About the Facility
- CMS Certification Number (CCN)
- 193097
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
5025 Keystone Blvdsuite 200
- Phone Number
- (985) 888-0301
Facility Medical Condition Statistics
- All other conditions
- 63
- Brain disease or condition (non-traumatic)
- 21
- Brain injury (traumatic)
- 12
- Hip or femur fracture
- 30
- Hip or knee replacement, amputation or other bone or joint condition
- 70
- Nervous system disorder (excluding stroke)
- 22
- Spinal cord disease or condition (non-traumatic)
- 27
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 58
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
- 432
- Predicted number of infections (B)
- 0.670
- 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
- 302
- Denominator
- 302
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.6
- Denominator
- 249
- Average observed change score
- 9.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 24.3
- Denominator
- 249
- Average observed change score
- 24.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 66
- Denominator
- 249
- Facility rate
- 26.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 87
- Denominator
- 249
- Facility rate
- 34.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 302
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.028
- SIR 95% confidence interval - upper limit
- 2.762
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,343
- Predicted number of infections (B)
- 1.785
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.560
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 5
- Number of health care workers
- 128
- Rate of flu vaccination
- 3.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 23
- Number of eligible stays
- 301
- Unadjusted potentially preventable readmission rate
- 7.64
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.55
- Lower limit of the 95% confidence interval on the RSRR
- 6.78
- Upper limit of the 95% confidence interval on the RSRR
- 10.75
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 32
- Number of eligible stays
- 354
- Unadjusted potentially preventable readmission rate
- 9.04
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.50
- Lower limit of the 95% confidence interval on the RSRR
- 5.58
- Upper limit of the 95% confidence interval on the RSRR
- 10.13
- 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)
- 173
- Number of eligible stays
- 285
- Observed discharge to community rate
- 60.70
- Risk-standardized discharge to community rate
- 61.88
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.88
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.66
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.08
- Number of eligible episodes
- 358
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 295
- Denominator
- 302
- Facility rate
- 97.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 14
- Denominator
- 301
- Facility observed rate
- 4.7
- Facility risk-adjusted rate
- 3.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 117
- Number of health care workers
- 147
- Rate of COVID-19 vaccination
- 79.6