About the Facility
- CMS Certification Number (CCN)
- 04T118
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
4800 E Johnson Ave
- Phone Number
- (870) 936-1030
Facility Medical Condition Statistics
- All other conditions
- 108
- Brain disease or condition (non-traumatic)
- 16
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 90
- Hip or knee replacement, amputation or other bone or joint condition
- 79
- Nervous system disorder (excluding stroke)
- 19
- 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
- 57
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
- 577
- Predicted number of infections (B)
- 0.834
- 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
- 374
- Denominator
- 375
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.1
- Denominator
- 338
- Average observed change score
- 13.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.4
- Denominator
- 338
- Average observed change score
- 37.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 211
- Denominator
- 338
- Facility rate
- 62.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 222
- Denominator
- 338
- Facility rate
- 65.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 375
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.175
- SIR 95% confidence interval - upper limit
- 3.440
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,431
- Predicted number of infections (B)
- 1.921
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.041
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- Not Available
- Number of health care workers
- Not Available
- Rate of flu vaccination
- Not Available
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 37
- Number of eligible stays
- 420
- Unadjusted potentially preventable readmission rate
- 8.81
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.38
- Lower limit of the 95% confidence interval on the RSRR
- 7.49
- Upper limit of the 95% confidence interval on the RSRR
- 11.61
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 21
- Number of eligible stays
- 452
- Unadjusted potentially preventable readmission rate
- 4.65
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.33
- Lower limit of the 95% confidence interval on the RSRR
- 4.04
- Upper limit of the 95% confidence interval on the RSRR
- 6.61
- 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)
- 260
- Number of eligible stays
- 375
- Observed discharge to community rate
- 69.33
- Risk-standardized discharge to community rate
- 65.59
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.48
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.48
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.99
- Number of eligible episodes
- 466
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 363
- Denominator
- 375
- Facility rate
- 96.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 375
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 1.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 27
- Number of health care workers
- 34
- Rate of COVID-19 vaccination
- 79.4