About the Facility
- CMS Certification Number (CCN)
- 19T140
- Ownership Type
- Government
- CMS Region
- Dallas
- Certification Date
- Address
2106 Loop Rd.
- Phone Number
- (318) 412-5400
Facility Medical Condition Statistics
- All other conditions
- 54
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- -
- Hip or femur fracture
- 13
- Hip or knee replacement, amputation or other bone or joint condition
- 12
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- -
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 11
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
- 152
- Predicted number of infections (B)
- 0.219
- 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
- 95
- Denominator
- 95
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 7.3
- Denominator
- 80
- Average observed change score
- 8.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 13.9
- Denominator
- 80
- Average observed change score
- 16.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 18
- Denominator
- 80
- Facility rate
- 22.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 3
- Denominator
- 80
- Facility rate
- 3.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 95
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 1,194
- Predicted number of infections (B)
- 0.474
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 3
- Number of health care workers
- 24
- Rate of flu vaccination
- 12.5
- 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
- 74
- Unadjusted potentially preventable readmission rate
- 14.86
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.69
- Lower limit of the 95% confidence interval on the RSRR
- 7.37
- Upper limit of the 95% confidence interval on the RSRR
- 12.60
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 6
- Number of eligible stays
- 80
- Unadjusted potentially preventable readmission rate
- 7.50
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.84
- Lower limit of the 95% confidence interval on the RSRR
- 3.78
- Upper limit of the 95% confidence interval on the RSRR
- 9.89
- 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)
- 30
- Number of eligible stays
- 63
- Observed discharge to community rate
- 47.62
- Risk-standardized discharge to community rate
- 54.47
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 46.64
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.17
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.07
- Number of eligible episodes
- 121
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 91
- Denominator
- 95
- Facility rate
- 95.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 94
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 15
- Number of health care workers
- 26
- Rate of COVID-19 vaccination
- 57.7