About the Facility
- CMS Certification Number (CCN)
- 673059
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2005 a Bustamante Street
- Phone Number
- (956) 764-8555
Facility Medical Condition Statistics
- All other conditions
- 23
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 44
- Hip or knee replacement, amputation or other bone or joint condition
- 65
- Nervous system disorder (excluding stroke)
- 81
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 78
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
- 475
- Predicted number of infections (B)
- 0.686
- 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
- 304
- Denominator
- 304
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 17.8
- Denominator
- 251
- Average observed change score
- 18.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.2
- Denominator
- 251
- Average observed change score
- 32.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 208
- Denominator
- 251
- Facility rate
- 82.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 160
- Denominator
- 251
- Facility rate
- 63.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 304
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.502
- SIR 95% confidence interval - upper limit
- 3.811
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,496
- Predicted number of infections (B)
- 2.532
- Number of infections reported (A)
- 4
- SIR (A/B)
- 1.580
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 98
- Number of health care workers
- 182
- Rate of flu vaccination
- 53.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 32
- Number of eligible stays
- 372
- Unadjusted potentially preventable readmission rate
- 8.60
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.49
- Lower limit of the 95% confidence interval on the RSRR
- 6.92
- Upper limit of the 95% confidence interval on the RSRR
- 10.42
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 25
- Number of eligible stays
- 417
- Unadjusted potentially preventable readmission rate
- 6.00
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.03
- Lower limit of the 95% confidence interval on the RSRR
- 3.94
- Upper limit of the 95% confidence interval on the RSRR
- 6.73
- 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)
- 219
- Number of eligible stays
- 327
- Observed discharge to community rate
- 66.97
- Risk-standardized discharge to community rate
- 75.61
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.20
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 80.37
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 434
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 301
- Denominator
- 304
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 304
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 235
- Number of health care workers
- 235
- Rate of COVID-19 vaccination
- 100.0