About the Facility
- CMS Certification Number (CCN)
- 45TA80
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1550 First Colony Boulevard
- Phone Number
- (281) 275-6000
Facility Medical Condition Statistics
- All other conditions
- 22
- 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
- 14
- Hip or knee replacement, amputation or other bone or joint condition
- 13
- Nervous system disorder (excluding stroke)
- 54
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 18
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
- 334
- Predicted number of infections (B)
- 0.557
- 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
- 140
- Denominator
- 140
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.5
- Denominator
- 120
- Average observed change score
- 11.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.9
- Denominator
- 120
- Average observed change score
- 26.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 69
- Denominator
- 120
- Facility rate
- 57.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 77
- Denominator
- 120
- Facility rate
- 64.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 140
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.034
- SIR 95% confidence interval - upper limit
- 3.392
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 2,492
- Predicted number of infections (B)
- 1.454
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.688
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 21
- Number of health care workers
- 21
- Rate of flu vaccination
- 100.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 16
- Number of eligible stays
- 141
- Unadjusted potentially preventable readmission rate
- 11.35
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.39
- Lower limit of the 95% confidence interval on the RSRR
- 6.67
- Upper limit of the 95% confidence interval on the RSRR
- 10.53
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 149
- Unadjusted potentially preventable readmission rate
- 4.70
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.19
- Lower limit of the 95% confidence interval on the RSRR
- 2.57
- Upper limit of the 95% confidence interval on the RSRR
- 5.81
- 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)
- 69
- Number of eligible stays
- 106
- Observed discharge to community rate
- 65.09
- Risk-standardized discharge to community rate
- 70.43
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.75
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 77.46
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 138
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 125
- Denominator
- 140
- Facility rate
- 89.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 138
- 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
- 17
- Number of health care workers
- 17
- Rate of COVID-19 vaccination
- 100.0