About the Facility
- CMS Certification Number (CCN)
- 673058
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2000 Medical Drive
- Phone Number
- (512) 263-4500
Facility Medical Condition Statistics
- All other conditions
- 86
- Brain disease or condition (non-traumatic)
- 37
- Brain injury (traumatic)
- 23
- Hip or femur fracture
- 73
- Hip or knee replacement, amputation or other bone or joint condition
- 111
- Nervous system disorder (excluding stroke)
- 58
- Spinal cord disease or condition (non-traumatic)
- 27
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 63
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
- 409
- Predicted number of infections (B)
- 0.684
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 459
- Denominator
- 459
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.6
- Denominator
- 403
- Average observed change score
- 13.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.7
- Denominator
- 403
- Average observed change score
- 31.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 212
- Denominator
- 403
- Facility rate
- 52.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 194
- Denominator
- 403
- Facility rate
- 48.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 459
- 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
- 1.181
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,313
- Predicted number of infections (B)
- 2.537
- 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
- 249
- Number of health care workers
- 279
- Rate of flu vaccination
- 89.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 42
- Number of eligible stays
- 502
- Unadjusted potentially preventable readmission rate
- 8.37
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.35
- Lower limit of the 95% confidence interval on the RSRR
- 7.61
- Upper limit of the 95% confidence interval on the RSRR
- 11.53
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 26
- Number of eligible stays
- 550
- Unadjusted potentially preventable readmission rate
- 4.73
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.13
- Lower limit of the 95% confidence interval on the RSRR
- 3.90
- Upper limit of the 95% confidence interval on the RSRR
- 6.90
- 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)
- 325
- Number of eligible stays
- 457
- Observed discharge to community rate
- 71.12
- Risk-standardized discharge to community rate
- 68.73
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.92
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.11
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 548
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 458
- Denominator
- 459
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 458
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 115
- Number of health care workers
- 146
- Rate of COVID-19 vaccination
- 78.8