About the Facility
- CMS Certification Number (CCN)
- 45T388
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
12412 Judson Rd
- Phone Number
- (210) 757-5088
Facility Medical Condition Statistics
- All other conditions
- 687
- Brain disease or condition (non-traumatic)
- 119
- Brain injury (traumatic)
- 48
- Hip or femur fracture
- 178
- Hip or knee replacement, amputation or other bone or joint condition
- 294
- Nervous system disorder (excluding stroke)
- 104
- Spinal cord disease or condition (non-traumatic)
- 50
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 294
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.334
- SIR 95% confidence interval - upper limit
- 5.455
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 1,748
- Predicted number of infections (B)
- 2.785
- Number of infections reported (A)
- 8
- SIR (A/B)
- 2.873
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,633
- Denominator
- 1,633
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.2
- Denominator
- 1,444
- Average observed change score
- 14.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.2
- Denominator
- 1,444
- Average observed change score
- 34.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 1,073
- Denominator
- 1,444
- Facility rate
- 74.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 1,042
- Denominator
- 1,444
- Facility rate
- 72.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,632
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.004
- SIR 95% confidence interval - upper limit
- 0.407
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 26,717
- Predicted number of infections (B)
- 12.107
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.083
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,952
- Number of health care workers
- 10,632
- Rate of flu vaccination
- 18.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 170
- Number of eligible stays
- 1,758
- Unadjusted potentially preventable readmission rate
- 9.67
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.51
- Lower limit of the 95% confidence interval on the RSRR
- 8.41
- Upper limit of the 95% confidence interval on the RSRR
- 10.81
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 82
- Number of eligible stays
- 1,963
- Unadjusted potentially preventable readmission rate
- 4.18
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.65
- Lower limit of the 95% confidence interval on the RSRR
- 3.79
- Upper limit of the 95% confidence interval on the RSRR
- 5.52
- 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)
- 1,078
- Number of eligible stays
- 1,590
- Observed discharge to community rate
- 67.80
- Risk-standardized discharge to community rate
- 66.15
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.85
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.14
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 1,788
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,625
- Denominator
- 1,633
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 19
- Denominator
- 1,628
- Facility observed rate
- 1.2
- Facility risk-adjusted rate
- 1.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 202
- Number of health care workers
- 271
- Rate of COVID-19 vaccination
- 74.5