About the Facility
- CMS Certification Number (CCN)
- 04T027
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
624 Hospital Drive
624 Hospital Dr
- Phone Number
- (870) 508-3393
Facility Medical Condition Statistics
- All other conditions
- 115
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- 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
- 79
- Nervous system disorder (excluding stroke)
- 25
- Spinal cord disease or condition (non-traumatic)
- 15
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 72
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.296
- SIR 95% confidence interval - upper limit
- 5.827
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 650
- Predicted number of infections (B)
- 1.134
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.764
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 414
- Denominator
- 414
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.4
- Denominator
- 372
- Average observed change score
- 14.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.8
- Denominator
- 372
- Average observed change score
- 30.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 215
- Denominator
- 372
- Facility rate
- 57.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 171
- Denominator
- 372
- Facility rate
- 46.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 414
- 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
- 1.319
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,397
- Predicted number of infections (B)
- 2.271
- 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
- 50
- Number of health care workers
- 60
- Rate of flu vaccination
- 83.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 29
- Number of eligible stays
- 447
- Unadjusted potentially preventable readmission rate
- 6.49
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.64
- Lower limit of the 95% confidence interval on the RSRR
- 6.89
- Upper limit of the 95% confidence interval on the RSRR
- 10.86
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 11
- Number of eligible stays
- 467
- Unadjusted potentially preventable readmission rate
- 2.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.99
- Lower limit of the 95% confidence interval on the RSRR
- 2.93
- Upper limit of the 95% confidence interval on the RSRR
- 5.74
- 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)
- 281
- Number of eligible stays
- 394
- Observed discharge to community rate
- 71.32
- Risk-standardized discharge to community rate
- 67.68
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.91
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.36
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 439
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 407
- Denominator
- 414
- Facility rate
- 98.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 411
- Facility observed rate
- 0.2
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 34
- Number of health care workers
- 57
- Rate of COVID-19 vaccination
- 59.6