Saint Francis Rehabilitation


About the Facility

CMS Certification Number (CCN)
37T091
Ownership Type
Non-profit
CMS Region
Dallas
Certification Date
Address
6161 S. Yale Ave.
4-South
Phone Number
(918) 494-4244

Facility Medical Condition Statistics

All other conditions
84
Brain disease or condition (non-traumatic)
34
Brain injury (traumatic)
25
Hip or femur fracture
99
Hip or knee replacement, amputation or other bone or joint condition
51
Nervous system disorder (excluding stroke)
25
Spinal cord disease or condition (non-traumatic)
21
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
94

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
1.211
SIR 95% confidence interval - upper limit
7.325
Comparative performance category
Worse than the National Benchmark
Catheter days
578
Predicted number of infections (B)
1.513
Number of infections reported (A)
5
SIR (A/B)
3.305
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
437
Denominator
437
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.3
Denominator
382
Average observed change score
14.7
Change in patients ability to move around
Average risk-adjusted change score
33.9
Denominator
382
Average observed change score
36.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
267
Denominator
382
Facility rate
69.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
252
Denominator
382
Facility rate
66.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
437
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
0.745
Comparative performance category
Better than the National Benchmark
Patient days
7,807
Predicted number of infections (B)
4.023
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
887
Number of health care workers
914
Rate of flu vaccination
97.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
19
Number of eligible stays
385
Unadjusted potentially preventable readmission rate
4.94
Risk-standardized potentially preventable readmission rate (RSRR)
7.70
Lower limit of the 95% confidence interval on the RSRR
6.19
Upper limit of the 95% confidence interval on the RSRR
9.61
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
20
Number of eligible stays
442
Unadjusted potentially preventable readmission rate
4.52
Risk-standardized potentially preventable readmission rate (RSRR)
4.96
Lower limit of the 95% confidence interval on the RSRR
3.69
Upper limit of the 95% confidence interval on the RSRR
6.94
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)
237
Number of eligible stays
354
Observed discharge to community rate
66.95
Risk-standardized discharge to community rate
65.13
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.35
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.09
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
374
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
437
Denominator
437
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
18
Denominator
436
Facility observed rate
4.1
Facility risk-adjusted rate
4.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
391
Number of health care workers
447
Rate of COVID-19 vaccination
87.5