About the Facility
- CMS Certification Number (CCN)
- 043033
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2210 Robinson Street
- Phone Number
- (501) 932-3500
Facility Medical Condition Statistics
- All other conditions
- 145
- Brain disease or condition (non-traumatic)
- 14
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 42
- Hip or knee replacement, amputation or other bone or joint condition
- 33
- Nervous system disorder (excluding stroke)
- 15
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 37
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 369
- Predicted number of infections (B)
- 0.398
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 301
- Denominator
- 301
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.7
- Denominator
- 265
- Average observed change score
- 16.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.4
- Denominator
- 265
- Average observed change score
- 33.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 211
- Denominator
- 265
- Facility rate
- 79.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 128
- Denominator
- 265
- Facility rate
- 48.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 301
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.038
- SIR 95% confidence interval - upper limit
- 3.712
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,378
- Predicted number of infections (B)
- 1.329
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.753
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 56
- Number of health care workers
- 65
- Rate of flu vaccination
- 86.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 27
- Number of eligible stays
- 385
- Unadjusted potentially preventable readmission rate
- 7.01
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.64
- Lower limit of the 95% confidence interval on the RSRR
- 6.83
- Upper limit of the 95% confidence interval on the RSRR
- 10.72
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 23
- Number of eligible stays
- 429
- Unadjusted potentially preventable readmission rate
- 5.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.89
- Lower limit of the 95% confidence interval on the RSRR
- 4.25
- Upper limit of the 95% confidence interval on the RSRR
- 8.09
- 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)
- 253
- Number of eligible stays
- 358
- Observed discharge to community rate
- 70.67
- Risk-standardized discharge to community rate
- 67.37
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.07
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.13
- 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
- 409
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 278
- Denominator
- 301
- Facility rate
- 92.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 300
- Facility observed rate
- 2.3
- Facility risk-adjusted rate
- 2.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 47
- Number of health care workers
- 50
- Rate of COVID-19 vaccination
- 94.0