About the Facility
- CMS Certification Number (CCN)
- 45T046
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
600 Elizabeth St.
- Phone Number
- (361) 881-3429
Facility Medical Condition Statistics
- All other conditions
- 89
- Brain disease or condition (non-traumatic)
- 23
- Brain injury (traumatic)
- 14
- Hip or femur fracture
- 38
- Hip or knee replacement, amputation or other bone or joint condition
- 59
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- -
- Stroke
- 72
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.048
- SIR 95% confidence interval - upper limit
- 4.693
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 729
- Predicted number of infections (B)
- 1.051
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.951
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 310
- Denominator
- 310
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.5
- Denominator
- 268
- Average observed change score
- 10.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.8
- Denominator
- 268
- Average observed change score
- 32.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 128
- Denominator
- 268
- Facility rate
- 47.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 156
- Denominator
- 268
- Facility rate
- 58.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 310
- 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
- 1.057
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,515
- Predicted number of infections (B)
- 2.834
- 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
- 27
- Number of health care workers
- 29
- Rate of flu vaccination
- 93.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 19
- Number of eligible stays
- 316
- Unadjusted potentially preventable readmission rate
- 6.01
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.91
- Lower limit of the 95% confidence interval on the RSRR
- 6.37
- Upper limit of the 95% confidence interval on the RSRR
- 9.95
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 28
- Number of eligible stays
- 362
- Unadjusted potentially preventable readmission rate
- 7.73
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.84
- Lower limit of the 95% confidence interval on the RSRR
- 5.38
- Upper limit of the 95% confidence interval on the RSRR
- 9.09
- 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)
- 175
- Number of eligible stays
- 281
- Observed discharge to community rate
- 62.28
- Risk-standardized discharge to community rate
- 62.63
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.33
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.08
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 315
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 300
- Denominator
- 310
- Facility rate
- 96.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 309
- Facility observed rate
- 2.3
- Facility risk-adjusted rate
- 2.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 67
- Number of health care workers
- 84
- Rate of COVID-19 vaccination
- 79.8