About the Facility
- CMS Certification Number (CCN)
- 193079
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
15717 Belle Drive
- Phone Number
- (985) 340-5998
Facility Medical Condition Statistics
- All other conditions
- 58
- Brain disease or condition (non-traumatic)
- 34
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 15
- Hip or knee replacement, amputation or other bone or joint condition
- 45
- Nervous system disorder (excluding stroke)
- 88
- 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
- 74
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
- 86
- Predicted number of infections (B)
- 0.169
- 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
- 329
- Denominator
- 329
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.2
- Denominator
- 268
- Average observed change score
- 10.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.4
- Denominator
- 268
- Average observed change score
- 23.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 147
- Denominator
- 268
- Facility rate
- 54.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 105
- Denominator
- 268
- Facility rate
- 39.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 329
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.335
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,391
- Predicted number of infections (B)
- 2.243
- 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
- 91
- Number of health care workers
- 96
- Rate of flu vaccination
- 94.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 28
- Number of eligible stays
- 243
- Unadjusted potentially preventable readmission rate
- 11.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.03
- Lower limit of the 95% confidence interval on the RSRR
- 7.32
- Upper limit of the 95% confidence interval on the RSRR
- 10.99
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 34
- Number of eligible stays
- 299
- Unadjusted potentially preventable readmission rate
- 11.37
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.97
- Lower limit of the 95% confidence interval on the RSRR
- 6.03
- Upper limit of the 95% confidence interval on the RSRR
- 10.19
- 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)
- 112
- Number of eligible stays
- 211
- Observed discharge to community rate
- 53.08
- Risk-standardized discharge to community rate
- 58.74
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 53.23
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.42
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 387
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 224
- Denominator
- 329
- Facility rate
- 68.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 329
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 109
- Number of health care workers
- 109
- Rate of COVID-19 vaccination
- 100.0