About the Facility
- CMS Certification Number (CCN)
- 323032
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
4441 E Lohman Ave
- Phone Number
- (575) 521-6400
Facility Medical Condition Statistics
- All other conditions
- 98
- Brain disease or condition (non-traumatic)
- 23
- Brain injury (traumatic)
- 75
- Hip or femur fracture
- 109
- Hip or knee replacement, amputation or other bone or joint condition
- 152
- Nervous system disorder (excluding stroke)
- 56
- Spinal cord disease or condition (non-traumatic)
- 31
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 144
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.019
- SIR 95% confidence interval - upper limit
- 1.892
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,682
- Predicted number of infections (B)
- 2.607
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.384
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 656
- Denominator
- 656
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 16.7
- Denominator
- 583
- Average observed change score
- 18.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 39.3
- Denominator
- 583
- Average observed change score
- 41.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 484
- Denominator
- 583
- Facility rate
- 83.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 452
- Denominator
- 583
- Facility rate
- 77.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 656
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.530
- SIR 95% confidence interval - upper limit
- 2.718
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 12,893
- Predicted number of infections (B)
- 4.591
- Number of infections reported (A)
- 6
- SIR (A/B)
- 1.307
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 202
- Number of health care workers
- 293
- Rate of flu vaccination
- 68.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 34
- Number of eligible stays
- 616
- Unadjusted potentially preventable readmission rate
- 5.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.58
- Lower limit of the 95% confidence interval on the RSRR
- 6.14
- Upper limit of the 95% confidence interval on the RSRR
- 9.33
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 32
- Number of eligible stays
- 668
- Unadjusted potentially preventable readmission rate
- 4.79
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.88
- Lower limit of the 95% confidence interval on the RSRR
- 3.72
- Upper limit of the 95% confidence interval on the RSRR
- 6.44
- 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)
- 379
- Number of eligible stays
- 546
- Observed discharge to community rate
- 69.41
- Risk-standardized discharge to community rate
- 71.35
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.48
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.95
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.01
- Number of eligible episodes
- 640
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 650
- Denominator
- 656
- Facility rate
- 99.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 27
- Denominator
- 655
- Facility observed rate
- 4.1
- Facility risk-adjusted rate
- 3.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 252
- Number of health care workers
- 266
- Rate of COVID-19 vaccination
- 94.7