North Shore Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
713025
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
64030 Hwy 434, 1st and 2nd Floor of the Tower
Phone Number
(985) 218-4660

Facility Medical Condition Statistics

All other conditions
96
Brain disease or condition (non-traumatic)
24
Brain injury (traumatic)
15
Hip or femur fracture
68
Hip or knee replacement, amputation or other bone or joint condition
73
Nervous system disorder (excluding stroke)
16
Spinal cord disease or condition (non-traumatic)
29
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
107

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
143
Predicted number of infections (B)
0.298
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
408
Denominator
408
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.7
Denominator
368
Average observed change score
13.0
Change in patients ability to move around
Average risk-adjusted change score
28.7
Denominator
368
Average observed change score
31.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
178
Denominator
368
Facility rate
48.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
189
Denominator
368
Facility rate
51.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
408
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.343
SIR 95% confidence interval - upper limit
3.675
Comparative performance category
No Different than the National Benchmark
Patient days
7,718
Predicted number of infections (B)
2.222
Number of infections reported (A)
3
SIR (A/B)
1.350
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
115
Number of health care workers
144
Rate of flu vaccination
79.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
31
Number of eligible stays
333
Unadjusted potentially preventable readmission rate
9.31
Risk-standardized potentially preventable readmission rate (RSRR)
9.21
Lower limit of the 95% confidence interval on the RSRR
7.38
Upper limit of the 95% confidence interval on the RSRR
11.34
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
10
Number of eligible stays
358
Unadjusted potentially preventable readmission rate
2.79
Risk-standardized potentially preventable readmission rate (RSRR)
3.93
Lower limit of the 95% confidence interval on the RSRR
2.71
Upper limit of the 95% confidence interval on the RSRR
5.63
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)
218
Number of eligible stays
287
Observed discharge to community rate
75.96
Risk-standardized discharge to community rate
74.51
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.54
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
78.68
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
325
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
405
Denominator
408
Facility rate
99.3
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
407
Facility observed rate
0.7
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
129
Number of health care workers
156
Rate of COVID-19 vaccination
82.7