About the Facility
- CMS Certification Number (CCN)
- 043026
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
9601 Baptist Health Drive
- Phone Number
- (501) 202-7578
Facility Medical Condition Statistics
- All other conditions
- 250
- Brain disease or condition (non-traumatic)
- 63
- Brain injury (traumatic)
- 42
- Hip or femur fracture
- 92
- Hip or knee replacement, amputation or other bone or joint condition
- 139
- Nervous system disorder (excluding stroke)
- 76
- Spinal cord disease or condition (non-traumatic)
- 45
- Spinal cord injury (traumatic)
- 32
- Stroke
- 183
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.400
- SIR 95% confidence interval - upper limit
- 4.277
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,233
- Predicted number of infections (B)
- 1.909
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.572
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 912
- Denominator
- 912
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.8
- Denominator
- 811
- Average observed change score
- 14.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.2
- Denominator
- 811
- Average observed change score
- 35.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 515
- Denominator
- 811
- Facility rate
- 63.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 529
- Denominator
- 811
- Facility rate
- 65.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 912
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.162
- SIR 95% confidence interval - upper limit
- 1.229
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 19,267
- Predicted number of infections (B)
- 7.853
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.509
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 285
- Number of health care workers
- 392
- Rate of flu vaccination
- 72.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 88
- Number of eligible stays
- 1,079
- Unadjusted potentially preventable readmission rate
- 8.16
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.52
- Lower limit of the 95% confidence interval on the RSRR
- 7.23
- Upper limit of the 95% confidence interval on the RSRR
- 10.09
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 46
- Number of eligible stays
- 1,186
- Unadjusted potentially preventable readmission rate
- 3.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.29
- Lower limit of the 95% confidence interval on the RSRR
- 3.31
- Upper limit of the 95% confidence interval on the RSRR
- 5.35
- 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)
- 662
- Number of eligible stays
- 984
- Observed discharge to community rate
- 67.28
- Risk-standardized discharge to community rate
- 67.40
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.70
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.99
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 1,151
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 905
- Denominator
- 912
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 910
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 236
- Number of health care workers
- 306
- Rate of COVID-19 vaccination
- 77.1