About the Facility
- CMS Certification Number (CCN)
- 37T001
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1125 S. Trenton
- Phone Number
- (918) 579-7133
Facility Medical Condition Statistics
- All other conditions
- 59
- Brain disease or condition (non-traumatic)
- 36
- Brain injury (traumatic)
- 26
- Hip or femur fracture
- 31
- Hip or knee replacement, amputation or other bone or joint condition
- 45
- Nervous system disorder (excluding stroke)
- 22
- Spinal cord disease or condition (non-traumatic)
- 20
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 187
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.050
- SIR 95% confidence interval - upper limit
- 4.902
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 368
- Predicted number of infections (B)
- 1.006
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.994
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 432
- Denominator
- 432
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.8
- Denominator
- 378
- Average observed change score
- 14.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.2
- Denominator
- 378
- Average observed change score
- 35.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 268
- Denominator
- 378
- Facility rate
- 70.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 274
- Denominator
- 378
- Facility rate
- 72.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 432
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.119
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,946
- Predicted number of infections (B)
- 2.676
- 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
- 279
- Number of health care workers
- 286
- Rate of flu vaccination
- 97.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 31
- Number of eligible stays
- 442
- Unadjusted potentially preventable readmission rate
- 7.01
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.50
- Lower limit of the 95% confidence interval on the RSRR
- 6.74
- Upper limit of the 95% confidence interval on the RSRR
- 10.44
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 463
- Unadjusted potentially preventable readmission rate
- 1.51
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.31
- Lower limit of the 95% confidence interval on the RSRR
- 2.38
- Upper limit of the 95% confidence interval on the RSRR
- 4.54
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 286
- Number of eligible stays
- 393
- Observed discharge to community rate
- 72.77
- Risk-standardized discharge to community rate
- 72.07
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.10
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.60
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.91
- Number of eligible episodes
- 387
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 431
- Denominator
- 432
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 430
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 273
- Number of health care workers
- 283
- Rate of COVID-19 vaccination
- 96.5