Ut Health East Texas Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
453072
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
701 Olympic Plaza Circle
Tyler, Texas 75701
Phone Number
(903) 596-3000

Facility Medical Condition Statistics

All other conditions
130
Brain disease or condition (non-traumatic)
39
Brain injury (traumatic)
31
Hip or femur fracture
56
Hip or knee replacement, amputation or other bone or joint condition
139
Nervous system disorder (excluding stroke)
22
Spinal cord disease or condition (non-traumatic)
17
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
157

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
2.923
Comparative performance category
No Different than the National Benchmark
Catheter days
601
Predicted number of infections (B)
1.025
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
577
Denominator
577
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.3
Denominator
509
Average observed change score
12.3
Change in patients ability to move around
Average risk-adjusted change score
24.5
Denominator
509
Average observed change score
26.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
251
Denominator
509
Facility rate
49.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
179
Denominator
509
Facility rate
35.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
577
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.020
SIR 95% confidence interval - upper limit
1.944
Comparative performance category
No Different than the National Benchmark
Patient days
9,854
Predicted number of infections (B)
2.537
Number of infections reported (A)
1
SIR (A/B)
0.394
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
224
Number of health care workers
271
Rate of flu vaccination
82.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
49
Number of eligible stays
556
Unadjusted potentially preventable readmission rate
8.81
Risk-standardized potentially preventable readmission rate (RSRR)
8.98
Lower limit of the 95% confidence interval on the RSRR
7.30
Upper limit of the 95% confidence interval on the RSRR
10.79
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
47
Number of eligible stays
627
Unadjusted potentially preventable readmission rate
7.50
Risk-standardized potentially preventable readmission rate (RSRR)
6.85
Lower limit of the 95% confidence interval on the RSRR
5.40
Upper limit of the 95% confidence interval on the RSRR
9.21
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)
268
Number of eligible stays
454
Observed discharge to community rate
59.03
Risk-standardized discharge to community rate
61.13
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
56.94
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.15
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
541
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
562
Denominator
577
Facility rate
97.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
577
Facility observed rate
1.2
Facility risk-adjusted rate
1.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
196
Number of health care workers
262
Rate of COVID-19 vaccination
74.8