About the Facility
- CMS Certification Number (CCN)
- 193050
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
8088 Hawks Rd
- Phone Number
- (337) 462-8880
Facility Medical Condition Statistics
- All other conditions
- 86
- Brain disease or condition (non-traumatic)
- 14
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 27
- Hip or knee replacement, amputation or other bone or joint condition
- 38
- Nervous system disorder (excluding stroke)
- 35
- 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
- 24
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
- 328
- Predicted number of infections (B)
- 0.354
- 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
- 227
- Denominator
- 228
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.8
- Denominator
- 186
- Average observed change score
- 16.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 39.8
- Denominator
- 186
- Average observed change score
- 40.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 140
- Denominator
- 186
- Facility rate
- 75.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 148
- Denominator
- 186
- Facility rate
- 79.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 228
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.842
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,804
- Predicted number of infections (B)
- 1.626
- 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
- 51
- Number of health care workers
- 95
- Rate of flu vaccination
- 53.7
- 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
- 257
- Unadjusted potentially preventable readmission rate
- 14.40
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.07
- Lower limit of the 95% confidence interval on the RSRR
- 8.21
- Upper limit of the 95% confidence interval on the RSRR
- 12.15
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 17
- Number of eligible stays
- 282
- Unadjusted potentially preventable readmission rate
- 6.03
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.04
- Lower limit of the 95% confidence interval on the RSRR
- 3.62
- Upper limit of the 95% confidence interval on the RSRR
- 6.76
- 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)
- 123
- Number of eligible stays
- 207
- Observed discharge to community rate
- 59.42
- Risk-standardized discharge to community rate
- 63.35
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.23
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.44
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.09
- Number of eligible episodes
- 304
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 228
- Denominator
- 228
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 228
- Facility observed rate
- 3.1
- Facility risk-adjusted rate
- 2.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 34
- Number of health care workers
- 46
- Rate of COVID-19 vaccination
- 73.9