About the Facility
- CMS Certification Number (CCN)
- 453059
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
18550 I 45 South
- Phone Number
- (281) 364-3304
Facility Medical Condition Statistics
- All other conditions
- 55
- Brain disease or condition (non-traumatic)
- 84
- Brain injury (traumatic)
- 17
- Hip or femur fracture
- 59
- Hip or knee replacement, amputation or other bone or joint condition
- 100
- Nervous system disorder (excluding stroke)
- 263
- Spinal cord disease or condition (non-traumatic)
- 20
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 127
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.295
- SIR 95% confidence interval - upper limit
- 5.822
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,051
- Predicted number of infections (B)
- 1.135
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.762
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 706
- Denominator
- 706
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 618
- Average observed change score
- 14.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.4
- Denominator
- 618
- Average observed change score
- 34.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 452
- Denominator
- 618
- Facility rate
- 73.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 495
- Denominator
- 618
- Facility rate
- 80.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 706
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.698
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 10,378
- Predicted number of infections (B)
- 4.293
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 200
- Number of health care workers
- 275
- Rate of flu vaccination
- 72.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 78
- Number of eligible stays
- 595
- Unadjusted potentially preventable readmission rate
- 13.11
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.88
- Lower limit of the 95% confidence interval on the RSRR
- 8.33
- Upper limit of the 95% confidence interval on the RSRR
- 11.65
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 40
- Number of eligible stays
- 674
- Unadjusted potentially preventable readmission rate
- 5.93
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.14
- Lower limit of the 95% confidence interval on the RSRR
- 3.88
- Upper limit of the 95% confidence interval on the RSRR
- 6.52
- 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)
- 350
- Number of eligible stays
- 514
- Observed discharge to community rate
- 68.09
- Risk-standardized discharge to community rate
- 71.85
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.85
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.44
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 810
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 695
- Denominator
- 706
- Facility rate
- 98.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 705
- 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
- 242
- Number of health care workers
- 290
- Rate of COVID-19 vaccination
- 83.4