About the Facility
- CMS Certification Number (CCN)
- 45T033
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2101 Pease Street
- Phone Number
- (956) 389-1550
Facility Medical Condition Statistics
- All other conditions
- 95
- Brain disease or condition (non-traumatic)
- 14
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 35
- Hip or knee replacement, amputation or other bone or joint condition
- 51
- Nervous system disorder (excluding stroke)
- 41
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 76
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.044
- SIR 95% confidence interval - upper limit
- 4.326
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 465
- Predicted number of infections (B)
- 1.140
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.877
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 328
- Denominator
- 328
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.0
- Denominator
- 273
- Average observed change score
- 14.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.9
- Denominator
- 274
- Average observed change score
- 35.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 185
- Denominator
- 274
- Facility rate
- 67.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 181
- Denominator
- 274
- Facility rate
- 66.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 328
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.117
- SIR 95% confidence interval - upper limit
- 2.310
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,509
- Predicted number of infections (B)
- 2.860
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.699
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 30
- Number of health care workers
- 30
- Rate of flu vaccination
- 100.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 13
- Number of eligible stays
- 239
- Unadjusted potentially preventable readmission rate
- 5.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.70
- Lower limit of the 95% confidence interval on the RSRR
- 6.05
- Upper limit of the 95% confidence interval on the RSRR
- 9.70
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 13
- Number of eligible stays
- 277
- Unadjusted potentially preventable readmission rate
- 4.69
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.90
- Lower limit of the 95% confidence interval on the RSRR
- 3.52
- Upper limit of the 95% confidence interval on the RSRR
- 6.77
- 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)
- 146
- Number of eligible stays
- 231
- Observed discharge to community rate
- 63.20
- Risk-standardized discharge to community rate
- 65.01
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.42
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.54
- 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
- 257
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 323
- Denominator
- 328
- Facility rate
- 98.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 327
- Facility observed rate
- 1.5
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 23
- Number of health care workers
- 24
- Rate of COVID-19 vaccination
- 95.8