About the Facility
- CMS Certification Number (CCN)
- 45T213
- Ownership Type
- Government
- CMS Region
- Dallas
- Certification Date
- Address
4502 Medical Drive
- Phone Number
- (210) 358-2637
Facility Medical Condition Statistics
- All other conditions
- 15
- Brain disease or condition (non-traumatic)
- 15
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 21
- 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)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 15
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
- 237
- Predicted number of infections (B)
- 0.489
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 99
- Denominator
- 99
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.6
- Denominator
- 85
- Average observed change score
- 10.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.3
- Denominator
- 85
- Average observed change score
- 23.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 34
- Denominator
- 85
- Facility rate
- 40.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 24
- Denominator
- 85
- Facility rate
- 28.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 99
- 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
- 1.566
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,046
- Predicted number of infections (B)
- 1.913
- 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
- 242
- Number of health care workers
- 249
- Rate of flu vaccination
- 97.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 9
- Number of eligible stays
- 111
- Unadjusted potentially preventable readmission rate
- 8.11
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.80
- Lower limit of the 95% confidence interval on the RSRR
- 6.76
- Upper limit of the 95% confidence interval on the RSRR
- 11.18
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 6
- Number of eligible stays
- 125
- Unadjusted potentially preventable readmission rate
- 4.80
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.14
- Lower limit of the 95% confidence interval on the RSRR
- 3.67
- Upper limit of the 95% confidence interval on the RSRR
- 7.74
- 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)
- 72
- Number of eligible stays
- 106
- Observed discharge to community rate
- 67.92
- Risk-standardized discharge to community rate
- 65.21
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.56
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.03
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 99
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 99
- Denominator
- 99
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 99
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 185
- Number of health care workers
- 192
- Rate of COVID-19 vaccination
- 96.4