Christus Good Shepherd Medical Center - Longview


About the Facility

CMS Certification Number (CCN)
45T032
Ownership Type
Non-profit
CMS Region
Dallas
Certification Date
Address
700 East Marshall Avenue
Phone Number
(903) 315-3299

Facility Medical Condition Statistics

All other conditions
111
Brain disease or condition (non-traumatic)
25
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
94
Hip or knee replacement, amputation or other bone or joint condition
95
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
37
Spinal cord injury (traumatic)
-
Stroke
95

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
2.152
Comparative performance category
No Different than the National Benchmark
Catheter days
672
Predicted number of infections (B)
1.392
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
464
Denominator
464
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
8.0
Denominator
453
Average observed change score
8.7
Change in patients ability to move around
Average risk-adjusted change score
15.7
Denominator
454
Average observed change score
20.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
120
Denominator
454
Facility rate
26.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
61
Denominator
454
Facility rate
13.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
464
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
0.813
Comparative performance category
Better than the National Benchmark
Patient days
7,178
Predicted number of infections (B)
3.685
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
1,045
Number of health care workers
1,096
Rate of flu vaccination
95.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
57
Number of eligible stays
477
Unadjusted potentially preventable readmission rate
11.95
Risk-standardized potentially preventable readmission rate (RSRR)
11.09
Lower limit of the 95% confidence interval on the RSRR
9.19
Upper limit of the 95% confidence interval on the RSRR
13.32
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
7
Number of eligible stays
498
Unadjusted potentially preventable readmission rate
1.41
Risk-standardized potentially preventable readmission rate (RSRR)
3.28
Lower limit of the 95% confidence interval on the RSRR
2.27
Upper limit of the 95% confidence interval on the RSRR
4.52
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)
215
Number of eligible stays
382
Observed discharge to community rate
56.28
Risk-standardized discharge to community rate
55.52
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
51.52
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
59.87
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.97
Number of eligible episodes
510
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1
Denominator
464
Facility rate
0.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
463
Facility observed rate
1.3
Facility risk-adjusted rate
1.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
39
Number of health care workers
57
Rate of COVID-19 vaccination
68.4