About the Facility
- CMS Certification Number (CCN)
- 043036
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
4313 South Pleasant Crossing Boulevard
- Phone Number
- (479) 341-4004
Facility Medical Condition Statistics
- All other conditions
- 133
- Brain disease or condition (non-traumatic)
- 46
- Brain injury (traumatic)
- 24
- Hip or femur fracture
- 51
- Hip or knee replacement, amputation or other bone or joint condition
- 85
- Nervous system disorder (excluding stroke)
- 116
- Spinal cord disease or condition (non-traumatic)
- 20
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 73
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
- 691
- Predicted number of infections (B)
- 0.746
- 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
- 540
- Denominator
- 540
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.8
- Denominator
- 475
- Average observed change score
- 14.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.6
- Denominator
- 475
- Average observed change score
- 35.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 305
- Denominator
- 475
- Facility rate
- 64.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 326
- Denominator
- 475
- Facility rate
- 68.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 540
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.331
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,221
- Predicted number of infections (B)
- 2.251
- 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
- 84
- Number of health care workers
- 128
- Rate of flu vaccination
- 65.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 31
- Number of eligible stays
- 392
- Unadjusted potentially preventable readmission rate
- 7.91
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.25
- Lower limit of the 95% confidence interval on the RSRR
- 6.58
- Upper limit of the 95% confidence interval on the RSRR
- 10.13
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 29
- Number of eligible stays
- 443
- Unadjusted potentially preventable readmission rate
- 6.55
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.02
- Lower limit of the 95% confidence interval on the RSRR
- 4.32
- Upper limit of the 95% confidence interval on the RSRR
- 7.65
- 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)
- 228
- Number of eligible stays
- 346
- Observed discharge to community rate
- 65.90
- Risk-standardized discharge to community rate
- 64.72
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.93
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.75
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 522
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 534
- Denominator
- 540
- Facility rate
- 98.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 540
- Facility observed rate
- 0.2
- Facility risk-adjusted rate
- 0.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 109
- Number of health care workers
- 116
- Rate of COVID-19 vaccination
- 94.0