About the Facility
- CMS Certification Number (CCN)
- 673034
- Ownership Type
- Physician
- CMS Region
- Dallas
- Certification Date
- Address
117 Vision Park Blvd
- Phone Number
- (936) 444-1700
Facility Medical Condition Statistics
- All other conditions
- 117
- Brain disease or condition (non-traumatic)
- 101
- Brain injury (traumatic)
- 27
- Hip or femur fracture
- 132
- Hip or knee replacement, amputation or other bone or joint condition
- 308
- Nervous system disorder (excluding stroke)
- 629
- Spinal cord disease or condition (non-traumatic)
- 17
- Spinal cord injury (traumatic)
- -
- Stroke
- 170
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.198
- SIR 95% confidence interval - upper limit
- 3.896
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,572
- Predicted number of infections (B)
- 1.696
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.179
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,430
- Denominator
- 1,430
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.1
- Denominator
- 1,271
- Average observed change score
- 15.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.0
- Denominator
- 1,271
- Average observed change score
- 34.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 937
- Denominator
- 1,271
- Facility rate
- 73.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 934
- Denominator
- 1,271
- Facility rate
- 73.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 1,430
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.059
- SIR 95% confidence interval - upper limit
- 1.156
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 18,709
- Predicted number of infections (B)
- 5.718
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.350
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 225
- Number of health care workers
- 309
- Rate of flu vaccination
- 72.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 148
- Number of eligible stays
- 1,301
- Unadjusted potentially preventable readmission rate
- 11.38
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.60
- Lower limit of the 95% confidence interval on the RSRR
- 8.35
- Upper limit of the 95% confidence interval on the RSRR
- 10.98
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 83
- Number of eligible stays
- 1,466
- Unadjusted potentially preventable readmission rate
- 5.66
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.08
- Lower limit of the 95% confidence interval on the RSRR
- 4.09
- Upper limit of the 95% confidence interval on the RSRR
- 6.05
- 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)
- 794
- Number of eligible stays
- 1,140
- Observed discharge to community rate
- 69.65
- Risk-standardized discharge to community rate
- 73.45
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.73
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.97
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 1,654
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,424
- Denominator
- 1,430
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 1,428
- 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
- 248
- Number of health care workers
- 315
- Rate of COVID-19 vaccination
- 78.7