About the Facility
- CMS Certification Number (CCN)
- 673061
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
110 East Medical Center Blvd
- Phone Number
- (832) 224-9500
Facility Medical Condition Statistics
- All other conditions
- 367
- Brain disease or condition (non-traumatic)
- 226
- Brain injury (traumatic)
- 106
- Hip or femur fracture
- 237
- Hip or knee replacement, amputation or other bone or joint condition
- 395
- Nervous system disorder (excluding stroke)
- 933
- Spinal cord disease or condition (non-traumatic)
- 64
- Spinal cord injury (traumatic)
- 32
- Stroke
- 423
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.065
- SIR 95% confidence interval - upper limit
- 1.284
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 4,033
- Predicted number of infections (B)
- 5.147
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.389
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 2,668
- Denominator
- 2,672
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.3
- Denominator
- 2,307
- Average observed change score
- 13.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.5
- Denominator
- 2,307
- Average observed change score
- 27.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 1,317
- Denominator
- 2,307
- Facility rate
- 57.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 1,248
- Denominator
- 2,307
- Facility rate
- 54.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 2,672
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.003
- SIR 95% confidence interval - upper limit
- 0.322
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 40,347
- Predicted number of infections (B)
- 15.313
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.065
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 448
- Number of health care workers
- 937
- Rate of flu vaccination
- 47.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 277
- Number of eligible stays
- 2,091
- Unadjusted potentially preventable readmission rate
- 13.25
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.32
- Lower limit of the 95% confidence interval on the RSRR
- 9.40
- Upper limit of the 95% confidence interval on the RSRR
- 11.44
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 168
- Number of eligible stays
- 2,395
- Unadjusted potentially preventable readmission rate
- 7.01
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.74
- Lower limit of the 95% confidence interval on the RSRR
- 5.13
- Upper limit of the 95% confidence interval on the RSRR
- 6.48
- 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)
- 1,150
- Number of eligible stays
- 1,827
- Observed discharge to community rate
- 62.94
- Risk-standardized discharge to community rate
- 69.23
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.85
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.33
- 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
- 2,734
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 2,647
- Denominator
- 2,672
- Facility rate
- 99.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 23
- Denominator
- 2,665
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 692
- Number of health care workers
- 816
- Rate of COVID-19 vaccination
- 84.8