About the Facility
- CMS Certification Number (CCN)
- 45TA23
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
6441 Main St
- Phone Number
- (713) 790-0500
Facility Medical Condition Statistics
- All other conditions
- 38
- Brain disease or condition (non-traumatic)
- 12
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- Data not available for this reporting period.
- Nervous system disorder (excluding stroke)
- 76
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 14
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
- 331
- Predicted number of infections (B)
- 0.664
- 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
- 153
- Denominator
- 153
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.2
- Denominator
- 136
- Average observed change score
- 11.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.7
- Denominator
- 136
- Average observed change score
- 28.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 74
- Denominator
- 136
- Facility rate
- 54.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 86
- Denominator
- 136
- Facility rate
- 63.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 153
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.026
- SIR 95% confidence interval - upper limit
- 2.573
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,153
- Predicted number of infections (B)
- 1.917
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.522
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 49
- Number of health care workers
- 50
- Rate of flu vaccination
- 98.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 17
- Number of eligible stays
- 125
- Unadjusted potentially preventable readmission rate
- 13.60
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.79
- Lower limit of the 95% confidence interval on the RSRR
- 7.10
- Upper limit of the 95% confidence interval on the RSRR
- 11.09
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 3
- Number of eligible stays
- 130
- Unadjusted potentially preventable readmission rate
- 2.31
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.72
- Lower limit of the 95% confidence interval on the RSRR
- 2.36
- Upper limit of the 95% confidence interval on the RSRR
- 5.47
- 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)
- 66
- Number of eligible stays
- 103
- Observed discharge to community rate
- 64.08
- Risk-standardized discharge to community rate
- 69.01
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.53
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.41
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.86
- Number of eligible episodes
- 138
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 153
- Denominator
- 153
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 153
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 8
- Number of health care workers
- 12
- Rate of COVID-19 vaccination
- 66.7