About the Facility
- CMS Certification Number (CCN)
- 193090
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
10101 Park Rowe Avenue
- Phone Number
- (225) 906-2999
Facility Medical Condition Statistics
- All other conditions
- 12
- Brain disease or condition (non-traumatic)
- 27
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 33
- Hip or knee replacement, amputation or other bone or joint condition
- 64
- Nervous system disorder (excluding stroke)
- 14
- Spinal cord disease or condition (non-traumatic)
- 80
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 88
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.861
- SIR 95% confidence interval - upper limit
- 6.537
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 723
- Predicted number of infections (B)
- 1.476
- Number of infections reported (A)
- 4
- SIR (A/B)
- 2.710
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 336
- Denominator
- 336
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 7.5
- Denominator
- 290
- Average observed change score
- 8.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.5
- Denominator
- 290
- Average observed change score
- 23.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 46
- Denominator
- 290
- Facility rate
- 15.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 86
- Denominator
- 290
- Facility rate
- 29.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 336
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.128
- SIR 95% confidence interval - upper limit
- 2.516
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,483
- Predicted number of infections (B)
- 2.626
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.762
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 111
- Number of health care workers
- 217
- Rate of flu vaccination
- 51.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 21
- Number of eligible stays
- 295
- Unadjusted potentially preventable readmission rate
- 7.12
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.12
- Lower limit of the 95% confidence interval on the RSRR
- 7.34
- Upper limit of the 95% confidence interval on the RSRR
- 11.60
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 15
- Number of eligible stays
- 325
- Unadjusted potentially preventable readmission rate
- 4.62
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.60
- Lower limit of the 95% confidence interval on the RSRR
- 3.98
- Upper limit of the 95% confidence interval on the RSRR
- 8.42
- 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)
- 162
- Number of eligible stays
- 267
- Observed discharge to community rate
- 60.67
- Risk-standardized discharge to community rate
- 59.02
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 54.39
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.71
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 308
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 314
- Denominator
- 336
- Facility rate
- 93.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 336
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 144
- Number of health care workers
- 182
- Rate of COVID-19 vaccination
- 79.1