About the Facility
- CMS Certification Number (CCN)
- 193096
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
314 Youngsville Hwy
- Phone Number
- (337) 364-6923
Facility Medical Condition Statistics
- All other conditions
- 39
- Brain disease or condition (non-traumatic)
- 14
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 22
- Hip or knee replacement, amputation or other bone or joint condition
- 70
- Nervous system disorder (excluding stroke)
- 30
- Spinal cord disease or condition (non-traumatic)
- 17
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 40
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
- 372
- Predicted number of infections (B)
- 0.575
- 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
- 235
- Denominator
- 235
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.8
- Denominator
- 208
- Average observed change score
- 14.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.7
- Denominator
- 208
- Average observed change score
- 35.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 134
- Denominator
- 208
- Facility rate
- 64.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 129
- Denominator
- 208
- Facility rate
- 62.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 235
- Facility rate
- 0.9
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.016
- SIR 95% confidence interval - upper limit
- 1.597
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,023
- Predicted number of infections (B)
- 3.089
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.324
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 61
- Number of health care workers
- 113
- Rate of flu vaccination
- 54.0
- 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
- 346
- Unadjusted potentially preventable readmission rate
- 6.07
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.08
- Lower limit of the 95% confidence interval on the RSRR
- 6.36
- Upper limit of the 95% confidence interval on the RSRR
- 10.11
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 26
- Number of eligible stays
- 394
- Unadjusted potentially preventable readmission rate
- 6.60
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.32
- Lower limit of the 95% confidence interval on the RSRR
- 4.81
- Upper limit of the 95% confidence interval on the RSRR
- 9.04
- 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)
- 183
- Number of eligible stays
- 295
- Observed discharge to community rate
- 62.03
- Risk-standardized discharge to community rate
- 61.43
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.94
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.74
- 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
- 383
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 201
- Denominator
- 235
- Facility rate
- 85.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 235
- Facility observed rate
- 2.6
- Facility risk-adjusted rate
- 2.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 96
- Number of health care workers
- 116
- Rate of COVID-19 vaccination
- 82.8