About the Facility
- CMS Certification Number (CCN)
- 043028
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1401 South J Street
- Phone Number
- (479) 785-3300
Facility Medical Condition Statistics
- All other conditions
- 96
- Brain disease or condition (non-traumatic)
- 154
- Brain injury (traumatic)
- 34
- Hip or femur fracture
- 94
- Hip or knee replacement, amputation or other bone or joint condition
- 169
- Nervous system disorder (excluding stroke)
- 512
- Spinal cord disease or condition (non-traumatic)
- 32
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 171
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.359
- SIR 95% confidence interval - upper limit
- 3.846
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,963
- Predicted number of infections (B)
- 2.123
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.413
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,188
- Denominator
- 1,193
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.9
- Denominator
- 981
- Average observed change score
- 12.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.3
- Denominator
- 980
- Average observed change score
- 34.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 665
- Denominator
- 981
- Facility rate
- 67.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 723
- Denominator
- 981
- Facility rate
- 73.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,193
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.397
- SIR 95% confidence interval - upper limit
- 1.623
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 19,410
- Predicted number of infections (B)
- 9.363
- Number of infections reported (A)
- 8
- SIR (A/B)
- 0.854
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 240
- Number of health care workers
- 278
- Rate of flu vaccination
- 86.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 113
- Number of eligible stays
- 1,042
- Unadjusted potentially preventable readmission rate
- 10.84
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.05
- Lower limit of the 95% confidence interval on the RSRR
- 7.77
- Upper limit of the 95% confidence interval on the RSRR
- 10.47
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 70
- Number of eligible stays
- 1,158
- Unadjusted potentially preventable readmission rate
- 6.04
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.72
- Lower limit of the 95% confidence interval on the RSRR
- 4.57
- Upper limit of the 95% confidence interval on the RSRR
- 7.36
- 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)
- 618
- Number of eligible stays
- 890
- Observed discharge to community rate
- 69.44
- Risk-standardized discharge to community rate
- 70.50
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.80
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.28
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 1,591
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,188
- Denominator
- 1,193
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 9
- Denominator
- 1,192
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 194
- Number of health care workers
- 243
- Rate of COVID-19 vaccination
- 79.8