About the Facility
- CMS Certification Number (CCN)
- 45TA57
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
9182 Six Pines Drive
- Phone Number
- (713) 364-0317
Facility Medical Condition Statistics
- All other conditions
- 15
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- 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)
- Data not available for this reporting period.
- 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
- Data not available for this reporting period.
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.193
- SIR 95% confidence interval - upper limit
- 3.798
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 984
- Predicted number of infections (B)
- 1.740
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.149
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 53
- Denominator
- 53
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.6
- Denominator
- 41
- Average observed change score
- 7.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.3
- Denominator
- 41
- Average observed change score
- 19.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 18
- Denominator
- 41
- Facility rate
- 43.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 20
- Denominator
- 41
- Facility rate
- 48.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 53
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.130
- SIR 95% confidence interval - upper limit
- 2.558
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,496
- Predicted number of infections (B)
- 2.584
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.774
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 210
- Number of health care workers
- 325
- Rate of flu vaccination
- 64.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 3
- Number of eligible stays
- 50
- Unadjusted potentially preventable readmission rate
- 6.00
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.23
- Lower limit of the 95% confidence interval on the RSRR
- 6.22
- Upper limit of the 95% confidence interval on the RSRR
- 10.61
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 59
- Unadjusted potentially preventable readmission rate
- 8.47
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.17
- Lower limit of the 95% confidence interval on the RSRR
- 3.68
- Upper limit of the 95% confidence interval on the RSRR
- 7.35
- 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)
- 24
- Number of eligible stays
- 46
- Observed discharge to community rate
- 52.17
- Risk-standardized discharge to community rate
- 63.15
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 52.73
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.67
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 58
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 53
- Denominator
- 53
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 52
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 317
- Number of health care workers
- 330
- Rate of COVID-19 vaccination
- 96.1