About the Facility
- CMS Certification Number (CCN)
- 043034
- Ownership Type
- Physician
- CMS Region
- Dallas
- Certification Date
- Address
905 Borgognoni Drive
- Phone Number
- (870) 265-4333
Facility Medical Condition Statistics
- All other conditions
- 29
- Brain disease or condition (non-traumatic)
- -
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- Data not available for this reporting period.
- Nervous system disorder (excluding stroke)
- 27
- Spinal cord disease or condition (non-traumatic)
- 21
- Spinal cord injury (traumatic)
- -
- Stroke
- 42
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
- 155
- Predicted number of infections (B)
- 0.421
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 141
- Denominator
- 141
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.3
- Denominator
- 120
- Average observed change score
- 13.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.1
- Denominator
- 120
- Average observed change score
- 30.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 83
- Denominator
- 120
- Facility rate
- 69.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 72
- Denominator
- 120
- Facility rate
- 60.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 141
- Facility rate
- 0.7
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 1,789
- Predicted number of infections (B)
- 0.742
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 40
- Number of health care workers
- 71
- Rate of flu vaccination
- 56.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 13
- Number of eligible stays
- 112
- Unadjusted potentially preventable readmission rate
- 11.61
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.07
- Lower limit of the 95% confidence interval on the RSRR
- 6.97
- Upper limit of the 95% confidence interval on the RSRR
- 11.58
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 8
- Number of eligible stays
- 126
- Unadjusted potentially preventable readmission rate
- 6.35
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.42
- Lower limit of the 95% confidence interval on the RSRR
- 3.35
- Upper limit of the 95% confidence interval on the RSRR
- 8.12
- 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)
- 47
- Number of eligible stays
- 99
- Observed discharge to community rate
- 47.47
- Risk-standardized discharge to community rate
- 55.09
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 47.11
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.90
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.15
- Number of eligible episodes
- 221
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 137
- Denominator
- 141
- Facility rate
- 97.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 141
- Facility observed rate
- 2.8
- Facility risk-adjusted rate
- 2.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 63
- Number of health care workers
- 77
- Rate of COVID-19 vaccination
- 81.8