About the Facility
- CMS Certification Number (CCN)
- 673053
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
5726 Esplanade Drive
- Phone Number
- (361) 906-3700
Facility Medical Condition Statistics
- All other conditions
- 113
- Brain disease or condition (non-traumatic)
- 31
- Brain injury (traumatic)
- 32
- Hip or femur fracture
- 74
- Hip or knee replacement, amputation or other bone or joint condition
- 137
- Nervous system disorder (excluding stroke)
- 176
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 109
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
- 843
- Predicted number of infections (B)
- 0.911
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 690
- Denominator
- 690
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 16.2
- Denominator
- 600
- Average observed change score
- 17.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 40.7
- Denominator
- 600
- Average observed change score
- 38.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 505
- Denominator
- 600
- Facility rate
- 84.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 498
- Denominator
- 600
- Facility rate
- 83.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 690
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.080
- SIR 95% confidence interval - upper limit
- 1.577
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 11,394
- Predicted number of infections (B)
- 4.190
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.477
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 168
- Number of health care workers
- 199
- Rate of flu vaccination
- 84.4
- 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
- 610
- Unadjusted potentially preventable readmission rate
- 8.85
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.40
- Lower limit of the 95% confidence interval on the RSRR
- 6.98
- Upper limit of the 95% confidence interval on the RSRR
- 10.00
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 27
- Number of eligible stays
- 662
- Unadjusted potentially preventable readmission rate
- 4.08
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.30
- Lower limit of the 95% confidence interval on the RSRR
- 3.29
- Upper limit of the 95% confidence interval on the RSRR
- 5.79
- 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)
- 331
- Number of eligible stays
- 518
- Observed discharge to community rate
- 63.90
- Risk-standardized discharge to community rate
- 66.83
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.83
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.94
- 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
- 766
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 687
- Denominator
- 690
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 689
- Facility observed rate
- 1.2
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 215
- Number of health care workers
- 242
- Rate of COVID-19 vaccination
- 88.8