About the Facility
- CMS Certification Number (CCN)
- 45T222
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
504 Medical Center Blvd
- Phone Number
- (936) 525-3964
Facility Medical Condition Statistics
- All other conditions
- 129
- Brain disease or condition (non-traumatic)
- 39
- Brain injury (traumatic)
- 24
- Hip or femur fracture
- 77
- Hip or knee replacement, amputation or other bone or joint condition
- 57
- Nervous system disorder (excluding stroke)
- 18
- Spinal cord disease or condition (non-traumatic)
- 21
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 69
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
- 446
- Predicted number of infections (B)
- 0.853
- 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
- 360
- Denominator
- 364
- Facility rate
- 98.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.1
- Denominator
- 321
- Average observed change score
- 15.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.4
- Denominator
- 321
- Average observed change score
- 39.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 272
- Denominator
- 321
- Facility rate
- 84.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 266
- Denominator
- 321
- Facility rate
- 82.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 364
- 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
- 1.381
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,866
- Predicted number of infections (B)
- 2.169
- 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
- 22
- Number of health care workers
- 45
- Rate of flu vaccination
- 48.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 42
- Number of eligible stays
- 444
- Unadjusted potentially preventable readmission rate
- 9.46
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.12
- Lower limit of the 95% confidence interval on the RSRR
- 7.54
- Upper limit of the 95% confidence interval on the RSRR
- 11.12
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 35
- Number of eligible stays
- 510
- Unadjusted potentially preventable readmission rate
- 6.86
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.45
- Lower limit of the 95% confidence interval on the RSRR
- 4.62
- Upper limit of the 95% confidence interval on the RSRR
- 9.22
- 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)
- 261
- Number of eligible stays
- 408
- Observed discharge to community rate
- 63.97
- Risk-standardized discharge to community rate
- 63.13
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.98
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.16
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 437
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 361
- Denominator
- 364
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 362
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 32
- Number of health care workers
- 43
- Rate of COVID-19 vaccination
- 74.4