About the Facility
- CMS Certification Number (CCN)
- 673056
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
101 James Coleman Drive
- Phone Number
- (361) 894-7830
Facility Medical Condition Statistics
- All other conditions
- 290
- Brain disease or condition (non-traumatic)
- 26
- Brain injury (traumatic)
- 14
- Hip or femur fracture
- 51
- Hip or knee replacement, amputation or other bone or joint condition
- 117
- Nervous system disorder (excluding stroke)
- 174
- Spinal cord disease or condition (non-traumatic)
- 15
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 102
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
- 861
- Predicted number of infections (B)
- 0.931
- 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
- 767
- Denominator
- 768
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.5
- Denominator
- 669
- Average observed change score
- 12.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.8
- Denominator
- 670
- Average observed change score
- 29.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 349
- Denominator
- 670
- Facility rate
- 52.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 377
- Denominator
- 670
- Facility rate
- 56.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 768
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.647
- SIR 95% confidence interval - upper limit
- 3.321
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,789
- Predicted number of infections (B)
- 3.758
- Number of infections reported (A)
- 6
- SIR (A/B)
- 1.597
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 152
- Number of health care workers
- 205
- Rate of flu vaccination
- 74.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 64
- Number of eligible stays
- 566
- Unadjusted potentially preventable readmission rate
- 11.31
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.48
- Lower limit of the 95% confidence interval on the RSRR
- 7.78
- Upper limit of the 95% confidence interval on the RSRR
- 11.27
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 51
- Number of eligible stays
- 651
- Unadjusted potentially preventable readmission rate
- 7.83
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.37
- Lower limit of the 95% confidence interval on the RSRR
- 6.03
- Upper limit of the 95% confidence interval on the RSRR
- 9.01
- 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)
- 289
- Number of eligible stays
- 480
- Observed discharge to community rate
- 60.21
- Risk-standardized discharge to community rate
- 60.60
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.53
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.40
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 908
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 762
- Denominator
- 768
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 765
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 160
- Number of health care workers
- 193
- Rate of COVID-19 vaccination
- 82.9