About the Facility
- CMS Certification Number (CCN)
- 45T431
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
919 E 32nd St
- Phone Number
- (512) 544-5117
Facility Medical Condition Statistics
- All other conditions
- 288
- Brain disease or condition (non-traumatic)
- 200
- Brain injury (traumatic)
- 93
- Hip or femur fracture
- 143
- Hip or knee replacement, amputation or other bone or joint condition
- 237
- Nervous system disorder (excluding stroke)
- 235
- Spinal cord disease or condition (non-traumatic)
- 85
- Spinal cord injury (traumatic)
- 24
- Stroke
- 226
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 2.025
- SIR 95% confidence interval - upper limit
- 6.692
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 1,448
- Predicted number of infections (B)
- 2.857
- Number of infections reported (A)
- 11
- SIR (A/B)
- 3.850
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,360
- Denominator
- 1,360
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.8
- Denominator
- 1,184
- Average observed change score
- 18.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 40.8
- Denominator
- 1,184
- Average observed change score
- 42.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 969
- Denominator
- 1,184
- Facility rate
- 81.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 973
- Denominator
- 1,184
- Facility rate
- 82.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 1,360
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.022
- SIR 95% confidence interval - upper limit
- 0.425
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 26,465
- Predicted number of infections (B)
- 15.565
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.128
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 164
- Number of health care workers
- 241
- Rate of flu vaccination
- 68.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 137
- Number of eligible stays
- 1,791
- Unadjusted potentially preventable readmission rate
- 7.65
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.82
- Lower limit of the 95% confidence interval on the RSRR
- 6.70
- Upper limit of the 95% confidence interval on the RSRR
- 8.97
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 76
- Number of eligible stays
- 1,962
- Unadjusted potentially preventable readmission rate
- 3.87
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.84
- Lower limit of the 95% confidence interval on the RSRR
- 3.16
- Upper limit of the 95% confidence interval on the RSRR
- 4.93
- 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)
- 1,097
- Number of eligible stays
- 1,572
- Observed discharge to community rate
- 69.78
- Risk-standardized discharge to community rate
- 71.91
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.43
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.99
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.10
- Number of eligible episodes
- 1,785
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,342
- Denominator
- 1,360
- Facility rate
- 98.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 13
- Denominator
- 1,359
- Facility observed rate
- 1.0
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 228
- Number of health care workers
- 261
- Rate of COVID-19 vaccination
- 87.4