potentially preventable readmission rate (RSRR)
4.88
Lower limit of the 95% confidence interval on the RSRR
3.72
Upper limit of the 95% confidence interval on the RSRR
6.44
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)
379
Number of eligible stays
546
Observed discharge to community rate
69.41
Risk-standardized discharge to community rate
71.35
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.48
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.95
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
640
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
650
Denominator
656
Facility rate
99.1
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
27
Denominator
655
Facility observed rate
4.1
Facility risk-adjusted rate
3.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
252
Number of health care workers
266
Rate of COVID-19 vaccination
94.7