About the Facility
- CMS Certification Number (CCN)
- 19T064
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
5000 Hennessy Blvd
- Phone Number
- (225) 765-7841
Facility Medical Condition Statistics
- All other conditions
- 40
- Brain disease or condition (non-traumatic)
- 17
- Brain injury (traumatic)
- 18
- Hip or femur fracture
- 28
- Hip or knee replacement, amputation or other bone or joint condition
- 67
- Nervous system disorder (excluding stroke)
- 13
- Spinal cord disease or condition (non-traumatic)
- 18
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 91
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
- 577
- Predicted number of infections (B)
- 0.834
- Number of infections reported (A)
- 3
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 296
- Denominator
- 296
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.2
- Denominator
- 261
- Average observed change score
- 11.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 23.4
- Denominator
- 261
- Average observed change score
- 24.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 101
- Denominator
- 261
- Facility rate
- 38.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 75
- Denominator
- 261
- Facility rate
- 28.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 296
- 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
- 0.974
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 9,472
- Predicted number of infections (B)
- 3.077
- 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
- 214
- Number of health care workers
- 234
- Rate of flu vaccination
- 91.5
- 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
- 261
- Unadjusted potentially preventable readmission rate
- 9.20
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.66
- Lower limit of the 95% confidence interval on the RSRR
- 6.85
- Upper limit of the 95% confidence interval on the RSRR
- 10.68
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 13
- Number of eligible stays
- 287
- Unadjusted potentially preventable readmission rate
- 4.53
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.49
- Lower limit of the 95% confidence interval on the RSRR
- 3.20
- Upper limit of the 95% confidence interval on the RSRR
- 6.60
- 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)
- 156
- Number of eligible stays
- 231
- Observed discharge to community rate
- 67.53
- Risk-standardized discharge to community rate
- 71.29
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.38
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.12
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 241
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 292
- Denominator
- 296
- Facility rate
- 98.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 296
- Facility observed rate
- 2.7
- Facility risk-adjusted rate
- 2.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 195
- Number of health care workers
- 211
- Rate of COVID-19 vaccination
- 92.4