Pam Specialty Hospital of New Braunfels


About the Facility

CMS Certification Number (CCN)
45TB06
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
1445 Hanz Drive
Phone Number
(830) 627-7600

Facility Medical Condition Statistics

All other conditions
106
Brain disease or condition (non-traumatic)
12
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
30
Hip or knee replacement, amputation or other bone or joint condition
85
Nervous system disorder (excluding stroke)
184
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
27

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
482
Predicted number of infections (B)
0.696
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
437
Denominator
440
Facility rate
99.3
Change in patients ability to care for themselves
Average risk-adjusted change score
14.3
Denominator
371
Average observed change score
15.8
Change in patients ability to move around
Average risk-adjusted change score
40.5
Denominator
371
Average observed change score
42.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
264
Denominator
371
Facility rate
71.2
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
299
Denominator
371
Facility rate
80.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
440
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.271
SIR 95% confidence interval - upper limit
2.903
Comparative performance category
No Different than the National Benchmark
Patient days
6,277
Predicted number of infections (B)
2.813
Number of infections reported (A)
3
SIR (A/B)
1.067
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
160
Number of health care workers
273
Rate of flu vaccination
58.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
33
Number of eligible stays
247
Unadjusted potentially preventable readmission rate
13.36
Risk-standardized potentially preventable readmission rate (RSRR)
9.55
Lower limit of the 95% confidence interval on the RSRR
7.66
Upper limit of the 95% confidence interval on the RSRR
11.65
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
15
Number of eligible stays
276
Unadjusted potentially preventable readmission rate
5.43
Risk-standardized potentially preventable readmission rate (RSRR)
4.96
Lower limit of the 95% confidence interval on the RSRR
3.36
Upper limit of the 95% confidence interval on the RSRR
6.87
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)
114
Number of eligible stays
199
Observed discharge to community rate
57.29
Risk-standardized discharge to community rate
60.08
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
53.98
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.01
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.09
Number of eligible episodes
464
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
432
Denominator
440
Facility rate
98.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
436
Facility observed rate
0.5
Facility risk-adjusted rate
0.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
182
Number of health care workers
292
Rate of COVID-19 vaccination
62.3