Healthsouth Rehabilitation Hospital of Cypress


About the Facility

CMS Certification Number (CCN)
673050
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
13031 Wortham Center Drive
Houston, Texas 77065
Phone Number
(832) 280-2500

Facility Medical Condition Statistics

All other conditions
218
Brain disease or condition (non-traumatic)
64
Brain injury (traumatic)
30
Hip or femur fracture
90
Hip or knee replacement, amputation or other bone or joint condition
169
Nervous system disorder (excluding stroke)
226
Spinal cord disease or condition (non-traumatic)
16
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
162

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
905
Predicted number of infections (B)
0.976
Number of infections reported (A)
3
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
943
Denominator
943
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
15.6
Denominator
821
Average observed change score
16.4
Change in patients ability to move around
Average risk-adjusted change score
37.7
Denominator
821
Average observed change score
35.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
688
Denominator
821
Facility rate
83.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
642
Denominator
821
Facility rate
78.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
943
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.277
SIR 95% confidence interval - upper limit
1.674
Comparative performance category
No Different than the National Benchmark
Patient days
14,839
Predicted number of infections (B)
6.621
Number of infections reported (A)
5
SIR (A/B)
0.755
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
229
Number of health care workers
327
Rate of flu vaccination
70.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
120
Number of eligible stays
884
Unadjusted potentially preventable readmission rate
13.57
Risk-standardized potentially preventable readmission rate (RSRR)
10.93
Lower limit of the 95% confidence interval on the RSRR
9.42
Upper limit of the 95% confidence interval on the RSRR
12.62
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
63
Number of eligible stays
990
Unadjusted potentially preventable readmission rate
6.36
Risk-standardized potentially preventable readmission rate (RSRR)
5.76
Lower limit of the 95% confidence interval on the RSRR
4.72
Upper limit of the 95% confidence interval on the RSRR
7.11
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)
511
Number of eligible stays
789
Observed discharge to community rate
64.77
Risk-standardized discharge to community rate
67.86
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.56
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.27
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.06
Number of eligible episodes
1,056
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
939
Denominator
943
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
943
Facility observed rate
0.1
Facility risk-adjusted rate
0.1
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
283
Number of health care workers
325
Rate of COVID-19 vaccination
87.1