Clearsky Rehabilitation Hospital of Flower Mound


About the Facility

CMS Certification Number (CCN)
673076
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
3100 Peters Colony Road
Phone Number
(469) 933-2855

Facility Medical Condition Statistics

All other conditions
155
Brain disease or condition (non-traumatic)
85
Brain injury (traumatic)
15
Hip or femur fracture
56
Hip or knee replacement, amputation or other bone or joint condition
107
Nervous system disorder (excluding stroke)
115
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
49

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
2.231
Comparative performance category
No Different than the National Benchmark
Catheter days
935
Predicted number of infections (B)
1.343
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
562
Denominator
567
Facility rate
99.1
Change in patients ability to care for themselves
Average risk-adjusted change score
12.4
Denominator
486
Average observed change score
13.3
Change in patients ability to move around
Average risk-adjusted change score
32.4
Denominator
485
Average observed change score
31.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
303
Denominator
486
Facility rate
62.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
301
Denominator
486
Facility rate
61.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
567
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
1.200
Comparative performance category
No Different than the National Benchmark
Patient days
8,039
Predicted number of infections (B)
2.497
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
86
Number of health care workers
180
Rate of flu vaccination
47.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
65
Number of eligible stays
453
Unadjusted potentially preventable readmission rate
14.35
Risk-standardized potentially preventable readmission rate (RSRR)
11.19
Lower limit of the 95% confidence interval on the RSRR
9.51
Upper limit of the 95% confidence interval on the RSRR
13.26
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
28
Number of eligible stays
498
Unadjusted potentially preventable readmission rate
5.62
Risk-standardized potentially preventable readmission rate (RSRR)
5.54
Lower limit of the 95% confidence interval on the RSRR
4.35
Upper limit of the 95% confidence interval on the RSRR
7.64
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)
270
Number of eligible stays
439
Observed discharge to community rate
61.50
Risk-standardized discharge to community rate
61.58
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
57.32
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.64
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.00
Number of eligible episodes
506
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
565
Denominator
567
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
10
Denominator
566
Facility observed rate
1.8
Facility risk-adjusted rate
1.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
150
Number of health care workers
161
Rate of COVID-19 vaccination
93.2