About the Facility
- CMS Certification Number (CCN)
- 043029
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1201 Fleming Ave
- Phone Number
- (870) 932-0440
Facility Medical Condition Statistics
- All other conditions
- 343
- Brain disease or condition (non-traumatic)
- 78
- Brain injury (traumatic)
- 29
- Hip or femur fracture
- 132
- Hip or knee replacement, amputation or other bone or joint condition
- 289
- Nervous system disorder (excluding stroke)
- 434
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 169
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.025
- SIR 95% confidence interval - upper limit
- 2.502
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,825
- Predicted number of infections (B)
- 1.971
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.507
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,436
- Denominator
- 1,436
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.6
- Denominator
- 1,247
- Average observed change score
- 15.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.0
- Denominator
- 1,247
- Average observed change score
- 37.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 900
- Denominator
- 1,247
- Facility rate
- 72.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 951
- Denominator
- 1,247
- Facility rate
- 76.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 1,436
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.506
- SIR 95% confidence interval - upper limit
- 1.586
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 26,621
- Predicted number of infections (B)
- 12.862
- Number of infections reported (A)
- 12
- SIR (A/B)
- 0.933
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 432
- Number of health care workers
- 452
- Rate of flu vaccination
- 95.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 181
- Number of eligible stays
- 1,366
- Unadjusted potentially preventable readmission rate
- 13.25
- Risk-standardized potentially preventable readmission rate (RSRR)
- 11.08
- Lower limit of the 95% confidence interval on the RSRR
- 9.68
- Upper limit of the 95% confidence interval on the RSRR
- 12.53
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 116
- Number of eligible stays
- 1,544
- Unadjusted potentially preventable readmission rate
- 7.51
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.61
- Lower limit of the 95% confidence interval on the RSRR
- 5.49
- Upper limit of the 95% confidence interval on the RSRR
- 7.67
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 747
- Number of eligible stays
- 1,191
- Observed discharge to community rate
- 62.72
- Risk-standardized discharge to community rate
- 65.18
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.69
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.87
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 1,797
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,419
- Denominator
- 1,436
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 1,434
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 331
- Number of health care workers
- 390
- Rate of COVID-19 vaccination
- 84.9