About the Facility
- CMS Certification Number (CCN)
- 373036
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
7900 Mid-America Blvd
- Phone Number
- (469) 351-3321
Facility Medical Condition Statistics
- All other conditions
- 150
- Brain disease or condition (non-traumatic)
- 39
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 101
- Hip or knee replacement, amputation or other bone or joint condition
- 136
- Nervous system disorder (excluding stroke)
- 41
- Spinal cord disease or condition (non-traumatic)
- 27
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 105
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
- 549
- Predicted number of infections (B)
- 0.595
- 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
- 561
- Denominator
- 561
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.8
- Denominator
- 501
- Average observed change score
- 15.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.3
- Denominator
- 501
- Average observed change score
- 39.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 433
- Denominator
- 501
- Facility rate
- 86.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 422
- Denominator
- 501
- Facility rate
- 84.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 561
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.607
- SIR 95% confidence interval - upper limit
- 4.608
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,347
- Predicted number of infections (B)
- 2.094
- Number of infections reported (A)
- 4
- SIR (A/B)
- 1.910
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 60
- Number of health care workers
- 66
- Rate of flu vaccination
- 90.9
- 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
- 476
- Unadjusted potentially preventable readmission rate
- 7.14
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.33
- Lower limit of the 95% confidence interval on the RSRR
- 6.77
- Upper limit of the 95% confidence interval on the RSRR
- 10.30
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 23
- Number of eligible stays
- 513
- Unadjusted potentially preventable readmission rate
- 4.48
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.21
- Lower limit of the 95% confidence interval on the RSRR
- 3.59
- Upper limit of the 95% confidence interval on the RSRR
- 7.34
- 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)
- 377
- Number of eligible stays
- 483
- Observed discharge to community rate
- 78.05
- Risk-standardized discharge to community rate
- 73.53
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.97
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.56
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 491
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 557
- Denominator
- 561
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 558
- Facility observed rate
- 1.4
- Facility risk-adjusted rate
- 1.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 72
- Number of health care workers
- 72
- Rate of COVID-19 vaccination
- 100.0