About the Facility
- CMS Certification Number (CCN)
- 45T809
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
12221 North Mopac Expressway
- Phone Number
- (512) 901-1855
Facility Medical Condition Statistics
- All other conditions
- 76
- Brain disease or condition (non-traumatic)
- 25
- Brain injury (traumatic)
- 18
- Hip or femur fracture
- 50
- Hip or knee replacement, amputation or other bone or joint condition
- 71
- Nervous system disorder (excluding stroke)
- 21
- Spinal cord disease or condition (non-traumatic)
- 22
- Spinal cord injury (traumatic)
- -
- Stroke
- 36
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
- 91
- Predicted number of infections (B)
- 0.188
- 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
- 299
- Denominator
- 299
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.3
- Denominator
- 274
- Average observed change score
- 17.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 45.7
- Denominator
- 274
- Average observed change score
- 50.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 202
- Denominator
- 274
- Facility rate
- 73.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 249
- Denominator
- 274
- Facility rate
- 90.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 299
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.024
- SIR 95% confidence interval - upper limit
- 2.393
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,822
- Predicted number of infections (B)
- 2.061
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.485
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 20
- Number of health care workers
- 27
- Rate of flu vaccination
- 74.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 29
- Number of eligible stays
- 381
- Unadjusted potentially preventable readmission rate
- 7.61
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.66
- Lower limit of the 95% confidence interval on the RSRR
- 6.98
- Upper limit of the 95% confidence interval on the RSRR
- 10.76
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 8
- Number of eligible stays
- 405
- Unadjusted potentially preventable readmission rate
- 1.98
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.63
- Lower limit of the 95% confidence interval on the RSRR
- 2.62
- Upper limit of the 95% confidence interval on the RSRR
- 4.72
- 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)
- 272
- Number of eligible stays
- 348
- Observed discharge to community rate
- 78.16
- Risk-standardized discharge to community rate
- 75.21
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.21
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.74
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.09
- Number of eligible episodes
- 379
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 299
- Denominator
- 299
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 298
- Facility observed rate
- 1.0
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 26
- Number of health care workers
- 30
- Rate of COVID-19 vaccination
- 86.7