About the Facility
- CMS Certification Number (CCN)
- 673050
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
13031 Wortham Center Drive
- Phone Number
- (832) 280-2500
Facility Medical Condition Statistics
- All other conditions
- 218
- Brain disease or condition (non-traumatic)
- 64
- Brain injury (traumatic)
- 30
- Hip or femur fracture
- 90
- Hip or knee replacement, amputation or other bone or joint condition
- 169
- Nervous system disorder (excluding stroke)
- 226
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 162
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
- 905
- Predicted number of infections (B)
- 0.976
- Number of infections reported (A)
- 3
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 943
- Denominator
- 943
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.6
- Denominator
- 821
- Average observed change score
- 16.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.7
- Denominator
- 821
- Average observed change score
- 35.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 688
- Denominator
- 821
- Facility rate
- 83.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 642
- Denominator
- 821
- Facility rate
- 78.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 943
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.277
- SIR 95% confidence interval - upper limit
- 1.674
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 14,839
- Predicted number of infections (B)
- 6.621
- Number of infections reported (A)
- 5
- SIR (A/B)
- 0.755
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 229
- Number of health care workers
- 327
- Rate of flu vaccination
- 70.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 120
- Number of eligible stays
- 884
- Unadjusted potentially preventable readmission rate
- 13.57
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.93
- Lower limit of the 95% confidence interval on the RSRR
- 9.42
- Upper limit of the 95% confidence interval on the RSRR
- 12.62
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 63
- Number of eligible stays
- 990
- Unadjusted potentially preventable readmission rate
- 6.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.76
- Lower limit of the 95% confidence interval on the RSRR
- 4.72
- Upper limit of the 95% confidence interval on the RSRR
- 7.11
- 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)
- 511
- Number of eligible stays
- 789
- Observed discharge to community rate
- 64.77
- Risk-standardized discharge to community rate
- 67.86
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.56
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.27
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 1,056
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 939
- Denominator
- 943
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 943
- Facility observed rate
- 0.1
- Facility risk-adjusted rate
- 0.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 283
- Number of health care workers
- 325
- Rate of COVID-19 vaccination
- 87.1