About the Facility
- CMS Certification Number (CCN)
- 453035
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
5101 Medical Dr
- Phone Number
- (210) 616-0100
Facility Medical Condition Statistics
- All other conditions
- 1,010
- Brain disease or condition (non-traumatic)
- 213
- Brain injury (traumatic)
- 114
- Hip or femur fracture
- 258
- Hip or knee replacement, amputation or other bone or joint condition
- 642
- Nervous system disorder (excluding stroke)
- 479
- Spinal cord disease or condition (non-traumatic)
- 70
- Spinal cord injury (traumatic)
- 35
- Stroke
- 323
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.679
- Comparative performance category
- Better than the National Benchmark
- Catheter days
- 4,086
- Predicted number of infections (B)
- 4.413
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 3,039
- Denominator
- 3,050
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.8
- Denominator
- 2,565
- Average observed change score
- 11.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.6
- Denominator
- 2,568
- Average observed change score
- 26.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 1,218
- Denominator
- 2,568
- Facility rate
- 47.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 1,036
- Denominator
- 2,568
- Facility rate
- 40.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 3,050
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.046
- SIR 95% confidence interval - upper limit
- 0.494
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 41,924
- Predicted number of infections (B)
- 16.526
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.182
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 667
- Number of health care workers
- 946
- Rate of flu vaccination
- 70.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 248
- Number of eligible stays
- 2,455
- Unadjusted potentially preventable readmission rate
- 10.10
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.35
- Lower limit of the 95% confidence interval on the RSRR
- 8.43
- Upper limit of the 95% confidence interval on the RSRR
- 10.48
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 200
- Number of eligible stays
- 2,827
- Unadjusted potentially preventable readmission rate
- 7.07
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.78
- Lower limit of the 95% confidence interval on the RSRR
- 5.98
- Upper limit of the 95% confidence interval on the RSRR
- 7.42
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 1,351
- Number of eligible stays
- 2,180
- Observed discharge to community rate
- 61.97
- Risk-standardized discharge to community rate
- 62.75
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.74
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.69
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 3,492
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 3,019
- Denominator
- 3,050
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 53
- Denominator
- 3,044
- Facility observed rate
- 1.7
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 886
- Number of health care workers
- 952
- Rate of COVID-19 vaccination
- 93.1