Methodist Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
673031
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
3020 West Wheatland Road
Dallas, Texas 75237
Phone Number
(972) 708-8600

Facility Medical Condition Statistics

All other conditions
291
Brain disease or condition (non-traumatic)
128
Brain injury (traumatic)
29
Hip or femur fracture
134
Hip or knee replacement, amputation or other bone or joint condition
176
Nervous system disorder (excluding stroke)
142
Spinal cord disease or condition (non-traumatic)
34
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
165

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
890
Predicted number of infections (B)
0.962
Number of infections reported (A)
6
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,096
Denominator
1,096
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
16.2
Denominator
947
Average observed change score
19.0
Change in patients ability to move around
Average risk-adjusted change score
37.5
Denominator
947
Average observed change score
40.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
853
Denominator
947
Facility rate
90.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
795
Denominator
947
Facility rate
83.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
1,096
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.402
Comparative performance category
Better than the National Benchmark
Patient days
15,416
Predicted number of infections (B)
7.450
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
256
Number of health care workers
270
Rate of flu vaccination
94.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
75
Number of eligible stays
870
Unadjusted potentially preventable readmission rate
8.62
Risk-standardized potentially preventable readmission rate (RSRR)
8.31
Lower limit of the 95% confidence interval on the RSRR
7.09
Upper limit of the 95% confidence interval on the RSRR
9.91
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
38
Number of eligible stays
963
Unadjusted potentially preventable readmission rate
3.95
Risk-standardized potentially preventable readmission rate (RSRR)
4.12
Lower limit of the 95% confidence interval on the RSRR
3.02
Upper limit of the 95% confidence interval on the RSRR
5.41
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)
540
Number of eligible stays
775
Observed discharge to community rate
69.68
Risk-standardized discharge to community rate
73.02
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.77
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.23
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.05
Number of eligible episodes
972
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,092
Denominator
1,096
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
1,095
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
225
Number of health care workers
246
Rate of COVID-19 vaccination
91.5