About the Facility
- CMS Certification Number (CCN)
- 673042
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1325 Hwy 6
- Phone Number
- (281) 276-7599
Facility Medical Condition Statistics
- All other conditions
- 240
- Brain disease or condition (non-traumatic)
- 65
- Brain injury (traumatic)
- 42
- Hip or femur fracture
- 126
- Hip or knee replacement, amputation or other bone or joint condition
- 203
- Nervous system disorder (excluding stroke)
- 187
- Spinal cord disease or condition (non-traumatic)
- 39
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 192
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
- 1.357
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,529
- Predicted number of infections (B)
- 2.208
- 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
- 1,068
- Denominator
- 1,069
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.3
- Denominator
- 928
- Average observed change score
- 14.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.3
- Denominator
- 928
- Average observed change score
- 35.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 702
- Denominator
- 928
- Facility rate
- 75.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 749
- Denominator
- 928
- Facility rate
- 80.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 1,069
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.575
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 15,967
- Predicted number of infections (B)
- 5.213
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 314
- Number of health care workers
- 357
- Rate of flu vaccination
- 88.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 104
- Number of eligible stays
- 985
- Unadjusted potentially preventable readmission rate
- 10.56
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.01
- Lower limit of the 95% confidence interval on the RSRR
- 7.67
- Upper limit of the 95% confidence interval on the RSRR
- 10.46
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 71
- Number of eligible stays
- 1,122
- Unadjusted potentially preventable readmission rate
- 6.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.53
- Lower limit of the 95% confidence interval on the RSRR
- 4.40
- Upper limit of the 95% confidence interval on the RSRR
- 6.60
- 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)
- 602
- Number of eligible stays
- 885
- Observed discharge to community rate
- 68.02
- Risk-standardized discharge to community rate
- 73.23
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.34
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.49
- 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
- 1,226
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,061
- Denominator
- 1,069
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 16
- Denominator
- 1,066
- Facility observed rate
- 1.5
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 352
- Number of health care workers
- 362
- Rate of COVID-19 vaccination
- 97.2