Baylor Institute for Rehabilitation at Frisco


About the Facility

CMS Certification Number (CCN)
673046
Ownership Type
For Profit
CMS Region
Dallas
Certification Date
Address
2990 Legacy Drive
Frisco, Texas 75034
Phone Number
(469) 888-5100

Facility Medical Condition Statistics

All other conditions
205
Brain disease or condition (non-traumatic)
31
Brain injury (traumatic)
29
Hip or femur fracture
143
Hip or knee replacement, amputation or other bone or joint condition
160
Nervous system disorder (excluding stroke)
55
Spinal cord disease or condition (non-traumatic)
50
Spinal cord injury (traumatic)
11
Stroke
121

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.033
SIR 95% confidence interval - upper limit
3.207
Comparative performance category
No Different than the National Benchmark
Catheter days
993
Predicted number of infections (B)
1.538
Number of infections reported (A)
1
SIR (A/B)
0.650
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
795
Denominator
795
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.0
Denominator
714
Average observed change score
12.3
Change in patients ability to move around
Average risk-adjusted change score
31.0
Denominator
714
Average observed change score
35.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
372
Denominator
714
Facility rate
52.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
415
Denominator
714
Facility rate
58.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
795
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.184
SIR 95% confidence interval - upper limit
1.394
Comparative performance category
No Different than the National Benchmark
Patient days
14,843
Predicted number of infections (B)
6.922
Number of infections reported (A)
4
SIR (A/B)
0.578
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
302
Number of health care workers
341
Rate of flu vaccination
88.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
57
Number of eligible stays
949
Unadjusted potentially preventable readmission rate
6.01
Risk-standardized potentially preventable readmission rate (RSRR)
7.72
Lower limit of the 95% confidence interval on the RSRR
6.46
Upper limit of the 95% confidence interval on the RSRR
9.30
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
44
Number of eligible stays
1,029
Unadjusted potentially preventable readmission rate
4.28
Risk-standardized potentially preventable readmission rate (RSRR)
4.92
Lower limit of the 95% confidence interval on the RSRR
3.61
Upper limit of the 95% confidence interval on the RSRR
6.06
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)
650
Number of eligible stays
845
Observed discharge to community rate
76.92
Risk-standardized discharge to community rate
73.11
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.62
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.57
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
949
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
795
Denominator
795
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
792
Facility observed rate
0.4
Facility risk-adjusted rate
0.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
256
Number of health care workers
287
Rate of COVID-19 vaccination
89.2