About the Facility
- CMS Certification Number (CCN)
- 453092
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
425 East Alton Gloor Blvd
- Phone Number
- (956) 554-6000
Facility Medical Condition Statistics
- All other conditions
- 135
- Brain disease or condition (non-traumatic)
- 69
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 59
- Hip or knee replacement, amputation or other bone or joint condition
- 92
- Nervous system disorder (excluding stroke)
- 91
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 89
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
- 2.024
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,368
- Predicted number of infections (B)
- 1.480
- 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
- 545
- Denominator
- 545
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 16.4
- Denominator
- 485
- Average observed change score
- 19.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.7
- Denominator
- 485
- Average observed change score
- 38.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 410
- Denominator
- 485
- Facility rate
- 84.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 376
- Denominator
- 485
- Facility rate
- 77.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 545
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.076
- SIR 95% confidence interval - upper limit
- 1.496
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 10,333
- Predicted number of infections (B)
- 4.418
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.453
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 187
- Number of health care workers
- 212
- Rate of flu vaccination
- 88.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 46
- Number of eligible stays
- 441
- Unadjusted potentially preventable readmission rate
- 10.43
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.95
- Lower limit of the 95% confidence interval on the RSRR
- 7.32
- Upper limit of the 95% confidence interval on the RSRR
- 10.90
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 33
- Number of eligible stays
- 490
- Unadjusted potentially preventable readmission rate
- 6.73
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.56
- Lower limit of the 95% confidence interval on the RSRR
- 4.13
- Upper limit of the 95% confidence interval on the RSRR
- 7.41
- 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)
- 257
- Number of eligible stays
- 404
- Observed discharge to community rate
- 63.61
- Risk-standardized discharge to community rate
- 69.22
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.55
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.79
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.08
- Number of eligible episodes
- 536
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 498
- Denominator
- 545
- Facility rate
- 91.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 12
- Denominator
- 544
- Facility observed rate
- 2.2
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 225
- Number of health care workers
- 231
- Rate of COVID-19 vaccination
- 97.4