About the Facility
- CMS Certification Number (CCN)
- 67T055
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1139 E Sonterra Blvd
- Phone Number
- (210) 439-3635
Facility Medical Condition Statistics
- All other conditions
- 240
- Brain disease or condition (non-traumatic)
- 91
- Brain injury (traumatic)
- 40
- Hip or femur fracture
- 100
- Hip or knee replacement, amputation or other bone or joint condition
- 175
- Nervous system disorder (excluding stroke)
- 65
- Spinal cord disease or condition (non-traumatic)
- 34
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 103
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.039
- SIR 95% confidence interval - upper limit
- 3.808
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 838
- Predicted number of infections (B)
- 1.295
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.772
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 796
- Denominator
- 797
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.6
- Denominator
- 693
- Average observed change score
- 14.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.2
- Denominator
- 693
- Average observed change score
- 35.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 504
- Denominator
- 693
- Facility rate
- 72.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 506
- Denominator
- 693
- Facility rate
- 73.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 797
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.536
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 12,850
- Predicted number of infections (B)
- 5.589
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 696
- Number of health care workers
- 3,554
- Rate of flu vaccination
- 19.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 62
- Number of eligible stays
- 904
- Unadjusted potentially preventable readmission rate
- 6.86
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.65
- Lower limit of the 95% confidence interval on the RSRR
- 7.16
- Upper limit of the 95% confidence interval on the RSRR
- 10.34
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 40
- Number of eligible stays
- 991
- Unadjusted potentially preventable readmission rate
- 4.04
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.00
- Lower limit of the 95% confidence interval on the RSRR
- 3.96
- Upper limit of the 95% confidence interval on the RSRR
- 6.30
- 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)
- 559
- Number of eligible stays
- 837
- Observed discharge to community rate
- 66.79
- Risk-standardized discharge to community rate
- 63.64
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.63
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.53
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 940
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 797
- Denominator
- 797
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 796
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 2,540
- Number of health care workers
- 3,666
- Rate of COVID-19 vaccination
- 69.3