Address
9182 Six Pines Drive
-
The Woodlands, TX 77380
Contact
(713) 364-0317
Certification Date
09/01/2020
CMS Certification Number
45TA57
Ownership Type
For profit
| Condition | Count | Footnote |
|---|---|---|
| All other conditions | 15 | - |
| Brain disease or condition (non-traumatic) | Less than 11 | 1 |
| Brain injury (traumatic) | Less than 11 | 1 |
| Hip or femur fracture | Less than 11 | 1 |
| Hip or knee replacement, amputation or other bone or joint condition | Less than 11 | 1 |
| Nervous system disorder (excluding stroke) | Less than 11 | 1 |
| Spinal cord disease or condition (non-traumatic) | Less than 11 | 1 |
| Spinal cord injury (traumatic) | Less than 11 | 1 |
| Stroke | Less than 11 | 1 |
Catheter-associated urinary tract infections (CAUTI) - Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.193
-
Other Measure
3.798
-
Catheter-associated urinary tract infections (CAUTI) - Comparative performance category
No Different than the National Benchmark
-
Catheter-associated urinary tract infections (CAUTI) - Catheter days
984
-
Catheter-associated urinary tract infections (CAUTI) - Predicted number of infections (B)
1.740
-
Catheter-associated urinary tract infections (CAUTI) - Number of infections reported (A)
2
-
Catheter-associated urinary tract infections (CAUTI)
1.149
-
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan - Denominator
53
-
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan - Numerator
53
-
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
100.0
-
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay - Denominator
53
-
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay - Numerator
0
-
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
0.0
-
Change in patients' ability to care for themselves
10.6
-
Change in patients' ability to care for themselves - Denominator
41
-
Change in patients' ability to care for themselves - Average observed change score
7.8
-
Change in patients' ability to move around
27.3
-
Change in patients' ability to move around - Denominator
41
-
Change in patients' ability to move around - Average observed change score
19.3
-
Percentage of patients who are at or above an expected ability to care for themselves at discharge - Denominator
41
-
Percentage of patients who are at or above an expected ability to care for themselves at discharge - Numerator
18
-
Percentage of patients who are at or above an expected ability to care for themselves at discharge
43.9
-
Percentage of patients who are at or above an expected ability to care for themselves at discharge - Denominator
41
-
Percentage of patients who are at or above an expected ability to care for themselves at discharge - Numerator
20
-
Percentage of patients who are at or above an expected ability to move around at discharge
48.8
-
Clostridium difficile Infection (CDI) - Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.130
-
Clostridium difficile Infection (CDI) - SIR 95% confidence interval - upper limit
2.558
-
Clostridium difficile Infection (CDI) - Comparative performance category
No Different than the National Benchmark
-
Clostridium difficile Infection (CDI) - Patient days
4,496
-
Clostridium difficile Infection (CDI) - Predicted number of infections (B)
2.584
-
Clostridium difficile Infection (CDI) - Number of infections reported (A)
2
-
Clostridium difficile Infection (CDI)
0.774
-
Percentage of healthcare personnel who got a flu shot for the current season - Number of health care workers
325
-
Percentage of healthcare personnel who got a flu shot for the current season - Number of health care workers vaccinated
210
-
Percentage of healthcare personnel who got a flu shot for the current season
64.6
-
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Comparative performance category
No Different than the National Rate
-
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Unadjusted potentially preventable readmission rate
6.00
-
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Number of potentially preventable readmissions following discharge
3
-
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
8.23
-
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Lower limit of the 95% confidence interval on the RSRR
6.22
-
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Upper limit of the 95% confidence interval on the RSRR
10.61
-
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF - Number of eligible stays
50
-
Rate of potentially preventable hospital readmissions during the IRF stay - Comparative performance category
No Different than the National Rate
-
Rate of potentially preventable hospital readmissions during the IRF stay - Unadjusted potentially preventable readmission rate
8.47
-
Rate of potentially preventable hospital readmissions during the IRF stay - Number of potentially preventable readmissions
5
-
Rate of potentially preventable hospital readmissions during the IRF stay
5.17
-
Rate of potentially preventable hospital readmissions during the IRF stay - Lower limit of the 95% confidence interval on the RSRR
3.68
-
Rate of potentially preventable hospital readmissions during the IRF stay - Upper limit of the 95% confidence interval on the RSRR
7.35
-
Rate of potentially preventable hospital readmissions during the IRF stay - Number of eligible stays
59
-
Rate of successful return to home or community from an IRF - 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)
24
-
Rate of successful return to home or community from an IRF - Observed discharge to community rate
52.17
-
Rate of successful return to home or community from an IRF
63.15
-
Rate of successful return to home or community from an IRF - Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
52.73
-
Rate of successful return to home or community from an IRF - Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.67
-
Rate of successful return to home or community from an IRF - Number of eligible stays
46
-
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs - Number of eligible episodes
58
-
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
0.98
-
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified - Denominator
53
-
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified - Numerator
53
-
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
100.0
-
Other Measure
0.0
-
Other Measure
52
-
Other Measure
0
-
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
0.0
-
Other Measure
330
-
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series - Number of health care workers vaccinated
317
-
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
96.1
-