About the Facility
- CMS Certification Number (CCN)
- 043037
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
6700 Chad Colley Boulevard
- Phone Number
- (479) 974-5700
Facility Medical Condition Statistics
- All other conditions
- 277
- Brain disease or condition (non-traumatic)
- 46
- Brain injury (traumatic)
- 30
- Hip or femur fracture
- 119
- Hip or knee replacement, amputation or other bone or joint condition
- 148
- Nervous system disorder (excluding stroke)
- 91
- Spinal cord disease or condition (non-traumatic)
- 24
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 122
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.274
- SIR 95% confidence interval - upper limit
- 7.707
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 929
- Predicted number of infections (B)
- 1.438
- Number of infections reported (A)
- 5
- SIR (A/B)
- 3.477
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 848
- Denominator
- 848
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.8
- Denominator
- 757
- Average observed change score
- 16.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.4
- Denominator
- 757
- Average observed change score
- 39.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 662
- Denominator
- 757
- Facility rate
- 87.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 652
- Denominator
- 757
- Facility rate
- 86.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 848
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.014
- SIR 95% confidence interval - upper limit
- 1.347
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 9,606
- Predicted number of infections (B)
- 3.661
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.273
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 142
- Number of health care workers
- 151
- Rate of flu vaccination
- 94.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 34
- Number of eligible stays
- 528
- Unadjusted potentially preventable readmission rate
- 6.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.02
- Lower limit of the 95% confidence interval on the RSRR
- 6.48
- Upper limit of the 95% confidence interval on the RSRR
- 9.81
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 25
- Number of eligible stays
- 558
- Unadjusted potentially preventable readmission rate
- 4.48
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.44
- Lower limit of the 95% confidence interval on the RSRR
- 3.97
- Upper limit of the 95% confidence interval on the RSRR
- 7.32
- 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)
- 379
- Number of eligible stays
- 522
- Observed discharge to community rate
- 72.61
- Risk-standardized discharge to community rate
- 68.58
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.07
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.74
- 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
- 623
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 842
- Denominator
- 848
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 15
- Denominator
- 847
- Facility observed rate
- 1.8
- Facility risk-adjusted rate
- 1.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 76
- Number of health care workers
- 92
- Rate of COVID-19 vaccination
- 82.6