About the Facility
- CMS Certification Number (CCN)
- 373033
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
5401 West Memorial Road
- Phone Number
- (405) 384-5250
Facility Medical Condition Statistics
- All other conditions
- 274
- Brain disease or condition (non-traumatic)
- 71
- Brain injury (traumatic)
- 53
- Hip or femur fracture
- 169
- Hip or knee replacement, amputation or other bone or joint condition
- 173
- Nervous system disorder (excluding stroke)
- 162
- Spinal cord disease or condition (non-traumatic)
- 73
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 228
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
- 527
- Predicted number of infections (B)
- 0.815
- 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
- 1,136
- Denominator
- 1,136
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.2
- Denominator
- 1,030
- Average observed change score
- 17.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.5
- Denominator
- 1,030
- Average observed change score
- 37.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 875
- Denominator
- 1,030
- Facility rate
- 85.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 797
- Denominator
- 1,030
- Facility rate
- 77.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 1,136
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.172
- SIR 95% confidence interval - upper limit
- 1.304
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 16,100
- Predicted number of infections (B)
- 7.398
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.541
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 55
- Number of health care workers
- 56
- Rate of flu vaccination
- 98.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 86
- Number of eligible stays
- 1,477
- Unadjusted potentially preventable readmission rate
- 5.82
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.66
- Lower limit of the 95% confidence interval on the RSRR
- 6.44
- Upper limit of the 95% confidence interval on the RSRR
- 8.96
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 55
- Number of eligible stays
- 1,596
- Unadjusted potentially preventable readmission rate
- 3.45
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.35
- Lower limit of the 95% confidence interval on the RSRR
- 3.38
- Upper limit of the 95% confidence interval on the RSRR
- 5.38
- 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)
- 978
- Number of eligible stays
- 1,308
- Observed discharge to community rate
- 74.77
- Risk-standardized discharge to community rate
- 71.64
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.30
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.74
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 1,446
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,132
- Denominator
- 1,136
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 1,134
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 68
- Number of health care workers
- 72
- Rate of COVID-19 vaccination
- 94.4