Encompass Health Rehabilitation Hospital of City


About the Facility

CMS Certification Number (CCN)
453042
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
6701 Oakmont Boulevard
Phone Number
(817) 370-4700

Facility Medical Condition Statistics

All other conditions
84
Brain disease or condition (non-traumatic)
119
Brain injury (traumatic)
32
Hip or femur fracture
97
Hip or knee replacement, amputation or other bone or joint condition
233
Nervous system disorder (excluding stroke)
624
Spinal cord disease or condition (non-traumatic)
44
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
210

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.618
SIR 95% confidence interval - upper limit
3.738
Comparative performance category
No Different than the National Benchmark
Catheter days
1,656
Predicted number of infections (B)
2.965
Number of infections reported (A)
5
SIR (A/B)
1.686
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,404
Denominator
1,404
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.5
Denominator
1,211
Average observed change score
13.3
Change in patients ability to move around
Average risk-adjusted change score
34.0
Denominator
1,211
Average observed change score
31.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
833
Denominator
1,211
Facility rate
68.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
883
Denominator
1,211
Facility rate
72.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
1,403
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.006
SIR 95% confidence interval - upper limit
0.543
Comparative performance category
Better than the National Benchmark
Patient days
19,516
Predicted number of infections (B)
9.076
Number of infections reported (A)
1
SIR (A/B)
0.110
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
254
Number of health care workers
383
Rate of flu vaccination
66.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
101
Number of eligible stays
873
Unadjusted potentially preventable readmission rate
11.57
Risk-standardized potentially preventable readmission rate (RSRR)
9.17
Lower limit of the 95% confidence interval on the RSRR
7.93
Upper limit of the 95% confidence interval on the RSRR
10.56
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
71
Number of eligible stays
995
Unadjusted potentially preventable readmission rate
7.14
Risk-standardized potentially preventable readmission rate (RSRR)
6.16
Lower limit of the 95% confidence interval on the RSRR
5.18
Upper limit of the 95% confidence interval on the RSRR
7.49
Comparative performance category
Worse than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
509
Number of eligible stays
791
Observed discharge to community rate
64.35
Risk-standardized discharge to community rate
68.36
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.19
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.36
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.03
Number of eligible episodes
1,327
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,398
Denominator
1,404
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
1,401
Facility observed rate
0.1
Facility risk-adjusted rate
0.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
345
Number of health care workers
375
Rate of COVID-19 vaccination
92.0