About the Facility
- CMS Certification Number (CCN)
- 193080
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1110 Ringgold Avenue, Suite B
- Phone Number
- (318) 932-1770
Facility Medical Condition Statistics
- All other conditions
- 25
- 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
- 14
- Hip or knee replacement, amputation or other bone or joint condition
- 15
- Nervous system disorder (excluding stroke)
- 82
- Spinal cord disease or condition (non-traumatic)
- 19
- Spinal cord injury (traumatic)
- -
- Stroke
- 64
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
- 387
- Predicted number of infections (B)
- 0.789
- 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
- 231
- Denominator
- 231
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.1
- Denominator
- 208
- Average observed change score
- 10.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 17.1
- Denominator
- 208
- Average observed change score
- 14.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 86
- Denominator
- 208
- Facility rate
- 41.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 37
- Denominator
- 208
- Facility rate
- 17.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 231
- 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
- 2.744
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,527
- Predicted number of infections (B)
- 1.092
- 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
- 38
- Number of health care workers
- 79
- Rate of flu vaccination
- 48.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 20
- Number of eligible stays
- 167
- Unadjusted potentially preventable readmission rate
- 11.98
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.37
- Lower limit of the 95% confidence interval on the RSRR
- 7.50
- Upper limit of the 95% confidence interval on the RSRR
- 12.05
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 177
- Unadjusted potentially preventable readmission rate
- 2.82
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.42
- Lower limit of the 95% confidence interval on the RSRR
- 2.99
- Upper limit of the 95% confidence interval on the RSRR
- 6.92
- 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)
- 66
- Number of eligible stays
- 133
- Observed discharge to community rate
- 49.62
- Risk-standardized discharge to community rate
- 54.88
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 48.25
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.50
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.09
- Number of eligible episodes
- 246
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 230
- Denominator
- 231
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 231
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 67
- Number of health care workers
- 80
- Rate of COVID-19 vaccination
- 83.8