About the Facility
- CMS Certification Number (CCN)
- 45T617
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
500 Medical Center Blvd
- Phone Number
- (281) 338-3972
Facility Medical Condition Statistics
- All other conditions
- 191
- Brain disease or condition (non-traumatic)
- 79
- Brain injury (traumatic)
- 28
- Hip or femur fracture
- 98
- Hip or knee replacement, amputation or other bone or joint condition
- 83
- Nervous system disorder (excluding stroke)
- 103
- Spinal cord disease or condition (non-traumatic)
- 20
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 134
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.225
- SIR 95% confidence interval - upper limit
- 4.441
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,030
- Predicted number of infections (B)
- 1.488
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.344
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 604
- Denominator
- 606
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.3
- Denominator
- 538
- Average observed change score
- 13.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.0
- Denominator
- 538
- Average observed change score
- 36.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 377
- Denominator
- 538
- Facility rate
- 70.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 390
- Denominator
- 538
- Facility rate
- 72.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 606
- 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
- 0.752
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 10,030
- Predicted number of infections (B)
- 3.985
- 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
- 10
- Number of health care workers
- 49
- Rate of flu vaccination
- 20.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 82
- Number of eligible stays
- 776
- Unadjusted potentially preventable readmission rate
- 10.57
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.10
- Lower limit of the 95% confidence interval on the RSRR
- 7.69
- Upper limit of the 95% confidence interval on the RSRR
- 10.75
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 28
- Number of eligible stays
- 857
- Unadjusted potentially preventable readmission rate
- 3.27
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.64
- Lower limit of the 95% confidence interval on the RSRR
- 2.56
- Upper limit of the 95% confidence interval on the RSRR
- 4.88
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 462
- Number of eligible stays
- 665
- Observed discharge to community rate
- 69.47
- Risk-standardized discharge to community rate
- 71.07
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.52
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.17
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 738
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 602
- Denominator
- 606
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 603
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 559
- Number of health care workers
- 810
- Rate of COVID-19 vaccination
- 69.0