About the Facility
- CMS Certification Number (CCN)
- 37T026
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
305 S Fifth St
- Phone Number
- (580) 548-5072
Facility Medical Condition Statistics
- All other conditions
- 46
- 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
- 68
- Hip or knee replacement, amputation or other bone or joint condition
- 26
- Nervous system disorder (excluding stroke)
- 28
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 44
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
- 170
- Predicted number of infections (B)
- 0.245
- 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
- 223
- Denominator
- 223
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 16.1
- Denominator
- 210
- Average observed change score
- 17.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 40.8
- Denominator
- 210
- Average observed change score
- 43.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 181
- Denominator
- 210
- Facility rate
- 86.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 172
- Denominator
- 210
- Facility rate
- 81.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 223
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.215
- SIR 95% confidence interval - upper limit
- 4.229
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,131
- Predicted number of infections (B)
- 1.563
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.280
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 34
- Number of health care workers
- 53
- Rate of flu vaccination
- 64.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 29
- Number of eligible stays
- 423
- Unadjusted potentially preventable readmission rate
- 6.86
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.83
- Lower limit of the 95% confidence interval on the RSRR
- 6.87
- Upper limit of the 95% confidence interval on the RSRR
- 11.09
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 440
- Unadjusted potentially preventable readmission rate
- 2.27
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.89
- Lower limit of the 95% confidence interval on the RSRR
- 2.68
- Upper limit of the 95% confidence interval on the RSRR
- 5.38
- 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)
- 272
- Number of eligible stays
- 367
- Observed discharge to community rate
- 74.11
- Risk-standardized discharge to community rate
- 69.79
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.08
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.48
- 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
- 404
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 222
- Denominator
- 223
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 222
- Facility observed rate
- 3.6
- Facility risk-adjusted rate
- 4.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 46
- Number of health care workers
- 57
- Rate of COVID-19 vaccination
- 80.7