About the Facility
- CMS Certification Number (CCN)
- 673068
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
7622 Branford Pl
- Phone Number
- (281) 766-9002
Facility Medical Condition Statistics
- All other conditions
- 194
- Brain disease or condition (non-traumatic)
- 77
- Brain injury (traumatic)
- 21
- Hip or femur fracture
- 66
- Hip or knee replacement, amputation or other bone or joint condition
- 139
- Nervous system disorder (excluding stroke)
- 187
- Spinal cord disease or condition (non-traumatic)
- 21
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 104
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
- 2.826
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 871
- Predicted number of infections (B)
- 1.060
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 789
- Denominator
- 789
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.2
- Denominator
- 699
- Average observed change score
- 11.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.3
- Denominator
- 699
- Average observed change score
- 27.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 348
- Denominator
- 699
- Facility rate
- 49.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 370
- Denominator
- 699
- Facility rate
- 52.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 789
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.277
- SIR 95% confidence interval - upper limit
- 2.966
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 10,055
- Predicted number of infections (B)
- 2.753
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.090
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 125
- Number of health care workers
- 331
- Rate of flu vaccination
- 37.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 55
- Number of eligible stays
- 520
- Unadjusted potentially preventable readmission rate
- 10.58
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.03
- Lower limit of the 95% confidence interval on the RSRR
- 7.39
- Upper limit of the 95% confidence interval on the RSRR
- 10.92
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 45
- Number of eligible stays
- 605
- Unadjusted potentially preventable readmission rate
- 7.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.43
- Lower limit of the 95% confidence interval on the RSRR
- 4.85
- Upper limit of the 95% confidence interval on the RSRR
- 8.34
- 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)
- 310
- Number of eligible stays
- 491
- Observed discharge to community rate
- 63.14
- Risk-standardized discharge to community rate
- 65.74
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.72
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.59
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.08
- Number of eligible episodes
- 710
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 773
- Denominator
- 789
- Facility rate
- 98.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 786
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 219
- Number of health care workers
- 263
- Rate of COVID-19 vaccination
- 83.3