About the Facility
- CMS Certification Number (CCN)
- 373035
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
10020 East 91st Drive
- Phone Number
- (918) 940-8801
Facility Medical Condition Statistics
- All other conditions
- 95
- Brain disease or condition (non-traumatic)
- 153
- Brain injury (traumatic)
- 34
- Hip or femur fracture
- 93
- Hip or knee replacement, amputation or other bone or joint condition
- 210
- Nervous system disorder (excluding stroke)
- 601
- Spinal cord disease or condition (non-traumatic)
- 27
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 157
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
- 1.100
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,248
- Predicted number of infections (B)
- 2.723
- 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
- 1,310
- Denominator
- 1,313
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.1
- Denominator
- 1,157
- Average observed change score
- 11.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 20.7
- Denominator
- 1,157
- Average observed change score
- 22.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 519
- Denominator
- 1,157
- Facility rate
- 44.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 298
- Denominator
- 1,157
- Facility rate
- 25.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,313
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.047
- SIR 95% confidence interval - upper limit
- 0.922
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 18,635
- Predicted number of infections (B)
- 7.168
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.279
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 170
- Number of health care workers
- 353
- Rate of flu vaccination
- 48.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 181
- Number of eligible stays
- 1,768
- Unadjusted potentially preventable readmission rate
- 10.24
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.20
- Lower limit of the 95% confidence interval on the RSRR
- 8.12
- Upper limit of the 95% confidence interval on the RSRR
- 10.51
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 77
- Number of eligible stays
- 1,915
- Unadjusted potentially preventable readmission rate
- 4.02
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.06
- Lower limit of the 95% confidence interval on the RSRR
- 3.33
- Upper limit of the 95% confidence interval on the RSRR
- 5.01
- 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)
- 945
- Number of eligible stays
- 1,501
- Observed discharge to community rate
- 62.96
- Risk-standardized discharge to community rate
- 64.18
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.81
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.49
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 1,944
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,306
- Denominator
- 1,313
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 1,311
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 317
- Number of health care workers
- 382
- Rate of COVID-19 vaccination
- 83.0