About the Facility
- CMS Certification Number (CCN)
- 673027
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
700 W 45th St
- Phone Number
- (512) 407-2101
Facility Medical Condition Statistics
- All other conditions
- 144
- Brain disease or condition (non-traumatic)
- 39
- Brain injury (traumatic)
- 18
- Hip or femur fracture
- 46
- Hip or knee replacement, amputation or other bone or joint condition
- 81
- Nervous system disorder (excluding stroke)
- 33
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 70
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
- 2.283
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 848
- Predicted number of infections (B)
- 1.312
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 423
- Denominator
- 428
- Facility rate
- 98.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.9
- Denominator
- 368
- Average observed change score
- 15.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.8
- Denominator
- 368
- Average observed change score
- 37.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 329
- Denominator
- 368
- Facility rate
- 89.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 320
- Denominator
- 368
- Facility rate
- 87.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 428
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.074
- SIR 95% confidence interval - upper limit
- 1.463
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,825
- Predicted number of infections (B)
- 4.518
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.443
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 138
- Number of health care workers
- 205
- Rate of flu vaccination
- 67.3
- 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
- 481
- Unadjusted potentially preventable readmission rate
- 8.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.62
- Lower limit of the 95% confidence interval on the RSRR
- 6.99
- Upper limit of the 95% confidence interval on the RSRR
- 10.47
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 34
- Number of eligible stays
- 550
- Unadjusted potentially preventable readmission rate
- 6.18
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.60
- Lower limit of the 95% confidence interval on the RSRR
- 4.09
- Upper limit of the 95% confidence interval on the RSRR
- 7.44
- 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)
- 286
- Number of eligible stays
- 443
- Observed discharge to community rate
- 64.56
- Risk-standardized discharge to community rate
- 67.33
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.99
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.77
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 562
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 427
- Denominator
- 428
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 426
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 152
- Number of health care workers
- 159
- Rate of COVID-19 vaccination
- 95.6