About the Facility
- CMS Certification Number (CCN)
- 193086
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
900 South Sixth Street
- Phone Number
- (337) 392-8118
Facility Medical Condition Statistics
- All other conditions
- 65
- Brain disease or condition (non-traumatic)
- 16
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 19
- Hip or knee replacement, amputation or other bone or joint condition
- 34
- Nervous system disorder (excluding stroke)
- 34
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 21
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
- 370
- Predicted number of infections (B)
- 0.511
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 194
- Denominator
- 194
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.9
- Denominator
- 164
- Average observed change score
- 14.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.5
- Denominator
- 164
- Average observed change score
- 37.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 104
- Denominator
- 164
- Facility rate
- 63.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 115
- Denominator
- 164
- Facility rate
- 70.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 194
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.032
- SIR 95% confidence interval - upper limit
- 3.186
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,959
- Predicted number of infections (B)
- 1.548
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.646
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 36
- Number of health care workers
- 78
- Rate of flu vaccination
- 46.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 25
- Number of eligible stays
- 211
- Unadjusted potentially preventable readmission rate
- 11.85
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.10
- Lower limit of the 95% confidence interval on the RSRR
- 7.31
- Upper limit of the 95% confidence interval on the RSRR
- 11.45
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 23
- Number of eligible stays
- 243
- Unadjusted potentially preventable readmission rate
- 9.47
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.89
- Lower limit of the 95% confidence interval on the RSRR
- 4.89
- Upper limit of the 95% confidence interval on the RSRR
- 9.22
- 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)
- 104
- Number of eligible stays
- 193
- Observed discharge to community rate
- 53.89
- Risk-standardized discharge to community rate
- 58.24
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 52.09
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.05
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.12
- Number of eligible episodes
- 333
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 193
- Denominator
- 194
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 194
- Facility observed rate
- 5.2
- Facility risk-adjusted rate
- 4.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 31
- Number of health care workers
- 38
- Rate of COVID-19 vaccination
- 81.6