About the Facility
- CMS Certification Number (CCN)
- 673049
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2041 Sundance Parkway
- Phone Number
- (830) 625-6700
Facility Medical Condition Statistics
- All other conditions
- 213
- Brain disease or condition (non-traumatic)
- 48
- Brain injury (traumatic)
- 30
- Hip or femur fracture
- 112
- Hip or knee replacement, amputation or other bone or joint condition
- 142
- Nervous system disorder (excluding stroke)
- 74
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 107
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
- 2.350
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,179
- Predicted number of infections (B)
- 1.275
- 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
- 703
- Denominator
- 704
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 17.0
- Denominator
- 626
- Average observed change score
- 19.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 45.3
- Denominator
- 626
- Average observed change score
- 47.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 530
- Denominator
- 626
- Facility rate
- 84.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 536
- Denominator
- 626
- Facility rate
- 85.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 704
- 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
- 0.657
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 13,048
- Predicted number of infections (B)
- 4.561
- 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
- 165
- Number of health care workers
- 190
- Rate of flu vaccination
- 86.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 54
- Number of eligible stays
- 679
- Unadjusted potentially preventable readmission rate
- 7.95
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.63
- Lower limit of the 95% confidence interval on the RSRR
- 7.14
- Upper limit of the 95% confidence interval on the RSRR
- 10.27
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 50
- Number of eligible stays
- 749
- Unadjusted potentially preventable readmission rate
- 6.68
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.52
- Lower limit of the 95% confidence interval on the RSRR
- 5.13
- Upper limit of the 95% confidence interval on the RSRR
- 8.20
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 391
- Number of eligible stays
- 572
- Observed discharge to community rate
- 68.36
- Risk-standardized discharge to community rate
- 68.94
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.53
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.48
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.10
- Number of eligible episodes
- 877
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 687
- Denominator
- 704
- Facility rate
- 97.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 703
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 228
- Number of health care workers
- 255
- Rate of COVID-19 vaccination
- 89.4