About the Facility
- CMS Certification Number (CCN)
- 19T060
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
1701 Oak Park Blvd.
2nd Floor
- Phone Number
- (337) 494-3000
Facility Medical Condition Statistics
- All other conditions
- 61
- 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
- 57
- Hip or knee replacement, amputation or other bone or joint condition
- 44
- 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
- 56
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
- 212
- Predicted number of infections (B)
- 0.438
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 244
- Denominator
- 244
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.3
- Denominator
- 226
- Average observed change score
- 14.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.3
- Denominator
- 226
- Average observed change score
- 34.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 166
- Denominator
- 226
- Facility rate
- 73.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 125
- Denominator
- 226
- Facility rate
- 55.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 244
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.142
- SIR 95% confidence interval - upper limit
- 2.802
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,593
- Predicted number of infections (B)
- 2.358
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.848
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 82
- Number of health care workers
- 82
- Rate of flu vaccination
- 100.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 29
- Number of eligible stays
- 332
- Unadjusted potentially preventable readmission rate
- 8.73
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.86
- Lower limit of the 95% confidence interval on the RSRR
- 7.93
- Upper limit of the 95% confidence interval on the RSRR
- 12.47
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 356
- Unadjusted potentially preventable readmission rate
- 2.81
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.42
- Lower limit of the 95% confidence interval on the RSRR
- 3.06
- Upper limit of the 95% confidence interval on the RSRR
- 6.34
- 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)
- 211
- Number of eligible stays
- 288
- Observed discharge to community rate
- 73.26
- Risk-standardized discharge to community rate
- 68.50
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.46
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.65
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 299
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 137
- Denominator
- 244
- Facility rate
- 56.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 243
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 60
- Number of health care workers
- 82
- Rate of COVID-19 vaccination
- 73.2