About the Facility
- CMS Certification Number (CCN)
- 45T788
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
3315 S Alameda St
- Phone Number
- (361) 761-5267
Facility Medical Condition Statistics
- All other conditions
- 77
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 52
- Hip or knee replacement, amputation or other bone or joint condition
- 28
- Nervous system disorder (excluding stroke)
- 12
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 61
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
- 126
- Predicted number of infections (B)
- 0.216
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 220
- Denominator
- 221
- Facility rate
- 99.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.1
- Denominator
- 198
- Average observed change score
- 12.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.7
- Denominator
- 198
- Average observed change score
- 35.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 120
- Denominator
- 198
- Facility rate
- 60.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 140
- Denominator
- 198
- Facility rate
- 70.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 221
- 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
- 2.156
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,866
- Predicted number of infections (B)
- 1.389
- 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
- 24
- Number of health care workers
- 314
- Rate of flu vaccination
- 7.6
- 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
- 241
- Unadjusted potentially preventable readmission rate
- 7.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.79
- Lower limit of the 95% confidence interval on the RSRR
- 7.01
- Upper limit of the 95% confidence interval on the RSRR
- 11.42
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 11
- Number of eligible stays
- 269
- Unadjusted potentially preventable readmission rate
- 4.09
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.89
- Lower limit of the 95% confidence interval on the RSRR
- 3.51
- Upper limit of the 95% confidence interval on the RSRR
- 7.31
- 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)
- 148
- Number of eligible stays
- 195
- Observed discharge to community rate
- 75.90
- Risk-standardized discharge to community rate
- 70.74
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.88
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.26
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 214
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 221
- Denominator
- 221
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 221
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 298
- Number of health care workers
- 495
- Rate of COVID-19 vaccination
- 60.2