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