About the Facility
- CMS Certification Number (CCN)
- 453031
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
9119 Cinnamon Hill
- Phone Number
- (210) 691-0737
Facility Medical Condition Statistics
- All other conditions
- 230
- Brain disease or condition (non-traumatic)
- 116
- Brain injury (traumatic)
- 54
- Hip or femur fracture
- 75
- Hip or knee replacement, amputation or other bone or joint condition
- 250
- Nervous system disorder (excluding stroke)
- 204
- Spinal cord disease or condition (non-traumatic)
- 31
- Spinal cord injury (traumatic)
- 12
- Stroke
- 230
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.199
- SIR 95% confidence interval - upper limit
- 4.902
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 2,869
- Predicted number of infections (B)
- 3.099
- Number of infections reported (A)
- 8
- SIR (A/B)
- 2.581
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,154
- Denominator
- 1,154
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.9
- Denominator
- 971
- Average observed change score
- 13.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.9
- Denominator
- 971
- Average observed change score
- 32.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 696
- Denominator
- 971
- Facility rate
- 71.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 767
- Denominator
- 971
- Facility rate
- 79.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 1,154
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.190
- SIR 95% confidence interval - upper limit
- 1.150
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 19,949
- Predicted number of infections (B)
- 9.639
- Number of infections reported (A)
- 5
- SIR (A/B)
- 0.519
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 272
- Number of health care workers
- 312
- Rate of flu vaccination
- 87.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 80
- Number of eligible stays
- 915
- Unadjusted potentially preventable readmission rate
- 8.74
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.06
- Lower limit of the 95% confidence interval on the RSRR
- 6.93
- Upper limit of the 95% confidence interval on the RSRR
- 9.37
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 70
- Number of eligible stays
- 1,049
- Unadjusted potentially preventable readmission rate
- 6.67
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.85
- Lower limit of the 95% confidence interval on the RSRR
- 4.71
- Upper limit of the 95% confidence interval on the RSRR
- 7.13
- 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)
- 506
- Number of eligible stays
- 767
- Observed discharge to community rate
- 65.97
- Risk-standardized discharge to community rate
- 69.20
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.02
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.56
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 1,447
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,152
- Denominator
- 1,154
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 1,151
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 295
- Number of health care workers
- 355
- Rate of COVID-19 vaccination
- 83.1