About the Facility
- CMS Certification Number (CCN)
- 453091
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
906 James Street
- Phone Number
- (956) 969-2222
Facility Medical Condition Statistics
- All other conditions
- 125
- Brain disease or condition (non-traumatic)
- 36
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 37
- Hip or knee replacement, amputation or other bone or joint condition
- 65
- Nervous system disorder (excluding stroke)
- 37
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 66
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.210
- SIR 95% confidence interval - upper limit
- 9.189
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 761
- Predicted number of infections (B)
- 1.050
- Number of infections reported (A)
- 4
- SIR (A/B)
- 3.810
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 370
- Denominator
- 370
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 16.7
- Denominator
- 313
- Average observed change score
- 17.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 40.9
- Denominator
- 313
- Average observed change score
- 40.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 265
- Denominator
- 313
- Facility rate
- 84.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 256
- Denominator
- 313
- Facility rate
- 81.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 370
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.020
- SIR 95% confidence interval - upper limit
- 1.972
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,798
- Predicted number of infections (B)
- 2.501
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.400
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 135
- Number of health care workers
- 144
- Rate of flu vaccination
- 93.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 28
- Number of eligible stays
- 291
- Unadjusted potentially preventable readmission rate
- 9.62
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.63
- Lower limit of the 95% confidence interval on the RSRR
- 7.00
- Upper limit of the 95% confidence interval on the RSRR
- 10.61
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 16
- Number of eligible stays
- 325
- Unadjusted potentially preventable readmission rate
- 4.92
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.60
- Lower limit of the 95% confidence interval on the RSRR
- 3.40
- Upper limit of the 95% confidence interval on the RSRR
- 6.23
- 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)
- 156
- Number of eligible stays
- 231
- Observed discharge to community rate
- 67.53
- Risk-standardized discharge to community rate
- 70.60
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.74
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.86
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 332
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 369
- Denominator
- 370
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 370
- Facility observed rate
- 1.4
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 196
- Number of health care workers
- 203
- Rate of COVID-19 vaccination
- 96.6