Unity Health Specialty Care Campus


About the Facility

CMS Certification Number (CCN)
04T014
Ownership Type
Non-profit
CMS Region
Dallas
Certification Date
Address
1200 South Main Street
Phone Number
(501) 278-3477

Facility Medical Condition Statistics

All other conditions
73
Brain disease or condition (non-traumatic)
34
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
95
Hip or knee replacement, amputation or other bone or joint condition
75
Nervous system disorder (excluding stroke)
42
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
48

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
549
Predicted number of infections (B)
0.593
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
359
Denominator
359
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.3
Denominator
318
Average observed change score
14.5
Change in patients ability to move around
Average risk-adjusted change score
32.9
Denominator
318
Average observed change score
34.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
187
Denominator
318
Facility rate
58.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
222
Denominator
318
Facility rate
69.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
359
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
1.548
Comparative performance category
No Different than the National Benchmark
Patient days
5,536
Predicted number of infections (B)
1.935
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
78
Number of health care workers
108
Rate of flu vaccination
72.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
43
Number of eligible stays
435
Unadjusted potentially preventable readmission rate
9.89
Risk-standardized potentially preventable readmission rate (RSRR)
9.57
Lower limit of the 95% confidence interval on the RSRR
7.89
Upper limit of the 95% confidence interval on the RSRR
11.77
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
22
Number of eligible stays
481
Unadjusted potentially preventable readmission rate
4.57
Risk-standardized potentially preventable readmission rate (RSRR)
4.90
Lower limit of the 95% confidence interval on the RSRR
3.50
Upper limit of the 95% confidence interval on the RSRR
6.39
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)
242
Number of eligible stays
382
Observed discharge to community rate
63.35
Risk-standardized discharge to community rate
65.16
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.59
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.37
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.03
Number of eligible episodes
452
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
356
Denominator
359
Facility rate
99.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
22
Denominator
359
Facility observed rate
6.1
Facility risk-adjusted rate
5.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
80
Number of health care workers
100
Rate of COVID-19 vaccination
80.0