Reba Mc Entire Ctr for Rehab


About the Facility

CMS Certification Number (CCN)
45T324
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
1200 Reba Mcentire Lane
Denison, Texas 75020
Phone Number
(903) 416-1010

Facility Medical Condition Statistics

All other conditions
105
Brain disease or condition (non-traumatic)
43
Brain injury (traumatic)
37
Hip or femur fracture
72
Hip or knee replacement, amputation or other bone or joint condition
66
Nervous system disorder (excluding stroke)
27
Spinal cord disease or condition (non-traumatic)
15
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
84

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
412
Predicted number of infections (B)
0.594
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
430
Denominator
430
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.9
Denominator
396
Average observed change score
16.9
Change in patients ability to move around
Average risk-adjusted change score
38.7
Denominator
396
Average observed change score
42.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
323
Denominator
396
Facility rate
81.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
334
Denominator
396
Facility rate
84.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
430
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.025
SIR 95% confidence interval - upper limit
2.451
Comparative performance category
No Different than the National Benchmark
Patient days
6,131
Predicted number of infections (B)
2.013
Number of infections reported (A)
1
SIR (A/B)
0.497
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
18
Number of health care workers
45
Rate of flu vaccination
40.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
44
Number of eligible stays
517
Unadjusted potentially preventable readmission rate
8.51
Risk-standardized potentially preventable readmission rate (RSRR)
8.96
Lower limit of the 95% confidence interval on the RSRR
7.38
Upper limit of the 95% confidence interval on the RSRR
10.95
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
21
Number of eligible stays
562
Unadjusted potentially preventable readmission rate
3.74
Risk-standardized potentially preventable readmission rate (RSRR)
4.33
Lower limit of the 95% confidence interval on the RSRR
3.46
Upper limit of the 95% confidence interval on the RSRR
5.68
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)
336
Number of eligible stays
471
Observed discharge to community rate
71.34
Risk-standardized discharge to community rate
70.59
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.82
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.31
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
517
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
429
Denominator
430
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
430
Facility observed rate
0.2
Facility risk-adjusted rate
0.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
41
Number of health care workers
65
Rate of COVID-19 vaccination
63.1