Post-Acute Intelligence · Round Rock, TX

Analytics Dashboard

Fee-for-service performance, referral-source readmissions, clinical risk by diagnostic group, and Williamson County market position — from CMS Medicare FFS Claims, Q4 2024–Q3 2025.

Executive Summary

19.49%

30-Day Readmission (FFS)

County 13.98% · State 16.64%

20.50%

60-Day Readmission

21.50%

90-Day Readmission

42.79%

Hospitalization Rate, Stay +30 Days

22.7

Avg Length of Stay (days)

Median 20 days

182

FFS Patients / Year

#6 / 10

County FFS Market Rank

6.65% share

What the data shows

Ignite Medical Resort Round Rock is performing well on length of stay and has built a commanding Medicare Advantage position. At the same time, the analysis surfaces meaningful variation and limited visibility in the fee-for-service stream: 30-day readmissions run at 19.49% — roughly 5.5 points above the Williamson County average of 13.98% — and the hospitalization curve continues to climb through the 60- and 90-day post-discharge windows. With FFS admissions trending down and several large referring hospitals seeing elevated bounce-back rates, there is a clear, addressable opportunity to protect both census and hospital trust.

FFS admits down 9.35% YoY — the higher-margin, rehab-heavy referral stream is softening even as overall volume holds.

#1 in Medicare Advantage — 398 admits, 16.37% county share, +237% year over year. The building knows how to win volume.

Referral Sources — Fee-for-Service

Top referring hospitals · Q4 2024–Q3 2025 · readmission back to the referring hospital

Referring Hospital	SNF Patients	Affiliation %	Avg Days	Readmission %
Round Rock Medical Center (largest source)	49	9.5%	20	18.2%
Baylor Scott & White Round Rock	25	5.3%	20	31.0%
Heart Hospital of Austin	25	4.7%	24	28.3%
North Austin Medical Center	24	6.7%	24	30.4%
Ascension Seton Williamson	14	5.0%	23	22.6%
PAM Rehab Hospital Round Rock	13	11.4%	32	Insufficient n
Ascension Seton Medical Center Austin	13	4.7%	18	Insufficient n
Encompass Health Rehab Round Rock	11	8.1%	24	Insufficient n

Round Rock Medical Center is the single largest source (49 patients, 18.2% readmission). Three large partners — Baylor Scott & White Round Rock (31.0%), North Austin Medical Center (30.4%), and Heart Hospital of Austin (28.3%) — see roughly three in ten of the patients they send bounce back. As Austin systems tighten their preferred SNF networks, readmissions back to the referring hospital increasingly shape network inclusion and future census.

Clinical Risk by Diagnostic Group

Hospitalization rate from start of care · 30 / 60 / 90 day · vs Williamson County benchmark

Diagnostic Group	Patients	30-Day (This SNF)	30-Day (County)	60-Day	90-Day
Respiratory System	17	39.1%	25.9%	61.8%	73.1%
Circulatory System	25	38.0%	24.0%	58.4%	72.2%
Nervous System	46	31.8%	21.6%	51.2%	63.6%
Genitourinary	13	26.8%	19.9%	—	—
Other Abnormal Findings	38	15.2%	12.2%	27.0%	42.5%
Musculoskeletal	18	13.9%	19.0%	—	—

The deterioration curve

How hospitalization risk compounds across the 90-day post-discharge window for the three highest-acuity groups.

Group	30 Day	60 Day	90 Day
Respiratory	39.1%	61.8%	73.1%
Circulatory	38.0%	58.4%	72.2%
Nervous System	31.8%	51.2%	63.6%

Bright spot: Musculoskeletal readmission is 13.9% — below the county benchmark of 19.0%. The core rehab program is working.

Complexity concentrates in the respiratory, circulatory, and nervous-system populations, where risk is already elevated at 30 days and compounds steeply across the 60- and 90-day post-discharge window — reaching the 70%+ range for respiratory and circulatory cases. These are the medically complex patients where early detection of deterioration and a structured post-discharge monitoring program matter most.

Market Position — Williamson County (FFS)

Most recent four quarters · fee-for-service market share & admits

Rank	Skilled Nursing Facility	FFS Admits	Market Share
1	Bel Air at Teravista	199	13.65%
2	The Center at Parmer	146	10.01%
3	Georgetown Nursing & Transitional	124	8.51%
4	Cedar Pointe Health & Wellness	122	8.37%
5	The Springs Healthcare & Rehab	106	7.27%
6	Ignite Medical Resort Round Rock	97	6.65%
7	Sagebrook Nursing & Rehab	67	4.6%
8	San Gabriel Rehab & Care	60	4.12%
9	Park Place Care Center	43	2.95%
10	Falcon Ridge Rehab	34	2.33%

FFS trend softening: share down 0.65 points and admits down 9.35% over the period — the rehab-heavy, higher-margin referral stream is eroding.

MA contrast: #1 in the county for Medicare Advantage (398 admits, +237% YoY). The volume engine is strong; the opportunity is to bring FFS back in line.

Ignite sits at #6 of 10 in fee-for-service share. The gap to the leaders is not a clinical-quality gap — length of stay and musculoskeletal outcomes are strong — it is a readmission-and-visibility gap with the referring hospitals that control preferred-network placement.

Methodology & Glossary

Data source. All fee-for-service metrics in this analysis are derived from CMS Medicare FFS Claims for the reporting period Q4 2024 – Q3 2025. Medicare Advantage market-share figures reflect CMS CY 2023. Payer-mix figures reflect CMS 2023. County and state benchmarks are computed over the same Williamson County / Texas claims universe and period. Cells with fewer than 11 patients are suppressed for privacy and shown as “insufficient n.”

Definitions

30 / 60 / 90-Day Readmission: The share of patients readmitted to an acute-care hospital within 30, 60, or 90 days of the relevant index event. Reported here for the fee-for-service population.
Hospitalization Rate, Stay +30 Days: The share of skilled-nursing stays that include or are followed by an acute hospitalization within 30 days of the stay — a broader measure of post-acute instability than index readmission alone.
Average Length of Stay (ALOS): Average number of covered Medicare days per skilled-nursing stay. Median is reported alongside the mean to show distribution.
Fee-for-Service (FFS): Traditional Medicare (Parts A/B), as distinct from Medicare Advantage (MA). FFS is typically the higher-margin, rehab-heavy referral stream for skilled nursing.
Affiliation %: The share of a referring hospital's qualifying discharges that flow to this facility — a measure of referral relationship strength.
Diagnostic Group: Clinical grouping of the admitting condition (e.g., respiratory, circulatory, nervous system), used to segment hospitalization risk by acuity.

Prepared by Puzzle Healthcare. Figures are presented as a read-only value-transparency window; they describe meaningful variation and limited visibility rather than a single performance verdict.