Warm Springs Rehabilitation Hospital of Kyle


About the Facility

CMS Certification Number (CCN)
673057
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
5980 Kyle Parkway
Kyle, Texas 78640
Phone Number
(512) 262-0821

Facility Medical Condition Statistics

All other conditions
197
Brain disease or condition (non-traumatic)
81
Brain injury (traumatic)
40
Hip or femur fracture
78
Hip or knee replacement, amputation or other bone or joint condition
154
Nervous system disorder (excluding stroke)
242
Spinal cord disease or condition (non-traumatic)
17
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
96

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
849
Predicted number of infections (B)
0.916
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
889
Denominator
890
Facility rate
99.9
Change in patients ability to care for themselves
Average risk-adjusted change score
13.0
Denominator
766
Average observed change score
13.4
Change in patients ability to move around
Average risk-adjusted change score
33.1
Denominator
766
Average observed change score
33.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
503
Denominator
766
Facility rate
65.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
490
Denominator
766
Facility rate
64.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
890
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.051
SIR 95% confidence interval - upper limit
1.000
Comparative performance category
No Different than the National Benchmark
Patient days
13,209
Predicted number of infections (B)
6.608
Number of infections reported (A)
2
SIR (A/B)
0.303
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
226
Number of health care workers
287
Rate of flu vaccination
78.7
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
57
Number of eligible stays
707
Unadjusted potentially preventable readmission rate
8.06
Risk-standardized potentially preventable readmission rate (RSRR)
8.32
Lower limit of the 95% confidence interval on the RSRR
6.81
Upper limit of the 95% confidence interval on the RSRR
10.04
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
37
Number of eligible stays
780
Unadjusted potentially preventable readmission rate
4.74
Risk-standardized potentially preventable readmission rate (RSRR)
5.16
Lower limit of the 95% confidence interval on the RSRR
3.78
Upper limit of the 95% confidence interval on the RSRR
6.79
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)
412
Number of eligible stays
610
Observed discharge to community rate
67.54
Risk-standardized discharge to community rate
67.07
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.54
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.56
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.04
Number of eligible episodes
1,053
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
885
Denominator
890
Facility rate
99.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
20
Denominator
890
Facility observed rate
2.2
Facility risk-adjusted rate
1.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
335
Number of health care workers
427
Rate of COVID-19 vaccination
78.5