About the Facility
- CMS Certification Number (CCN)
- 373034
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1200 W Albany Drive
- Phone Number
- (918) 957-3000
Facility Medical Condition Statistics
- All other conditions
- 313
- Brain disease or condition (non-traumatic)
- 106
- Brain injury (traumatic)
- 40
- Hip or femur fracture
- 131
- Hip or knee replacement, amputation or other bone or joint condition
- 285
- Nervous system disorder (excluding stroke)
- 146
- Spinal cord disease or condition (non-traumatic)
- 49
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 242
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.226
- SIR 95% confidence interval - upper limit
- 6.293
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 1,835
- Predicted number of infections (B)
- 1.983
- Number of infections reported (A)
- 6
- SIR (A/B)
- 3.026
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,290
- Denominator
- 1,290
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.6
- Denominator
- 1,148
- Average observed change score
- 14.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.9
- Denominator
- 1,148
- Average observed change score
- 34.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 822
- Denominator
- 1,148
- Facility rate
- 71.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 781
- Denominator
- 1,148
- Facility rate
- 68.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,290
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.528
- SIR 95% confidence interval - upper limit
- 1.986
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 21,418
- Predicted number of infections (B)
- 8.316
- Number of infections reported (A)
- 9
- SIR (A/B)
- 1.082
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 260
- Number of health care workers
- 323
- Rate of flu vaccination
- 80.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 139
- Number of eligible stays
- 1,472
- Unadjusted potentially preventable readmission rate
- 9.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.45
- Lower limit of the 95% confidence interval on the RSRR
- 8.22
- Upper limit of the 95% confidence interval on the RSRR
- 10.88
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 83
- Number of eligible stays
- 1,605
- Unadjusted potentially preventable readmission rate
- 5.17
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.28
- Lower limit of the 95% confidence interval on the RSRR
- 4.41
- Upper limit of the 95% confidence interval on the RSRR
- 6.55
- 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)
- 854
- Number of eligible stays
- 1,259
- Observed discharge to community rate
- 67.83
- Risk-standardized discharge to community rate
- 68.06
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.46
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.39
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 1,496
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,287
- Denominator
- 1,290
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 16
- Denominator
- 1,288
- Facility observed rate
- 1.2
- Facility risk-adjusted rate
- 1.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 223
- Number of health care workers
- 260
- Rate of COVID-19 vaccination
- 85.8