About the Facility
- CMS Certification Number (CCN)
- 323028
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
505 Elm Street Ne
- Phone Number
- (505) 727-4781
Facility Medical Condition Statistics
- All other conditions
- 223
- Brain disease or condition (non-traumatic)
- 57
- Brain injury (traumatic)
- 32
- Hip or femur fracture
- 125
- Hip or knee replacement, amputation or other bone or joint condition
- 156
- Nervous system disorder (excluding stroke)
- 52
- Spinal cord disease or condition (non-traumatic)
- 58
- Spinal cord injury (traumatic)
- 12
- Stroke
- 205
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
- 1.720
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,125
- Predicted number of infections (B)
- 1.742
- 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
- 901
- Denominator
- 902
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.0
- Denominator
- 777
- Average observed change score
- 13.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.9
- Denominator
- 777
- Average observed change score
- 32.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 451
- Denominator
- 777
- Facility rate
- 58.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 430
- Denominator
- 777
- Facility rate
- 55.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 5
- Denominator
- 901
- Facility rate
- 0.6
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.046
- SIR 95% confidence interval - upper limit
- 0.899
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 17,823
- Predicted number of infections (B)
- 7.353
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.272
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 405
- Number of health care workers
- 426
- Rate of flu vaccination
- 95.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 38
- Number of eligible stays
- 545
- Unadjusted potentially preventable readmission rate
- 6.97
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.55
- Lower limit of the 95% confidence interval on the RSRR
- 6.90
- Upper limit of the 95% confidence interval on the RSRR
- 10.49
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 30
- Number of eligible stays
- 608
- Unadjusted potentially preventable readmission rate
- 4.93
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.27
- Lower limit of the 95% confidence interval on the RSRR
- 3.78
- Upper limit of the 95% confidence interval on the RSRR
- 6.79
- 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)
- 321
- Number of eligible stays
- 475
- Observed discharge to community rate
- 67.58
- Risk-standardized discharge to community rate
- 66.51
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.41
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.16
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 531
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 871
- Denominator
- 902
- Facility rate
- 96.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 901
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 283
- Number of health care workers
- 298
- Rate of COVID-19 vaccination
- 95.0