About the Facility
- CMS Certification Number (CCN)
- 453025
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
1333 Moursund Ave
- Phone Number
- (713) 799-7022
Facility Medical Condition Statistics
- All other conditions
- 22
- Brain disease or condition (non-traumatic)
- 79
- Brain injury (traumatic)
- 96
- Hip or femur fracture
- 34
- Hip or knee replacement, amputation or other bone or joint condition
- 45
- Nervous system disorder (excluding stroke)
- 46
- Spinal cord disease or condition (non-traumatic)
- 91
- Spinal cord injury (traumatic)
- 63
- Stroke
- 208
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.699
- SIR 95% confidence interval - upper limit
- 3.797
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 4,542
- Predicted number of infections (B)
- 9.262
- Number of infections reported (A)
- 24
- SIR (A/B)
- 2.591
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 679
- Denominator
- 679
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.7
- Denominator
- 514
- Average observed change score
- 7.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 20.9
- Denominator
- 514
- Average observed change score
- 17.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 143
- Denominator
- 514
- Facility rate
- 27.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 140
- Denominator
- 514
- Facility rate
- 27.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 679
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.110
- SIR 95% confidence interval - upper limit
- 0.835
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 37,333
- Predicted number of infections (B)
- 11.557
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.346
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,482
- Number of health care workers
- 1,576
- Rate of flu vaccination
- 94.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 25
- Number of eligible stays
- 494
- Unadjusted potentially preventable readmission rate
- 5.06
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.43
- Lower limit of the 95% confidence interval on the RSRR
- 5.93
- Upper limit of the 95% confidence interval on the RSRR
- 9.15
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 30
- Number of eligible stays
- 558
- Unadjusted potentially preventable readmission rate
- 5.38
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.67
- Lower limit of the 95% confidence interval on the RSRR
- 3.67
- Upper limit of the 95% confidence interval on the RSRR
- 6.08
- 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)
- 262
- Number of eligible stays
- 441
- Observed discharge to community rate
- 59.41
- Risk-standardized discharge to community rate
- 64.69
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.38
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.65
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.11
- Number of eligible episodes
- 509
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 640
- Denominator
- 679
- Facility rate
- 94.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 679
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 1,341
- Number of health care workers
- 1,414
- Rate of COVID-19 vaccination
- 94.8