Kindred Hospital Houston Nw


About the Facility

CMS Certification Number (CCN)
45TA39
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
11297 Fallbrook
Houston, Texas 77065
Phone Number
(281) 897-8114

Facility Medical Condition Statistics

All other conditions
29
Brain disease or condition (non-traumatic)
12
Brain injury (traumatic)
-
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
31
Spinal cord disease or condition (non-traumatic)
-
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
16

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
80
Predicted number of infections (B)
0.166
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
97
Denominator
97
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.5
Denominator
75
Average observed change score
11.1
Change in patients ability to move around
Average risk-adjusted change score
29.0
Denominator
75
Average observed change score
24.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
46
Denominator
75
Facility rate
61.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
43
Denominator
75
Facility rate
57.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
97
Facility rate
1.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Patient days
925
Predicted number of infections (B)
0.300
Number of infections reported (A)
2
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
22
Number of health care workers
26
Rate of flu vaccination
84.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
Not Available
Number of eligible stays
Not Available
Unadjusted potentially preventable readmission rate
Not Available
Risk-standardized potentially preventable readmission rate (RSRR)
Not Available
Lower limit of the 95% confidence interval on the RSRR
Not Available
Upper limit of the 95% confidence interval on the RSRR
Not Available
Comparative performance category
Not Available
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
Not Available
Number of eligible stays
Not Available
Unadjusted potentially preventable readmission rate
Not Available
Risk-standardized potentially preventable readmission rate (RSRR)
Not Available
Lower limit of the 95% confidence interval on the RSRR
Not Available
Upper limit of the 95% confidence interval on the RSRR
Not Available
Comparative performance category
Not Available
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
Not Available
Number of eligible stays
Not Available
Observed discharge to community rate
Not Available
Risk-standardized discharge to community rate
Not Available
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
Not Available
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
Not Available
Comparative performance category
Not Available
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
Not Available
Number of eligible episodes
Not Available
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
97
Denominator
97
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
96
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
23
Number of health care workers
25
Rate of COVID-19 vaccination
92.0