Brazosport Memorial Hospital
Inpatient rehabilitation facility · Lake Jackson, TX · Non-profit
Brazosport Memorial Hospital is an inpatient rehabilitation facility in Lake Jackson, Texas. It reports treating spinal cord injury patients, and scores 44 out of 100 on the SCI.help rehab quality score, ranking #712 of the 1104 US inpatient rehabilitation facilities CMS publishes enough data to rate.
How the score breaks down
Each CMS measure is converted to a national percentile and direction-normalized so higher is always better. Domain scores are weighted averages of the measures a facility actually reported, so missing data is never scored as worst.
| Domain | Score | Weight |
|---|---|---|
| Function at discharge | 84 / 100 | 30% of the overall score |
| Outcomes after discharge | 11 / 100 | 35% of the overall score |
| Safety and infection control | 83 / 100 | 35% of the overall score |
| Process measures | 36 / 100 | not weighted |
Volume and SCI specialization are then folded in, because CMS measures cover all rehabilitation patients rather than spinal cord injury specifically:
| Step | Value | Weight |
|---|---|---|
| CMS quality composite | 58.3 / 100 | 75% of the blend |
| SCI patient volume, as a national percentile | 0 / 100 | 25% of the blend |
| Blended | 44 / 100 | |
| Overall | 44 / 100 | capped at 100 |
Based on 13 of 14 measures reported to CMS.
CMS quality measures
Every measure CMS publishes for this facility, with the national median beside it. Percentile is this facility's standing among all 1221 US inpatient rehabilitation facilities, where 100 is best.
| CMS measure | This facility | National median | Percentile |
|---|---|---|---|
| Discharge function score (self-care + mobility) Function at discharge | 81.22% | 61.87% | 83 top 17% nationally |
| Discharge self-care score Function at discharge | 77% | 60% | 76 top 24% nationally |
| Discharge mobility score Function at discharge | 84.04% | 56.51% | 95 top 5% nationally |
| Successful return to home/community (risk-standardized) Outcomes after discharge · Worse than the National Rate | 60.1% | 67.56% | 8 bottom 8% nationally |
| Preventable readmission, 30 days after discharge (risk-std) Outcomes after discharge · No Different than the National Rate | 10.65% | 9.16% | 7 bottom 7% nationally |
| Preventable readmission during the stay (risk-std) Outcomes after discharge · No Different than the National Rate | 5.27% | 4.69% | 26 bottom 26% nationally |
| New or worsened pressure ulcers (risk-adjusted) Safety and infection control | 0% | 0.64% | 92 top 8% nationally |
| Catheter-associated UTI (standardized infection ratio) Safety and infection control | not reported | 0.8ratio | n/a |
| C. difficile infection (standardized infection ratio) Safety and infection control · No Different than the National Benchmark | 0ratio | 0.17ratio | 78 top 22% nationally |
| Falls with major injury Safety and infection control | 0% | 0% | 72 top 28% nationally |
| Staff flu vaccination Other | 83.33% | 81.03% | 55 top 45% nationally |
| Medications reviewed with follow-up Other | 97.48% | 99.44% | 19 bottom 19% nationally |
| Med list given to patient/caregiver Other | 94.44% | 100% | 8 bottom 8% nationally |
| Med list given to next care setting Other | 100% | 99.77% | 78 top 22% nationally |
Who this facility treats
Annual patient counts by condition, as reported to CMS. Counts under 11 are suppressed by CMS for privacy and appear as "Less than 11".
| Condition treated | Patients per year |
|---|---|
| Stroke | 72 |
| All other conditions | 65 |
| Nervous system disorder (excluding stroke) | 33 |
| Hip or femur fracture | 32 |
| Hip or knee replacement, amputation or other bone or joint condition | 31 |
| Brain injury (traumatic) | 11 |
| Brain disease or condition (non-traumatic) | Less than 11 |
| Spinal cord disease or condition (non-traumatic) | Less than 11 |
| Spinal cord injury (traumatic) | Less than 11 |
Contact and details
| Address | 100 Medical Drive, Lake Jackson, TX, 77566 |
| Phone | (979) 285-1869 |
| CMS provider name | BRAZOSPORT MEMORIAL HOSPITAL |
| CMS Certification Number | 45T072 |
| Ownership | Non-profit |
Phone numbers in the CMS provider file are sometimes a corporate or billing line rather than the rehab unit. Call and ask for the spinal cord injury program directly.
Three questions to ask this facility
- "How many spinal cord injury patients are on the unit right now?" The CMS figure above is a year old by the time it publishes.
- "What is your protocol for autonomic dysreflexia?" A specialized unit answers instantly. See the AD protocol.
- "Will I leave with the right wheelchair ordered?" Ask whether seating evaluation happens in-house.
The full list, and what the answers should sound like, is in choosing an SCI rehab facility and what to ask before discharge.
Other SCI rehab options in Texas
- Encompass Health Rehabilitation Hospital of Pearla, Pearland · 36 mi · 67/100
- Pam Health Rehabilitation Hospital of Sugar Land, Sugar Land · 37 mi · 56/100
- Kindred Hospital Sugar Land, Sugar Land · 37 mi · 41/100
- Pam Rehabilitation Hospital of Clear Lake, Webster · 41 mi · 56/100
- Clear Lake Regional Medical Center, Webster · 41 mi · 50/100
- Encompass Health Rehabilitation Hospital of Sugar, Sugar Land · 42 mi · 68/100
See all inpatient rehab facilities in Texas that treat spinal cord injury →
Where this data comes from
Facility data on this page is from CMS Care Compare — Inpatient Rehabilitation Facility (IRF) QRP, Provider Data Mar 2026, published by the Centers for Medicare & Medicaid Services and processed 2026-06-08. CARF Spinal Cord System of Care status is from CARF's public provider directory. SCI Model System designation is from the federally funded SCI Model Systems program. The 100-point score is calculated by SCI.help; the full methodology and the underlying dataset are public.
A quality score is a starting point, not a recommendation. CMS measures cover all rehabilitation patients, not spinal cord injury specifically, and no public dataset captures how good a program is at SCI in particular. Use this to build a shortlist, then call and ask the questions above.