About the Facility
- CMS Certification Number (CCN)
- 19T041
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
1035 Margaret Place
- Phone Number
- (318) 681-4434
Facility Medical Condition Statistics
- All other conditions
- 47
- Brain disease or condition (non-traumatic)
- 12
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 20
- Hip or knee replacement, amputation or other bone or joint condition
- 65
- Nervous system disorder (excluding stroke)
- 32
- 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
- 32
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
- 167
- Predicted number of infections (B)
- 0.309
- 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
- 217
- Denominator
- 217
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.9
- Denominator
- 195
- Average observed change score
- 11.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 19.5
- Denominator
- 196
- Average observed change score
- 26.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 107
- Denominator
- 196
- Facility rate
- 54.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 35
- Denominator
- 196
- Facility rate
- 17.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 217
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.034
- SIR 95% confidence interval - upper limit
- 3.359
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,131
- Predicted number of infections (B)
- 1.468
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.681
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 28
- Number of health care workers
- 31
- Rate of flu vaccination
- 90.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 11
- Number of eligible stays
- 218
- Unadjusted potentially preventable readmission rate
- 5.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.21
- Lower limit of the 95% confidence interval on the RSRR
- 6.39
- Upper limit of the 95% confidence interval on the RSRR
- 10.55
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 14
- Number of eligible stays
- 246
- Unadjusted potentially preventable readmission rate
- 5.69
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.20
- Lower limit of the 95% confidence interval on the RSRR
- 4.49
- Upper limit of the 95% confidence interval on the RSRR
- 8.80
- 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)
- 152
- Number of eligible stays
- 202
- Observed discharge to community rate
- 75.25
- Risk-standardized discharge to community rate
- 67.59
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.98
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.62
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.07
- Number of eligible episodes
- 228
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 211
- Denominator
- 217
- Facility rate
- 97.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 217
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 10
- Number of health care workers
- 17
- Rate of COVID-19 vaccination
- 58.8