About the Facility
- CMS Certification Number (CCN)
- 45T718
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2400 Round Rock Ave
- Phone Number
- (512) 341-1145
Facility Medical Condition Statistics
- All other conditions
- 30
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- 22
- Hip or femur fracture
- 55
- Hip or knee replacement, amputation or other bone or joint condition
- 41
- Nervous system disorder (excluding stroke)
- 14
- 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
- 48
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
- 146
- Predicted number of infections (B)
- 0.302
- 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
- 221
- Denominator
- 222
- Facility rate
- 99.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.2
- Denominator
- 202
- Average observed change score
- 15.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.8
- Denominator
- 202
- Average observed change score
- 39.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 135
- Denominator
- 202
- Facility rate
- 66.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 151
- Denominator
- 202
- Facility rate
- 74.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 222
- 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
- 1.976
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,955
- Predicted number of infections (B)
- 1.516
- 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
- 25
- Number of health care workers
- 27
- Rate of flu vaccination
- 92.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 19
- Number of eligible stays
- 327
- Unadjusted potentially preventable readmission rate
- 5.81
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.57
- Lower limit of the 95% confidence interval on the RSRR
- 6.68
- Upper limit of the 95% confidence interval on the RSRR
- 10.84
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 341
- Unadjusted potentially preventable readmission rate
- 2.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.11
- Lower limit of the 95% confidence interval on the RSRR
- 2.83
- Upper limit of the 95% confidence interval on the RSRR
- 5.76
- 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)
- 220
- Number of eligible stays
- 274
- Observed discharge to community rate
- 80.29
- Risk-standardized discharge to community rate
- 72.27
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.21
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.75
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 302
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 220
- Denominator
- 222
- Facility rate
- 99.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 222
- Facility observed rate
- 2.3
- Facility risk-adjusted rate
- 2.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 22
- Number of health care workers
- 24
- Rate of COVID-19 vaccination
- 91.7