About the Facility
- CMS Certification Number (CCN)
- 45TA94
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
102 Medical Drive
- Phone Number
- (361) 576-6200
Facility Medical Condition Statistics
- All other conditions
- 145
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 17
- Hip or knee replacement, amputation or other bone or joint condition
- 38
- Nervous system disorder (excluding stroke)
- 69
- 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
- 30
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
- 401
- Predicted number of infections (B)
- 0.578
- 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
- 310
- Denominator
- 310
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.8
- Denominator
- 269
- Average observed change score
- 11.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.0
- Denominator
- 269
- Average observed change score
- 30.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 148
- Denominator
- 269
- Facility rate
- 55.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 155
- Denominator
- 269
- Facility rate
- 57.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 310
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.524
- SIR 95% confidence interval - upper limit
- 5.602
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,365
- Predicted number of infections (B)
- 1.458
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.058
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 10
- Number of health care workers
- 10
- 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
- 31
- Number of eligible stays
- 193
- Unadjusted potentially preventable readmission rate
- 16.06
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.21
- Lower limit of the 95% confidence interval on the RSRR
- 8.11
- Upper limit of the 95% confidence interval on the RSRR
- 12.85
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 11
- Number of eligible stays
- 215
- Unadjusted potentially preventable readmission rate
- 5.12
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.88
- Lower limit of the 95% confidence interval on the RSRR
- 3.59
- Upper limit of the 95% confidence interval on the RSRR
- 6.81
- 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)
- 101
- Number of eligible stays
- 177
- Observed discharge to community rate
- 57.06
- Risk-standardized discharge to community rate
- 59.78
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 53.48
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.57
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.12
- Number of eligible episodes
- 289
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 305
- Denominator
- 310
- Facility rate
- 98.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 308
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 12
- Number of health care workers
- 12
- Rate of COVID-19 vaccination
- 100.0