About the Facility
- CMS Certification Number (CCN)
- 673030
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2830 Calder St 6th Fl South
- Phone Number
- (409) 899-8380
Facility Medical Condition Statistics
- All other conditions
- 78
- Brain disease or condition (non-traumatic)
- 18
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 119
- Hip or knee replacement, amputation or other bone or joint condition
- 57
- 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)
- -
- Stroke
- 69
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
- 250
- Predicted number of infections (B)
- 0.361
- 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
- 335
- Denominator
- 335
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.3
- Denominator
- 299
- Average observed change score
- 13.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.4
- Denominator
- 299
- Average observed change score
- 33.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 153
- Denominator
- 299
- Facility rate
- 51.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 202
- Denominator
- 299
- Facility rate
- 67.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 335
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 1,470
- Predicted number of infections (B)
- 0.476
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 45
- Number of health care workers
- 73
- Rate of flu vaccination
- 61.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 43
- Number of eligible stays
- 506
- Unadjusted potentially preventable readmission rate
- 8.50
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.89
- Lower limit of the 95% confidence interval on the RSRR
- 7.28
- Upper limit of the 95% confidence interval on the RSRR
- 10.85
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 545
- Unadjusted potentially preventable readmission rate
- 1.83
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.21
- Lower limit of the 95% confidence interval on the RSRR
- 2.07
- Upper limit of the 95% confidence interval on the RSRR
- 4.77
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 262
- Number of eligible stays
- 399
- Observed discharge to community rate
- 65.66
- Risk-standardized discharge to community rate
- 67.14
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.36
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.92
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 514
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 334
- Denominator
- 335
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 333
- Facility observed rate
- 1.8
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 65
- Number of health care workers
- 83
- Rate of COVID-19 vaccination
- 78.3