About the Facility
- CMS Certification Number (CCN)
- 45T092
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
3333 N Foster Maldonado Blvd
- Phone Number
- (830) 872-2990
Facility Medical Condition Statistics
- All other conditions
- 31
- Brain disease or condition (non-traumatic)
- -
- Brain injury (traumatic)
- -
- Hip or femur fracture
- 18
- Hip or knee replacement, amputation or other bone or joint condition
- 17
- Nervous system disorder (excluding stroke)
- 64
- Spinal cord disease or condition (non-traumatic)
- -
- Spinal cord injury (traumatic)
- -
- Stroke
- 18
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
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 146
- Predicted number of infections (B)
- 0.212
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 147
- Denominator
- 147
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 17.1
- Denominator
- 132
- Average observed change score
- 19.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.0
- Denominator
- 132
- Average observed change score
- 27.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 122
- Denominator
- 132
- Facility rate
- 92.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 84
- Denominator
- 132
- Facility rate
- 63.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 147
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 2,159
- Predicted number of infections (B)
- 0.915
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- Not Available
- Number of health care workers
- Not Available
- Rate of flu vaccination
- Not Available
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 20
- Number of eligible stays
- 151
- Unadjusted potentially preventable readmission rate
- 13.25
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.24
- Lower limit of the 95% confidence interval on the RSRR
- 7.35
- Upper limit of the 95% confidence interval on the RSRR
- 11.71
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 8
- Number of eligible stays
- 164
- Unadjusted potentially preventable readmission rate
- 4.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.84
- Lower limit of the 95% confidence interval on the RSRR
- 3.54
- Upper limit of the 95% confidence interval on the RSRR
- 7.35
- 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)
- 76
- Number of eligible stays
- 129
- Observed discharge to community rate
- 58.91
- Risk-standardized discharge to community rate
- 64.23
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.78
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.70
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 180
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 146
- Denominator
- 147
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 147
- Facility observed rate
- 2.7
- Facility risk-adjusted rate
- 1.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 30
- Number of health care workers
- 30
- Rate of COVID-19 vaccination
- 100.0