About the Facility
- CMS Certification Number (CCN)
- 04T036
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
3333 Springhill Drive
- Phone Number
- (501) 202-7257
Facility Medical Condition Statistics
- All other conditions
- 120
- Brain disease or condition (non-traumatic)
- 63
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 38
- Hip or knee replacement, amputation or other bone or joint condition
- 87
- Nervous system disorder (excluding stroke)
- 92
- 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
- 58
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
- 357
- Predicted number of infections (B)
- 0.515
- 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
- 465
- Denominator
- 465
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.5
- Denominator
- 405
- Average observed change score
- 12.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.7
- Denominator
- 405
- Average observed change score
- 33.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 221
- Denominator
- 405
- Facility rate
- 54.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 230
- Denominator
- 405
- Facility rate
- 56.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 465
- Facility rate
- 0.6
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.302
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,792
- Predicted number of infections (B)
- 2.301
- 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
- 28
- Number of health care workers
- 41
- Rate of flu vaccination
- 68.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 67
- Number of eligible stays
- 565
- Unadjusted potentially preventable readmission rate
- 11.86
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.84
- Lower limit of the 95% confidence interval on the RSRR
- 8.17
- Upper limit of the 95% confidence interval on the RSRR
- 11.59
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 35
- Number of eligible stays
- 632
- Unadjusted potentially preventable readmission rate
- 5.54
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.44
- Lower limit of the 95% confidence interval on the RSRR
- 4.09
- Upper limit of the 95% confidence interval on the RSRR
- 6.43
- 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)
- 340
- Number of eligible stays
- 500
- Observed discharge to community rate
- 68.00
- Risk-standardized discharge to community rate
- 67.53
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.86
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.45
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 620
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 439
- Denominator
- 465
- Facility rate
- 94.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 461
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 36
- Number of health care workers
- 57
- Rate of COVID-19 vaccination
- 63.2