About the Facility
- CMS Certification Number (CCN)
- 673065
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1600 Joseph Drive, Suite 2000
- Phone Number
- (979) 213-4200
Facility Medical Condition Statistics
- All other conditions
- 182
- Brain disease or condition (non-traumatic)
- 112
- Brain injury (traumatic)
- 55
- Hip or femur fracture
- 143
- Hip or knee replacement, amputation or other bone or joint condition
- 296
- Nervous system disorder (excluding stroke)
- 347
- Spinal cord disease or condition (non-traumatic)
- 41
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 174
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.253
- SIR 95% confidence interval - upper limit
- 4.995
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,225
- Predicted number of infections (B)
- 1.323
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.512
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,304
- Denominator
- 1,305
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.3
- Denominator
- 1,147
- Average observed change score
- 16.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 39.3
- Denominator
- 1,147
- Average observed change score
- 41.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 974
- Denominator
- 1,147
- Facility rate
- 84.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 974
- Denominator
- 1,147
- Facility rate
- 84.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 1,305
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.251
- SIR 95% confidence interval - upper limit
- 1.516
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 18,766
- Predicted number of infections (B)
- 7.311
- Number of infections reported (A)
- 5
- SIR (A/B)
- 0.684
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 251
- Number of health care workers
- 276
- Rate of flu vaccination
- 90.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 129
- Number of eligible stays
- 1,211
- Unadjusted potentially preventable readmission rate
- 10.65
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.94
- Lower limit of the 95% confidence interval on the RSRR
- 8.54
- Upper limit of the 95% confidence interval on the RSRR
- 11.41
- 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
- 1,314
- Unadjusted potentially preventable readmission rate
- 3.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.12
- Lower limit of the 95% confidence interval on the RSRR
- 3.38
- Upper limit of the 95% confidence interval on the RSRR
- 4.98
- 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)
- 756
- Number of eligible stays
- 1,062
- Observed discharge to community rate
- 71.19
- Risk-standardized discharge to community rate
- 71.94
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.33
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.47
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 1,513
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,300
- Denominator
- 1,305
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 1,300
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 185
- Number of health care workers
- 237
- Rate of COVID-19 vaccination
- 78.1