About the Facility
- CMS Certification Number (CCN)
- 45T869
- Ownership Type
- Physician
- CMS Region
- Dallas
- Certification Date
- Address
5501 S. Mccoll
- Phone Number
- (956) 362-6607
Facility Medical Condition Statistics
- All other conditions
- 184
- Brain disease or condition (non-traumatic)
- 24
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 67
- Hip or knee replacement, amputation or other bone or joint condition
- 56
- Nervous system disorder (excluding stroke)
- 37
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 103
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.152
- SIR 95% confidence interval - upper limit
- 2.997
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,065
- Predicted number of infections (B)
- 2.205
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.907
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 496
- Denominator
- 496
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.3
- Denominator
- 440
- Average observed change score
- 15.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.0
- Denominator
- 440
- Average observed change score
- 34.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 330
- Denominator
- 440
- Facility rate
- 75.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 287
- Denominator
- 440
- Facility rate
- 65.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 496
- 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
- 0.844
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 9,420
- Predicted number of infections (B)
- 3.549
- 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
- 174
- Number of health care workers
- 177
- Rate of flu vaccination
- 98.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 41
- Number of eligible stays
- 397
- Unadjusted potentially preventable readmission rate
- 10.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.29
- Lower limit of the 95% confidence interval on the RSRR
- 7.67
- Upper limit of the 95% confidence interval on the RSRR
- 11.26
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 29
- Number of eligible stays
- 445
- Unadjusted potentially preventable readmission rate
- 6.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.60
- Lower limit of the 95% confidence interval on the RSRR
- 4.31
- Upper limit of the 95% confidence interval on the RSRR
- 7.12
- 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)
- 227
- Number of eligible stays
- 350
- Observed discharge to community rate
- 64.86
- Risk-standardized discharge to community rate
- 68.84
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.24
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.54
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.01
- Number of eligible episodes
- 412
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 494
- Denominator
- 496
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 496
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 212
- Number of health care workers
- 216
- Rate of COVID-19 vaccination
- 98.1