About the Facility
- CMS Certification Number (CCN)
- 043035
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1636 Higdon Ferry Road
- Phone Number
- (501) 651-2000
Facility Medical Condition Statistics
- All other conditions
- 172
- Brain disease or condition (non-traumatic)
- 117
- Brain injury (traumatic)
- 33
- Hip or femur fracture
- 115
- Hip or knee replacement, amputation or other bone or joint condition
- 211
- Nervous system disorder (excluding stroke)
- 314
- Spinal cord disease or condition (non-traumatic)
- 12
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 154
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
- 2.663
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,040
- Predicted number of infections (B)
- 1.125
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,119
- Denominator
- 1,119
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 952
- Average observed change score
- 15.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.0
- Denominator
- 952
- Average observed change score
- 36.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 690
- Denominator
- 952
- Facility rate
- 72.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 648
- Denominator
- 952
- Facility rate
- 68.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 1,119
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.462
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 15,167
- Predicted number of infections (B)
- 6.485
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 292
- Number of health care workers
- 340
- Rate of flu vaccination
- 85.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 123
- Number of eligible stays
- 1,218
- Unadjusted potentially preventable readmission rate
- 10.10
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.42
- Lower limit of the 95% confidence interval on the RSRR
- 8.14
- Upper limit of the 95% confidence interval on the RSRR
- 10.79
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 82
- Number of eligible stays
- 1,325
- Unadjusted potentially preventable readmission rate
- 6.19
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.11
- Lower limit of the 95% confidence interval on the RSRR
- 5.04
- Upper limit of the 95% confidence interval on the RSRR
- 7.45
- 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)
- 723
- Number of eligible stays
- 1,014
- Observed discharge to community rate
- 71.30
- Risk-standardized discharge to community rate
- 69.99
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.54
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.54
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.99
- Number of eligible episodes
- 1,349
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,112
- Denominator
- 1,119
- Facility rate
- 99.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 9
- Denominator
- 1,117
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 188
- Number of health care workers
- 227
- Rate of COVID-19 vaccination
- 82.8