About the Facility
- CMS Certification Number (CCN)
- 19T111
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
2600 Greenwood Road
- Phone Number
- (318) 212-4437
Facility Medical Condition Statistics
- All other conditions
- 101
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 72
- Hip or knee replacement, amputation or other bone or joint condition
- 41
- Nervous system disorder (excluding stroke)
- 14
- Spinal cord disease or condition (non-traumatic)
- 28
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 98
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
- 1.216
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,090
- Predicted number of infections (B)
- 2.464
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 373
- Denominator
- 376
- Facility rate
- 99.2
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.8
- Denominator
- 333
- Average observed change score
- 10.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.1
- Denominator
- 333
- Average observed change score
- 25.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 123
- Denominator
- 333
- Facility rate
- 36.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 93
- Denominator
- 333
- Facility rate
- 27.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 376
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.434
- SIR 95% confidence interval - upper limit
- 3.294
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,505
- Predicted number of infections (B)
- 2.929
- Number of infections reported (A)
- 4
- SIR (A/B)
- 1.366
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 64
- Number of health care workers
- 87
- Rate of flu vaccination
- 73.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 33
- Number of eligible stays
- 507
- Unadjusted potentially preventable readmission rate
- 6.51
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.75
- Lower limit of the 95% confidence interval on the RSRR
- 7.18
- 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
- 24
- Number of eligible stays
- 570
- Unadjusted potentially preventable readmission rate
- 4.21
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.27
- Lower limit of the 95% confidence interval on the RSRR
- 3.82
- Upper limit of the 95% confidence interval on the RSRR
- 7.28
- 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)
- 289
- Number of eligible stays
- 478
- Observed discharge to community rate
- 60.46
- Risk-standardized discharge to community rate
- 58.71
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 54.84
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.20
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.09
- Number of eligible episodes
- 500
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 369
- Denominator
- 376
- Facility rate
- 98.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 376
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 34
- Number of health care workers
- 43
- Rate of COVID-19 vaccination
- 79.1