Pam Rehabilitation Hospital of Round Rock


About the Facility

CMS Certification Number (CCN)
673069
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
351 Seton Parkway
Phone Number
(737) 708-9800

Facility Medical Condition Statistics

All other conditions
160
Brain disease or condition (non-traumatic)
41
Brain injury (traumatic)
21
Hip or femur fracture
49
Hip or knee replacement, amputation or other bone or joint condition
177
Nervous system disorder (excluding stroke)
185
Spinal cord disease or condition (non-traumatic)
34
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
105

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
2.908
Comparative performance category
No Different than the National Benchmark
Catheter days
952
Predicted number of infections (B)
1.030
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
767
Denominator
767
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.1
Denominator
672
Average observed change score
13.3
Change in patients ability to move around
Average risk-adjusted change score
33.5
Denominator
672
Average observed change score
33.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
368
Denominator
672
Facility rate
54.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
417
Denominator
672
Facility rate
62.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
767
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.176
SIR 95% confidence interval - upper limit
1.883
Comparative performance category
No Different than the National Benchmark
Patient days
11,097
Predicted number of infections (B)
4.337
Number of infections reported (A)
3
SIR (A/B)
0.692
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
199
Number of health care workers
223
Rate of flu vaccination
89.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
79
Number of eligible stays
701
Unadjusted potentially preventable readmission rate
11.27
Risk-standardized potentially preventable readmission rate (RSRR)
9.50
Lower limit of the 95% confidence interval on the RSRR
7.98
Upper limit of the 95% confidence interval on the RSRR
11.08
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
32
Number of eligible stays
768
Unadjusted potentially preventable readmission rate
4.17
Risk-standardized potentially preventable readmission rate (RSRR)
4.03
Lower limit of the 95% confidence interval on the RSRR
3.00
Upper limit of the 95% confidence interval on the RSRR
5.27
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)
406
Number of eligible stays
595
Observed discharge to community rate
68.24
Risk-standardized discharge to community rate
70.67
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.93
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.30
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.11
Number of eligible episodes
921
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
765
Denominator
767
Facility rate
99.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
767
Facility observed rate
0.3
Facility risk-adjusted rate
0.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
233
Number of health care workers
247
Rate of COVID-19 vaccination
94.3