About the Facility
- CMS Certification Number (CCN)
- 19T008
- Ownership Type
- Government
- CMS Region
- Dallas
- Certification Date
- Address
8166 Main Street
- Phone Number
- (985) 873-4721
Facility Medical Condition Statistics
- All other conditions
- 37
- 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
- 25
- Hip or knee replacement, amputation or other bone or joint condition
- Data not available for this reporting period.
- Nervous system disorder (excluding stroke)
- 23
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 34
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
- 225
- Predicted number of infections (B)
- 0.612
- 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
- 149
- Denominator
- 149
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.7
- Denominator
- 134
- Average observed change score
- 14.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.1
- Denominator
- 134
- Average observed change score
- 29.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 81
- Denominator
- 134
- Facility rate
- 60.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 73
- Denominator
- 134
- Facility rate
- 54.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 149
- 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
- 2.532
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 2,293
- Predicted number of infections (B)
- 1.183
- 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
- 58
- Number of health care workers
- 63
- Rate of flu vaccination
- 92.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 12
- Number of eligible stays
- 186
- Unadjusted potentially preventable readmission rate
- 6.45
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.15
- Lower limit of the 95% confidence interval on the RSRR
- 6.43
- Upper limit of the 95% confidence interval on the RSRR
- 10.49
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 6
- Number of eligible stays
- 204
- Unadjusted potentially preventable readmission rate
- 2.94
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.21
- Lower limit of the 95% confidence interval on the RSRR
- 2.92
- Upper limit of the 95% confidence interval on the RSRR
- 6.28
- 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)
- 108
- Number of eligible stays
- 163
- Observed discharge to community rate
- 66.26
- Risk-standardized discharge to community rate
- 66.32
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.85
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.86
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 184
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 147
- Denominator
- 149
- Facility rate
- 98.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 148
- Facility observed rate
- 4.1
- Facility risk-adjusted rate
- 3.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 17
- Number of health care workers
- 19
- Rate of COVID-19 vaccination
- 89.5