About the Facility
- CMS Certification Number (CCN)
- 19T125
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
309 Jackson Street
- Phone Number
- (318) 966-7150
Facility Medical Condition Statistics
- All other conditions
- 45
- 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
- 106
- Hip or knee replacement, amputation or other bone or joint condition
- 25
- 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)
- -
- Stroke
- 46
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
- 381
- Predicted number of infections (B)
- 0.586
- 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
- 238
- Denominator
- 238
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.5
- Denominator
- 211
- Average observed change score
- 11.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 18.6
- Denominator
- 211
- Average observed change score
- 22.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 77
- Denominator
- 211
- Facility rate
- 36.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 42
- Denominator
- 211
- Facility rate
- 19.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 238
- 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
- 2.163
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,170
- Predicted number of infections (B)
- 1.385
- 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
- 43
- Number of health care workers
- 48
- Rate of flu vaccination
- 89.6
- 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
- 232
- Unadjusted potentially preventable readmission rate
- 5.17
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.51
- Lower limit of the 95% confidence interval on the RSRR
- 6.46
- Upper limit of the 95% confidence interval on the RSRR
- 11.02
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 252
- Unadjusted potentially preventable readmission rate
- 2.78
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.55
- Lower limit of the 95% confidence interval on the RSRR
- 3.22
- Upper limit of the 95% confidence interval on the RSRR
- 6.69
- 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)
- 138
- Number of eligible stays
- 193
- Observed discharge to community rate
- 71.50
- Risk-standardized discharge to community rate
- 66.99
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.85
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.36
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 222
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 217
- Denominator
- 238
- Facility rate
- 91.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 13
- Denominator
- 237
- Facility observed rate
- 5.5
- Facility risk-adjusted rate
- 6.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 40
- Number of health care workers
- 45
- Rate of COVID-19 vaccination
- 88.9