CORNERSTONE HOSPITAL CONROE

CORNERSTONE HOSPITAL CONROE is a For profit facility located at 1500 GRAND LAKE DRIVE, -, CONROE, TX 77304 in Montgomery County. Contact them at (936) 523-1800. The facility was certified on November 13, 2007 and has 41 beds.

Facility Summary: CORNERSTONE HOSPITAL CONROE

Ownership: For profit

Profit Status:

Address: 1500 GRAND LAKE DRIVE, -, CONROE, TX 77304

County: Montgomery

Phone: (936) 523-1800

Certification Date: November 13, 2007

Number of Beds: 41

Abbreviations for CORNERSTONE HOSPITAL CONROE Scores Below

CAUTI - Catheter-associated urinary tract infections
CCN - CMS Certification Number
CDC - Centers for Disease Control and Prevention
CDI - Clostridium difficile infection
CLABSI - Central line-associated bloodstream infections
CMS - Centers for Medicare & Medicaid Services
COVID-19 - Coronavirus Disease 2019
HCP - Healthcare personnel
LTCH - Long-term care hospital
LCDS - LTCH CARE (Continuity Assessment Record and Evaluation) Data Set
MSPB - Medicare spending per beneficiary
NHSN - National Healthcare Safety Network
PAC - Post-acute care
PHE - Public health emergency
RSRR - Risk-standardized readmission rate
QRP - Quality Reporting Program
SIR - Standardized infection ratio
ZIP Code - Zone Improvement Plan (ZIP) Code
Standardized infection ratio (SIR) 95% confidence interval - lower limit

Value: Not Available

SIR 95% confidence interval - upper limit

Value: 0.481

Comparative performance category

Value: Better than the National Benchmark

Catheter days

Value: 4,644

Predicted number of infections (B)

Value: 6.224

Number of infections reported (A)

Value: 0

SIR (A/B)

Value: 0.000

SIR 95% confidence interval - lower limit

Value: 0.010

SIR 95% confidence interval - upper limit

Value: 0.982

Comparative performance category

Value: Better than the National Benchmark

Central line days

Value: 5,792

Predicted number of infections (B)

Value: 5.024

Number of infections reported (A)

Value: 1

Standardized infection ratio (SIR) (A/B)

Value: 0.199

Denominator for ADL and thinking skills assessment

Value: 455

Numerator for ADL and thinking skills assessment

Value: 455

Facility rate for ADL and thinking skills assessment

Value: 100.0

Denominator for functional abilities assessment

Value: 455

Numerator for functional abilities assessment

Value: 455

Facility rate for functional abilities assessment

Value: 100.0

Adjusted change in mobility score

Value: 12.9

Denominator for mobility score change

Value: 90

Observed change in mobility score

Value: 12.7

Denominator for falls with major injury

Value: 455

Numerator for falls with major injury

Value: 0

Facility rate for falls with major injury

Value: 0.0

Standardized infection ratio (SIR) 95% confidence interval - lower limit for CDI

Value: Not Available

SIR 95% confidence interval - upper limit for CDI

Value: 0.426

Comparative performance category for CDI

Value: Better than the National Benchmark

Patient days for CDI

Value: 10,782

Predicted number of CDI infections (B)

Value: 7.037

Number of CDI infections reported (A)

Value: 0

SIR for CDI (A/B)

Value: 0.000

Number of healthcare workers

Value: 183

Number of healthcare workers vaccinated

Value: 155

Rate of flu vaccination

Value: 84.7

Comparative performance category

Value: No Different than the National Rate

Unadjusted potentially preventable readmission rate

Value: 21.10

Number of potentially preventable readmissions following discharge

Value: 46

Risk-standardized potentially preventable readmission rate (RSRR)

Value: 20.44

Lower limit of the 95% confidence interval on the RSRR

Value: 16.50

Upper limit of the 95% confidence interval on the RSRR

Value: 24.68

Number of eligible stays

Value: 218

Comparative performance category

Value: No Different than the National Rate

Observed number of discharges to community

Value: 45

Observed discharge to community rate

Value: 22.50

Risk-standardized discharge to community rate

Value: 21.02

Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate

Value: 16.16

Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate

Value: 26.24

Number of eligible stays

Value: 200

Number of Eligible Episodes

Value: 191

MSPB Score

Value: 1.04

Facility adjusted rate

Value: 0.0

Denominator

Value: 413

Numerator

Value: 0

Facility observed rate

Value: 0.0

Denominator

Value: 455

Numerator

Value: 448

Facility rate

Value: 98.5

Denominator-component 1

Value: 72

Numerator-component 1

Value: 71

Facility observed rate-component 1

Value: 98.6

Denominator-component 2

Value: 60

Numerator-component 2

Value: 60

Facility observed rate-component 2

Value: 100.0

Facility adjusted rate

Value: 54.1

Denominator

Value: 72

Numerator

Value: 35

Facility observed rate

Value: 48.6

Denominator

Value: 188

Numerator

Value: 147

Facility observed rate for unplanned readmissions

Value: 78.2