About the Facility
- CMS Certification Number (CCN)
- 673057
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
5980 Kyle Parkway
- Phone Number
- (512) 262-0821
Facility Medical Condition Statistics
- All other conditions
- 197
- Brain disease or condition (non-traumatic)
- 81
- Brain injury (traumatic)
- 40
- Hip or femur fracture
- 78
- Hip or knee replacement, amputation or other bone or joint condition
- 154
- Nervous system disorder (excluding stroke)
- 242
- Spinal cord disease or condition (non-traumatic)
- 17
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 96
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
- 849
- Predicted number of infections (B)
- 0.916
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 889
- Denominator
- 890
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.0
- Denominator
- 766
- Average observed change score
- 13.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.1
- Denominator
- 766
- Average observed change score
- 33.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 503
- Denominator
- 766
- Facility rate
- 65.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 490
- Denominator
- 766
- Facility rate
- 64.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 890
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.051
- SIR 95% confidence interval - upper limit
- 1.000
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 13,209
- Predicted number of infections (B)
- 6.608
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.303
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 226
- Number of health care workers
- 287
- Rate of flu vaccination
- 78.7
- 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
- 707
- Unadjusted potentially preventable readmission rate
- 8.06
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.32
- Lower limit of the 95% confidence interval on the RSRR
- 6.81
- Upper limit of the 95% confidence interval on the RSRR
- 10.04
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 37
- Number of eligible stays
- 780
- Unadjusted potentially preventable readmission rate
- 4.74
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.16
- Lower limit of the 95% confidence interval on the RSRR
- 3.78
- Upper limit of the 95% confidence interval on the RSRR
- 6.79
- 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)
- 412
- Number of eligible stays
- 610
- Observed discharge to community rate
- 67.54
- Risk-standardized discharge to community rate
- 67.07
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.54
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.56
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 1,053
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 885
- Denominator
- 890
- Facility rate
- 99.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 20
- Denominator
- 890
- Facility observed rate
- 2.2
- Facility risk-adjusted rate
- 1.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 335
- Number of health care workers
- 427
- Rate of COVID-19 vaccination
- 78.5