Encompass Health Rehabilitation Hospital the Vinta


About the Facility

CMS Certification Number (CCN)
673052
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
20180 Chasewood Park Drive
Houston, Texas 77070
Phone Number
(972) 308-8567

Facility Medical Condition Statistics

All other conditions
207
Brain disease or condition (non-traumatic)
126
Brain injury (traumatic)
28
Hip or femur fracture
95
Hip or knee replacement, amputation or other bone or joint condition
211
Nervous system disorder (excluding stroke)
308
Spinal cord disease or condition (non-traumatic)
14
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
151

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
1.602
SIR 95% confidence interval - upper limit
8.221
Comparative performance category
Worse than the National Benchmark
Catheter days
1,405
Predicted number of infections (B)
1.518
Number of infections reported (A)
6
SIR (A/B)
3.953
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,131
Denominator
1,133
Facility rate
99.8
Change in patients ability to care for themselves
Average risk-adjusted change score
13.7
Denominator
1,002
Average observed change score
14.4
Change in patients ability to move around
Average risk-adjusted change score
38.3
Denominator
1,002
Average observed change score
37.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
699
Denominator
1,002
Facility rate
69.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
782
Denominator
1,002
Facility rate
78.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
1,133
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.525
SIR 95% confidence interval - upper limit
2.373
Comparative performance category
No Different than the National Benchmark
Patient days
16,101
Predicted number of infections (B)
5.835
Number of infections reported (A)
7
SIR (A/B)
1.200
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
250
Number of health care workers
324
Rate of flu vaccination
77.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
158
Number of eligible stays
1,206
Unadjusted potentially preventable readmission rate
13.10
Risk-standardized potentially preventable readmission rate (RSRR)
10.40
Lower limit of the 95% confidence interval on the RSRR
9.21
Upper limit of the 95% confidence interval on the RSRR
11.76
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
45
Number of eligible stays
1,303
Unadjusted potentially preventable readmission rate
3.45
Risk-standardized potentially preventable readmission rate (RSRR)
3.48
Lower limit of the 95% confidence interval on the RSRR
2.78
Upper limit of the 95% confidence interval on the RSRR
4.39
Comparative performance category
Better than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
743
Number of eligible stays
1,076
Observed discharge to community rate
69.05
Risk-standardized discharge to community rate
73.38
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.55
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.06
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.09
Number of eligible episodes
1,412
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,125
Denominator
1,133
Facility rate
99.3
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
1,128
Facility observed rate
0.6
Facility risk-adjusted rate
0.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
270
Number of health care workers
312
Rate of COVID-19 vaccination
86.5