Round Rock Inpt Rehab Unit


About the Facility

CMS Certification Number (CCN)
45T718
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
2400 Round Rock Ave
Phone Number
(512) 341-1145

Facility Medical Condition Statistics

All other conditions
30
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
22
Hip or femur fracture
55
Hip or knee replacement, amputation or other bone or joint condition
41
Nervous system disorder (excluding stroke)
14
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
48

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
146
Predicted number of infections (B)
0.302
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
221
Denominator
222
Facility rate
99.5
Change in patients ability to care for themselves
Average risk-adjusted change score
13.2
Denominator
202
Average observed change score
15.1
Change in patients ability to move around
Average risk-adjusted change score
36.8
Denominator
202
Average observed change score
39.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
135
Denominator
202
Facility rate
66.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
151
Denominator
202
Facility rate
74.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
222
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
1.976
Comparative performance category
No Different than the National Benchmark
Patient days
3,955
Predicted number of infections (B)
1.516
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
25
Number of health care workers
27
Rate of flu vaccination
92.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
19
Number of eligible stays
327
Unadjusted potentially preventable readmission rate
5.81
Risk-standardized potentially preventable readmission rate (RSRR)
8.57
Lower limit of the 95% confidence interval on the RSRR
6.68
Upper limit of the 95% confidence interval on the RSRR
10.84
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
7
Number of eligible stays
341
Unadjusted potentially preventable readmission rate
2.05
Risk-standardized potentially preventable readmission rate (RSRR)
4.11
Lower limit of the 95% confidence interval on the RSRR
2.83
Upper limit of the 95% confidence interval on the RSRR
5.76
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)
220
Number of eligible stays
274
Observed discharge to community rate
80.29
Risk-standardized discharge to community rate
72.27
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.21
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.75
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
302
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
220
Denominator
222
Facility rate
99.1
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
222
Facility observed rate
2.3
Facility risk-adjusted rate
2.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
22
Number of health care workers
24
Rate of COVID-19 vaccination
91.7