About the Facility
- CMS Certification Number (CCN)
- 04T088
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
700 West Grove Street
- Phone Number
- (870) 863-2664
Facility Medical Condition Statistics
- All other conditions
- 65
- 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
- 19
- Hip or knee replacement, amputation or other bone or joint condition
- 27
- 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
- 26
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
- 295
- Predicted number of infections (B)
- 0.426
- 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
- 182
- Denominator
- 182
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 167
- Average observed change score
- 14.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.4
- Denominator
- 167
- Average observed change score
- 34.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 126
- Denominator
- 167
- Facility rate
- 75.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 108
- Denominator
- 167
- Facility rate
- 64.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 182
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 2.524
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 2,534
- Predicted number of infections (B)
- 1.187
- 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
- 20
- Number of health care workers
- 32
- Rate of flu vaccination
- 62.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 19
- Number of eligible stays
- 290
- Unadjusted potentially preventable readmission rate
- 6.55
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.05
- Lower limit of the 95% confidence interval on the RSRR
- 6.43
- 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
- 15
- Number of eligible stays
- 315
- Unadjusted potentially preventable readmission rate
- 4.76
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.31
- Lower limit of the 95% confidence interval on the RSRR
- 3.60
- Upper limit of the 95% confidence interval on the RSRR
- 7.67
- 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)
- 174
- Number of eligible stays
- 263
- Observed discharge to community rate
- 66.16
- Risk-standardized discharge to community rate
- 63.30
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.98
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.83
- 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
- 330
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 178
- Denominator
- 182
- Facility rate
- 97.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 182
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 25
- Number of health care workers
- 30
- Rate of COVID-19 vaccination
- 83.3