About the Facility
- CMS Certification Number (CCN)
- 19TA43
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
13 Heyman Lane
- Phone Number
- (318) 767-2900
Facility Medical Condition Statistics
- All other conditions
- 85
- 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
- 21
- Hip or knee replacement, amputation or other bone or joint condition
- 27
- Nervous system disorder (excluding stroke)
- 39
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 24
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
- 2.774
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 594
- Predicted number of infections (B)
- 1.080
- 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
- 205
- Denominator
- 205
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.7
- Denominator
- 175
- Average observed change score
- 11.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.7
- Denominator
- 175
- Average observed change score
- 33.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 109
- Denominator
- 175
- Facility rate
- 62.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 112
- Denominator
- 175
- Facility rate
- 64.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 205
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.208
- SIR 95% confidence interval - upper limit
- 4.104
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,571
- Predicted number of infections (B)
- 1.610
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.242
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 2
- Number of health care workers
- 9
- Rate of flu vaccination
- 22.2
- 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
- 180
- Unadjusted potentially preventable readmission rate
- 13.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.74
- Lower limit of the 95% confidence interval on the RSRR
- 7.94
- Upper limit of the 95% confidence interval on the RSRR
- 12.17
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 12
- Number of eligible stays
- 191
- Unadjusted potentially preventable readmission rate
- 6.28
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.49
- Lower limit of the 95% confidence interval on the RSRR
- 3.85
- Upper limit of the 95% confidence interval on the RSRR
- 7.55
- 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)
- 92
- Number of eligible stays
- 160
- Observed discharge to community rate
- 57.50
- Risk-standardized discharge to community rate
- 58.69
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 52.33
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.37
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 190
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 203
- Denominator
- 205
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 205
- Facility observed rate
- 2.0
- Facility risk-adjusted rate
- 1.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 9
- Number of health care workers
- 11
- Rate of COVID-19 vaccination
- 81.8