About the Facility
- CMS Certification Number (CCN)
- 04T010
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
2710 South Rife Medical Lane
- Phone Number
- (479) 338-8000
Facility Medical Condition Statistics
- All other conditions
- 103
- Brain disease or condition (non-traumatic)
- 55
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 64
- Hip or knee replacement, amputation or other bone or joint condition
- 58
- Nervous system disorder (excluding stroke)
- 41
- Spinal cord disease or condition (non-traumatic)
- 18
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 56
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
- 418
- Predicted number of infections (B)
- 0.603
- 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
- 400
- Denominator
- 400
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.8
- Denominator
- 363
- Average observed change score
- 13.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.5
- Denominator
- 363
- Average observed change score
- 32.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 243
- Denominator
- 363
- Facility rate
- 66.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 252
- Denominator
- 363
- Facility rate
- 69.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 400
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.132
- SIR 95% confidence interval - upper limit
- 2.606
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,524
- Predicted number of infections (B)
- 2.535
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.789
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 32
- Number of health care workers
- 32
- Rate of flu vaccination
- 100.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 36
- Number of eligible stays
- 473
- Unadjusted potentially preventable readmission rate
- 7.61
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.67
- Lower limit of the 95% confidence interval on the RSRR
- 6.91
- 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
- 14
- Number of eligible stays
- 496
- Unadjusted potentially preventable readmission rate
- 2.82
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.30
- Lower limit of the 95% confidence interval on the RSRR
- 3.03
- Upper limit of the 95% confidence interval on the RSRR
- 6.04
- 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)
- 329
- Number of eligible stays
- 422
- Observed discharge to community rate
- 77.96
- Risk-standardized discharge to community rate
- 71.70
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.03
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.85
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.86
- Number of eligible episodes
- 506
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 397
- Denominator
- 400
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 14
- Denominator
- 400
- Facility observed rate
- 3.5
- Facility risk-adjusted rate
- 4.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 26
- Number of health care workers
- 26
- Rate of COVID-19 vaccination
- 100.0