About the Facility
- CMS Certification Number (CCN)
- 45T104
- Ownership Type
- Government
- CMS Region
- Dallas
- Certification Date
- Address
1215 East Court Street
- Phone Number
- (830) 401-7789
Facility Medical Condition Statistics
- All other conditions
- 51
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 30
- Hip or knee replacement, amputation or other bone or joint condition
- 29
- Nervous system disorder (excluding stroke)
- 28
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 26
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
- 158
- Predicted number of infections (B)
- 0.228
- 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
- 176
- Denominator
- 176
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 158
- Average observed change score
- 14.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.4
- Denominator
- 158
- Average observed change score
- 40.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 118
- Denominator
- 158
- Facility rate
- 74.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 132
- Denominator
- 158
- Facility rate
- 83.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 176
- 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
- 2,191
- Predicted number of infections (B)
- 0.953
- 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
- 25
- Number of health care workers
- 27
- Rate of flu vaccination
- 92.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 15
- Number of eligible stays
- 230
- Unadjusted potentially preventable readmission rate
- 6.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.33
- Lower limit of the 95% confidence interval on the RSRR
- 6.56
- Upper limit of the 95% confidence interval on the RSRR
- 10.60
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 249
- Unadjusted potentially preventable readmission rate
- 2.81
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.50
- Lower limit of the 95% confidence interval on the RSRR
- 3.27
- Upper limit of the 95% confidence interval on the RSRR
- 6.37
- 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)
- 154
- Number of eligible stays
- 195
- Observed discharge to community rate
- 78.97
- Risk-standardized discharge to community rate
- 71.59
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.62
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.73
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 251
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 170
- Denominator
- 176
- Facility rate
- 96.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 175
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 26
- Number of health care workers
- 27
- Rate of COVID-19 vaccination
- 96.3