About the Facility
- CMS Certification Number (CCN)
- 323033
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2401 Westside Blvd
- Phone Number
- (505) 270-9792
Facility Medical Condition Statistics
- All other conditions
- 82
- Brain disease or condition (non-traumatic)
- 56
- Brain injury (traumatic)
- 26
- Hip or femur fracture
- 120
- Hip or knee replacement, amputation or other bone or joint condition
- 117
- Nervous system disorder (excluding stroke)
- 174
- Spinal cord disease or condition (non-traumatic)
- 48
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 111
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
- 289
- Predicted number of infections (B)
- 0.419
- 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
- 708
- Denominator
- 709
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.9
- Denominator
- 611
- Average observed change score
- 16.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.2
- Denominator
- 611
- Average observed change score
- 38.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 482
- Denominator
- 611
- Facility rate
- 78.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 445
- Denominator
- 611
- Facility rate
- 72.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 709
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.037
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 9,698
- Predicted number of infections (B)
- 2.890
- 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
- 151
- Number of health care workers
- 236
- Rate of flu vaccination
- 64.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 30
- Number of eligible stays
- 430
- Unadjusted potentially preventable readmission rate
- 6.98
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.44
- Lower limit of the 95% confidence interval on the RSRR
- 6.75
- Upper limit of the 95% confidence interval on the RSRR
- 10.37
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 33
- Number of eligible stays
- 493
- Unadjusted potentially preventable readmission rate
- 6.69
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.43
- Lower limit of the 95% confidence interval on the RSRR
- 5.03
- Upper limit of the 95% confidence interval on the RSRR
- 8.75
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 322
- Number of eligible stays
- 457
- Observed discharge to community rate
- 70.46
- Risk-standardized discharge to community rate
- 68.54
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.98
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.93
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.89
- Number of eligible episodes
- 466
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 672
- Denominator
- 709
- Facility rate
- 94.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 14
- Denominator
- 707
- Facility observed rate
- 2.0
- Facility risk-adjusted rate
- 2.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 105
- Number of health care workers
- 158
- Rate of COVID-19 vaccination
- 66.5