About the Facility
- CMS Certification Number (CCN)
- 193031
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
104 North Third Street
- Phone Number
- (318) 449-1370
Facility Medical Condition Statistics
- All other conditions
- 168
- Brain disease or condition (non-traumatic)
- 47
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- 31
- Hip or knee replacement, amputation or other bone or joint condition
- 53
- Nervous system disorder (excluding stroke)
- 93
- 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
- 104
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
- 1.952
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,422
- Predicted number of infections (B)
- 1.535
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 512
- Denominator
- 512
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.7
- Denominator
- 423
- Average observed change score
- 13.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.7
- Denominator
- 423
- Average observed change score
- 33.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 346
- Denominator
- 423
- Facility rate
- 81.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 321
- Denominator
- 423
- Facility rate
- 75.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 512
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.078
- SIR 95% confidence interval - upper limit
- 1.546
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 9,998
- Predicted number of infections (B)
- 4.275
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.468
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 115
- Number of health care workers
- 183
- Rate of flu vaccination
- 62.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 62
- Number of eligible stays
- 577
- Unadjusted potentially preventable readmission rate
- 10.75
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.82
- Lower limit of the 95% confidence interval on the RSRR
- 8.22
- Upper limit of the 95% confidence interval on the RSRR
- 11.79
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 47
- Number of eligible stays
- 649
- Unadjusted potentially preventable readmission rate
- 7.24
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.76
- Lower limit of the 95% confidence interval on the RSRR
- 5.31
- Upper limit of the 95% confidence interval on the RSRR
- 8.49
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 291
- Number of eligible stays
- 473
- Observed discharge to community rate
- 61.52
- Risk-standardized discharge to community rate
- 62.61
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.75
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.73
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 605
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 507
- Denominator
- 512
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 13
- Denominator
- 510
- Facility observed rate
- 2.5
- Facility risk-adjusted rate
- 2.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 112
- Number of health care workers
- 164
- Rate of COVID-19 vaccination
- 68.3