About the Facility
- CMS Certification Number (CCN)
- 37T049
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
1323 West 6th Street
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 87
- Brain disease or condition (non-traumatic)
- 21
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 75
- Hip or knee replacement, amputation or other bone or joint condition
- 78
- Nervous system disorder (excluding stroke)
- 32
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 45
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
- 472
- Predicted number of infections (B)
- 0.681
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 338
- Denominator
- 338
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.9
- Denominator
- 317
- Average observed change score
- 13.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.0
- Denominator
- 317
- Average observed change score
- 30.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 218
- Denominator
- 317
- Facility rate
- 68.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 187
- Denominator
- 317
- Facility rate
- 59.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 338
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.031
- SIR 95% confidence interval - upper limit
- 3.029
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,743
- Predicted number of infections (B)
- 1.628
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.614
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1
- Number of health care workers
- 1
- Rate of flu vaccination
- 100.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 27
- Number of eligible stays
- 412
- Unadjusted potentially preventable readmission rate
- 6.55
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.57
- Lower limit of the 95% confidence interval on the RSRR
- 6.80
- Upper limit of the 95% confidence interval on the RSRR
- 10.80
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 6
- Number of eligible stays
- 429
- Unadjusted potentially preventable readmission rate
- 1.40
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.53
- Lower limit of the 95% confidence interval on the RSRR
- 2.68
- Upper limit of the 95% confidence interval on the RSRR
- 5.09
- 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)
- 278
- Number of eligible stays
- 350
- Observed discharge to community rate
- 79.43
- Risk-standardized discharge to community rate
- 72.29
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.41
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.46
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.90
- Number of eligible episodes
- 403
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 337
- Denominator
- 338
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 337
- Facility observed rate
- 2.4
- Facility risk-adjusted rate
- 3.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 1
- Number of health care workers
- 1
- Rate of COVID-19 vaccination
- 100.0