Hillcrest Kaiser Rehabilitation Center


About the Facility

CMS Certification Number (CCN)
37T001
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
1125 S. Trenton
Phone Number
(918) 579-7133

Facility Medical Condition Statistics

All other conditions
59
Brain disease or condition (non-traumatic)
36
Brain injury (traumatic)
26
Hip or femur fracture
31
Hip or knee replacement, amputation or other bone or joint condition
45
Nervous system disorder (excluding stroke)
22
Spinal cord disease or condition (non-traumatic)
20
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
187

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.050
SIR 95% confidence interval - upper limit
4.902
Comparative performance category
No Different than the National Benchmark
Catheter days
368
Predicted number of infections (B)
1.006
Number of infections reported (A)
1
SIR (A/B)
0.994
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
432
Denominator
432
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.8
Denominator
378
Average observed change score
14.1
Change in patients ability to move around
Average risk-adjusted change score
35.2
Denominator
378
Average observed change score
35.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
268
Denominator
378
Facility rate
70.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
274
Denominator
378
Facility rate
72.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
432
Facility rate
0.5
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.119
Comparative performance category
No Different than the National Benchmark
Patient days
6,946
Predicted number of infections (B)
2.676
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
279
Number of health care workers
286
Rate of flu vaccination
97.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
31
Number of eligible stays
442
Unadjusted potentially preventable readmission rate
7.01
Risk-standardized potentially preventable readmission rate (RSRR)
8.50
Lower limit of the 95% confidence interval on the RSRR
6.74
Upper limit of the 95% confidence interval on the RSRR
10.44
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
7
Number of eligible stays
463
Unadjusted potentially preventable readmission rate
1.51
Risk-standardized potentially preventable readmission rate (RSRR)
3.31
Lower limit of the 95% confidence interval on the RSRR
2.38
Upper limit of the 95% confidence interval on the RSRR
4.54
Comparative performance category
Better than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
286
Number of eligible stays
393
Observed discharge to community rate
72.77
Risk-standardized discharge to community rate
72.07
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.10
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.60
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.91
Number of eligible episodes
387
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
431
Denominator
432
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
430
Facility observed rate
0.9
Facility risk-adjusted rate
0.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
273
Number of health care workers
283
Rate of COVID-19 vaccination
96.5