About the Facility
- CMS Certification Number (CCN)
- 19T002
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
2810 Ambassador Caffery Pkwy.
- Phone Number
- (337) 406-4162
Facility Medical Condition Statistics
- All other conditions
- 32
- 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
- 53
- Hip or knee replacement, amputation or other bone or joint condition
- 38
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 37
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
- 316
- Predicted number of infections (B)
- 0.740
- 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
- 186
- Denominator
- 186
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.9
- Denominator
- 172
- Average observed change score
- 11.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.5
- Denominator
- 172
- Average observed change score
- 31.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 86
- Denominator
- 172
- Facility rate
- 50.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 111
- Denominator
- 172
- Facility rate
- 64.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 186
- 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
- 1.895
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,664
- Predicted number of infections (B)
- 1.581
- 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
- 31
- Number of health care workers
- 41
- Rate of flu vaccination
- 75.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 24
- Number of eligible stays
- 370
- Unadjusted potentially preventable readmission rate
- 6.49
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.91
- Lower limit of the 95% confidence interval on the RSRR
- 6.99
- Upper limit of the 95% confidence interval on the RSRR
- 11.16
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 394
- Unadjusted potentially preventable readmission rate
- 1.78
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.84
- Lower limit of the 95% confidence interval on the RSRR
- 2.60
- Upper limit of the 95% confidence interval on the RSRR
- 6.13
- 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)
- 214
- Number of eligible stays
- 305
- Observed discharge to community rate
- 70.16
- Risk-standardized discharge to community rate
- 64.88
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.57
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.70
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.91
- Number of eligible episodes
- 339
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 186
- Denominator
- 186
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 185
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 31
- Number of health care workers
- 33
- Rate of COVID-19 vaccination
- 93.9