Christus Trinity Mother Frances Rehabilitation Hos

Ratings, patient outcomes, and contact information for their location in Tyler, Texas


Patient Ratings
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Address:

CHRISTUS TRINITY MOTHER FRANCES REHABILITATION HOS
3131 TROUP HWY -
TYLER, TX 75701 [Smith county]

Phone Number:

(903) 510-7000

Ownership Type:

For profit

Medicare Certified on:

02/04/1993

Conditions during the last survey period

Condition Treated
# of Times Treated

Brain disease or condition (non-traumatic)

103

Brain injury (traumatic)

53

Hip or femur fracture

163

Hip or knee replacement, amputation or other bone or joint condition

266

Nervous system disorder (excluding stroke)

523

Spinal cord disease or condition (non-traumatic)

33

Spinal cord injury (traumatic)

Less than 11

Stroke

436

Patient outcomes at CHRISTUS TRINITY MOTHER FRANCES REHABILITATION HOS during the last survey period:

(compared to national levels and expectations)
Click to expand each topic and view patient results:
Infections from using a urinary catheter

Lowest estimate for how common catheter infections are: Not Available

Highest estimate for how common catheter infections are: 2.122

How the facility compares to others: No Different than the National Benchmark

Days patients had a catheter: 1,305

Expected number of infections: 1.412

Actual number of infections: 0

Infection ratio compared to the national average: 0.000

How often patients were checked for their ability to do everyday activities and had goals set to improve it

Total number of patients: 1,807

Number of assessed patients: 1,807

Rate of patients assessed for functionality: 100.0

Improvement in patients taking care of themselves

Adjusted score for patient self-care improvement: 13.8

Total number of patients: 1,600

Actual score for patient self-care improvement: 13.7

Improvement in patients moving around

Adjusted score for patient mobility improvement: 35.9

Total number of patients: 1,600

Actual score for patient mobility improvement: 35.9

Patients who can take care of themselves as expected when they leave

Total number of patients: 1,600

Number of patients self-caring as expected at discharge: 1,230

Rate of patients self-caring as expected at discharge: 76.9

Patients who can move around as expected when they leave

Total number of patients: 1,600

Number of patients mobile as expected at discharge: 1,268

Rate of patients mobile as expected at discharge: 79.3

Patients who fall and get seriously hurt during their stay

Total number of patients: 1,807

Number of falls with major injury: 6

Rate of falls with major injury: 0.3

Infections caused by a tough-to-treat bacteria called Clostridium difficile

Lowest estimate for how common Clostridium difficile infections are: 0.172

Highest estimate for how common Clostridium difficile infections are: 1.042

How the facility compares to others in infection control: No Different than the National Benchmark

Days patients were at risk for infection: 24,865

Expected number of Clostridium difficile infections: 10.631

Actual number of Clostridium difficile infections: 5

Infection ratio compared to the national average: 0.470

Healthcare workers who got a flu shot for the current season

Total number of healthcare workers: 386

Number of healthcare workers vaccinated against flu: 350

Rate of flu vaccination among healthcare workers: 90.7

Rate of avoidable hospital visits 30 days after leaving

How the facility compares to others in preventing readmissions: No Different than the National Rate

Rate of avoidable readmissions after leaving: 8.24

Number of avoidable readmissions after leaving: 148

Risk-adjusted rate of avoidable readmissions after leaving: 8.51

Lowest estimate of the risk-adjusted rate: 7.46

Highest estimate of the risk-adjusted rate: 9.71

Total number of patients: 1,796

Rate of avoidable hospital visits during the stay

How the facility compares to others in preventing readmissions: No Different than the National Rate

Rate of avoidable readmissions during the stay: 4.63

Number of avoidable readmissions during the stay: 91

Risk-adjusted rate of avoidable readmissions during the stay: 5.41

Lowest estimate of the risk-adjusted rate: 4.45

Highest estimate of the risk-adjusted rate: 6.50

Total number of patients: 1,967

Success rate of returning home or to the community from the hospital

How the facility compares to others in returning patients home or to the community: Better than the National Rate

Number of patients who went home or to the community: 1,220

Rate of patients going home or to the community: 74.89

Risk-adjusted rate of patients going home or to the community: 71.74

Lowest estimate of the risk-adjusted rate: 69.94

Highest estimate of the risk-adjusted rate: 73.61

Total number of patients: 1,629

How much Medicare spends on a patient compared to others

Number of patient episodes evaluated: 2,249

Score for how much Medicare spends per patient: 0.89

Checking and following up on patients’ medications

Total number of patients: 1,807

Number of patients with reviewed medications: 1,806

Rate of medication review and follow-up care: 99.9

Patients who developed or worsened pressure ulcers/injuries

Adjusted rate of new or worsened pressure ulcers/injuries: 0.8

Total number of patients at risk: 1,807

Number of new or worsened pressure ulcers/injuries: 13

Rate of new or worsened pressure ulcers/injuries: 0.7


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