About the Facility
- CMS Certification Number (CCN)
- 45T097
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
4000 Spencer Highway
- Phone Number
- (713) 359-5381
Facility Medical Condition Statistics
- All other conditions
- 96
- Brain disease or condition (non-traumatic)
- 30
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 44
- Hip or knee replacement, amputation or other bone or joint condition
- 35
- Nervous system disorder (excluding stroke)
- 27
- Spinal cord disease or condition (non-traumatic)
- 19
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 82
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
- 421
- Predicted number of infections (B)
- 0.607
- 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
- 259
- Denominator
- 260
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.3
- Denominator
- 227
- Average observed change score
- 13.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.0
- Denominator
- 227
- Average observed change score
- 33.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 168
- Denominator
- 227
- Facility rate
- 74.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 176
- Denominator
- 227
- Facility rate
- 77.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 260
- 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
- 1.581
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,770
- Predicted number of infections (B)
- 1.895
- 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
- 4
- Number of health care workers
- 19
- Rate of flu vaccination
- 21.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 38
- Number of eligible stays
- 279
- Unadjusted potentially preventable readmission rate
- 13.62
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.79
- Lower limit of the 95% confidence interval on the RSRR
- 7.95
- Upper limit of the 95% confidence interval on the RSRR
- 12.10
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 12
- Number of eligible stays
- 306
- Unadjusted potentially preventable readmission rate
- 3.92
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.29
- Lower limit of the 95% confidence interval on the RSRR
- 3.20
- Upper limit of the 95% confidence interval on the RSRR
- 6.14
- 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)
- 159
- Number of eligible stays
- 237
- Observed discharge to community rate
- 67.09
- Risk-standardized discharge to community rate
- 69.81
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.17
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.19
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 262
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 258
- Denominator
- 260
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 260
- Facility observed rate
- 2.3
- Facility risk-adjusted rate
- 1.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 21
- Number of health care workers
- 35
- Rate of COVID-19 vaccination
- 60.0