About the Facility
- CMS Certification Number (CCN)
- 37T025
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
300 Rockefeller Drive
- Phone Number
- (918) 684-2395
Facility Medical Condition Statistics
- All other conditions
- 75
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 64
- Hip or knee replacement, amputation or other bone or joint condition
- 57
- Nervous system disorder (excluding stroke)
- 17
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 60
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
- 269
- Predicted number of infections (B)
- 0.615
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 305
- Denominator
- 305
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.7
- Denominator
- 269
- Average observed change score
- 15.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.9
- Denominator
- 269
- Average observed change score
- 40.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 209
- Denominator
- 269
- Facility rate
- 77.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 219
- Denominator
- 269
- Facility rate
- 81.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 305
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.142
- SIR 95% confidence interval - upper limit
- 2.802
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,814
- Predicted number of infections (B)
- 2.358
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.848
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 243
- Number of health care workers
- 317
- Rate of flu vaccination
- 76.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 36
- Number of eligible stays
- 325
- Unadjusted potentially preventable readmission rate
- 11.08
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.00
- Lower limit of the 95% confidence interval on the RSRR
- 8.01
- Upper limit of the 95% confidence interval on the RSRR
- 12.39
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 25
- Number of eligible stays
- 388
- Unadjusted potentially preventable readmission rate
- 6.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.94
- Lower limit of the 95% confidence interval on the RSRR
- 4.60
- Upper limit of the 95% confidence interval on the RSRR
- 8.01
- 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)
- 209
- Number of eligible stays
- 315
- Observed discharge to community rate
- 66.35
- Risk-standardized discharge to community rate
- 65.98
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.35
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.43
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 344
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 305
- Denominator
- 305
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 19
- Denominator
- 305
- Facility observed rate
- 6.2
- Facility risk-adjusted rate
- 7.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 90
- Number of health care workers
- 120
- Rate of COVID-19 vaccination
- 75.0