Detar Healthcare System


About the Facility

CMS Certification Number (CCN)
45T147
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
506 E San Antonio
P.o. Box 2089
Phone Number
(361) 788-6963

Facility Medical Condition Statistics

All other conditions
97
Brain disease or condition (non-traumatic)
21
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
40
Hip or knee replacement, amputation or other bone or joint condition
28
Nervous system disorder (excluding stroke)
15
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
32

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
Not Available
Comparative performance category
Not Available
Catheter days
189
Predicted number of infections (B)
0.272
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
240
Denominator
241
Facility rate
99.6
Change in patients ability to care for themselves
Average risk-adjusted change score
11.4
Denominator
214
Average observed change score
10.9
Change in patients ability to move around
Average risk-adjusted change score
32.7
Denominator
214
Average observed change score
33.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
122
Denominator
214
Facility rate
57.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
140
Denominator
214
Facility rate
65.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
236
Facility rate
0.8
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.040
SIR 95% confidence interval - upper limit
3.949
Comparative performance category
No Different than the National Benchmark
Patient days
2,871
Predicted number of infections (B)
1.249
Number of infections reported (A)
1
SIR (A/B)
0.801
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
11
Number of health care workers
15
Rate of flu vaccination
73.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
37
Number of eligible stays
398
Unadjusted potentially preventable readmission rate
9.30
Risk-standardized potentially preventable readmission rate (RSRR)
8.95
Lower limit of the 95% confidence interval on the RSRR
7.15
Upper limit of the 95% confidence interval on the RSRR
11.02
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
18
Number of eligible stays
438
Unadjusted potentially preventable readmission rate
4.11
Risk-standardized potentially preventable readmission rate (RSRR)
5.21
Lower limit of the 95% confidence interval on the RSRR
3.85
Upper limit of the 95% confidence interval on the RSRR
7.43
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)
236
Number of eligible stays
359
Observed discharge to community rate
65.74
Risk-standardized discharge to community rate
62.21
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
58.44
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.33
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
414
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
238
Denominator
241
Facility rate
98.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
238
Facility observed rate
2.9
Facility risk-adjusted rate
3.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
8
Number of health care workers
10
Rate of COVID-19 vaccination
80.0