About the Facility
- CMS Certification Number (CCN)
- 673072
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1917 Ashland St, Fl 4
- Phone Number
- (713) 814-9100
Facility Medical Condition Statistics
- All other conditions
- 81
- Brain disease or condition (non-traumatic)
- 44
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 36
- Hip or knee replacement, amputation or other bone or joint condition
- 139
- Nervous system disorder (excluding stroke)
- 217
- Spinal cord disease or condition (non-traumatic)
- 34
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 93
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
- 1.089
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,329
- Predicted number of infections (B)
- 2.751
- 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
- 594
- Denominator
- 594
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.0
- Denominator
- 500
- Average observed change score
- 10.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.5
- Denominator
- 500
- Average observed change score
- 17.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 231
- Denominator
- 500
- Facility rate
- 46.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 153
- Denominator
- 500
- Facility rate
- 30.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 594
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.173
- SIR 95% confidence interval - upper limit
- 1.855
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,386
- Predicted number of infections (B)
- 4.402
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.681
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 110
- Number of health care workers
- 202
- Rate of flu vaccination
- 54.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 35
- Number of eligible stays
- 287
- Unadjusted potentially preventable readmission rate
- 12.20
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.09
- Lower limit of the 95% confidence interval on the RSRR
- 7.38
- Upper limit of the 95% confidence interval on the RSRR
- 11.03
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 34
- Number of eligible stays
- 339
- Unadjusted potentially preventable readmission rate
- 10.03
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.94
- Lower limit of the 95% confidence interval on the RSRR
- 5.37
- Upper limit of the 95% confidence interval on the RSRR
- 8.89
- 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)
- 117
- Number of eligible stays
- 252
- Observed discharge to community rate
- 46.43
- Risk-standardized discharge to community rate
- 54.44
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 48.76
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.04
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 436
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 593
- Denominator
- 594
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 19
- Denominator
- 594
- Facility observed rate
- 3.2
- Facility risk-adjusted rate
- 2.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 178
- Number of health care workers
- 191
- Rate of COVID-19 vaccination
- 93.2