About the Facility
- CMS Certification Number (CCN)
- 04T022
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
609 W. Maple Ave.
Tower Ii, 3rd Floor
- Phone Number
- (479) 757-2340
Facility Medical Condition Statistics
- All other conditions
- 80
- Brain disease or condition (non-traumatic)
- 37
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 30
- Hip or knee replacement, amputation or other bone or joint condition
- 41
- Nervous system disorder (excluding stroke)
- 29
- 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
- 33
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
- 294
- Predicted number of infections (B)
- 0.422
- Number of infections reported (A)
- 3
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 251
- Denominator
- 251
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.5
- Denominator
- 215
- Average observed change score
- 10.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.1
- Denominator
- 215
- Average observed change score
- 30.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 97
- Denominator
- 215
- Facility rate
- 45.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 103
- Denominator
- 215
- Facility rate
- 47.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 251
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 2.182
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,036
- Predicted number of infections (B)
- 1.373
- 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
- 17
- Number of health care workers
- 23
- Rate of flu vaccination
- 73.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 18
- Number of eligible stays
- 259
- Unadjusted potentially preventable readmission rate
- 6.95
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.01
- Lower limit of the 95% confidence interval on the RSRR
- 6.31
- Upper limit of the 95% confidence interval on the RSRR
- 10.14
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 13
- Number of eligible stays
- 288
- Unadjusted potentially preventable readmission rate
- 4.51
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.98
- Lower limit of the 95% confidence interval on the RSRR
- 3.49
- Upper limit of the 95% confidence interval on the RSRR
- 7.18
- 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)
- 170
- Number of eligible stays
- 238
- Observed discharge to community rate
- 71.43
- Risk-standardized discharge to community rate
- 68.41
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.10
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.83
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.89
- Number of eligible episodes
- 262
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 242
- Denominator
- 251
- Facility rate
- 96.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 250
- Facility observed rate
- 1.2
- Facility risk-adjusted rate
- 1.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 24
- Number of health care workers
- 25
- Rate of COVID-19 vaccination
- 96.0