About the Facility
- CMS Certification Number (CCN)
- 45T211
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
1201 West Frank Street
- Phone Number
- (936) 639-7648
Facility Medical Condition Statistics
- All other conditions
- 47
- 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
- 26
- Hip or knee replacement, amputation or other bone or joint condition
- Data not available for this reporting period.
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 15
- Spinal cord injury (traumatic)
- -
- Stroke
- 57
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
- 202
- Predicted number of infections (B)
- 0.384
- 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
- 167
- Denominator
- 167
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.7
- Denominator
- 148
- Average observed change score
- 11.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.4
- Denominator
- 148
- Average observed change score
- 24.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 79
- Denominator
- 148
- Facility rate
- 53.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 59
- Denominator
- 148
- Facility rate
- 39.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 167
- 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
- 2,483
- Predicted number of infections (B)
- 0.811
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 419
- Number of health care workers
- 550
- Rate of flu vaccination
- 76.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 12
- Number of eligible stays
- 217
- Unadjusted potentially preventable readmission rate
- 5.53
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.00
- Lower limit of the 95% confidence interval on the RSRR
- 6.27
- Upper limit of the 95% confidence interval on the RSRR
- 10.11
- 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
- 232
- Unadjusted potentially preventable readmission rate
- 3.02
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.39
- Lower limit of the 95% confidence interval on the RSRR
- 3.18
- Upper limit of the 95% confidence interval on the RSRR
- 6.10
- 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)
- 133
- Number of eligible stays
- 182
- Observed discharge to community rate
- 73.08
- Risk-standardized discharge to community rate
- 68.89
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.64
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.58
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 233
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 148
- Denominator
- 167
- Facility rate
- 88.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 9
- Denominator
- 167
- Facility observed rate
- 5.4
- Facility risk-adjusted rate
- 5.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 401
- Number of health care workers
- 432
- Rate of COVID-19 vaccination
- 92.8