Encompass Health Rehabilitation Hospital of Waco


About the Facility

CMS Certification Number (CCN)
673079
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
3600 South Loop 340 Highway
Phone Number
(254) 523-2200

Facility Medical Condition Statistics

All other conditions
157
Brain disease or condition (non-traumatic)
40
Brain injury (traumatic)
33
Hip or femur fracture
96
Hip or knee replacement, amputation or other bone or joint condition
171
Nervous system disorder (excluding stroke)
179
Spinal cord disease or condition (non-traumatic)
25
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
159

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
775
Predicted number of infections (B)
0.835
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
827
Denominator
827
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.5
Denominator
734
Average observed change score
16.4
Change in patients ability to move around
Average risk-adjusted change score
35.6
Denominator
734
Average observed change score
38.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
556
Denominator
734
Facility rate
75.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
540
Denominator
734
Facility rate
73.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
5
Denominator
827
Facility rate
0.6
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.062
SIR 95% confidence interval - upper limit
1.225
Comparative performance category
No Different than the National Benchmark
Patient days
10,646
Predicted number of infections (B)
5.392
Number of infections reported (A)
2
SIR (A/B)
0.371
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
165
Number of health care workers
213
Rate of flu vaccination
77.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
27
Number of eligible stays
301
Unadjusted potentially preventable readmission rate
8.97
Risk-standardized potentially preventable readmission rate (RSRR)
8.50
Lower limit of the 95% confidence interval on the RSRR
6.87
Upper limit of the 95% confidence interval on the RSRR
10.43
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
21
Number of eligible stays
332
Unadjusted potentially preventable readmission rate
6.33
Risk-standardized potentially preventable readmission rate (RSRR)
5.47
Lower limit of the 95% confidence interval on the RSRR
3.77
Upper limit of the 95% confidence interval on the RSRR
7.36
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)
211
Number of eligible stays
298
Observed discharge to community rate
70.81
Risk-standardized discharge to community rate
71.70
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.05
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.25
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
419
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
820
Denominator
827
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
824
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
151
Number of health care workers
194
Rate of COVID-19 vaccination
77.8