About the Facility
- CMS Certification Number (CCN)
- 37T056
- Ownership Type
- Government
- CMS Region
- Dallas
- Certification Date
- Address
3401 W. Gore Blvd.
- Phone Number
- (580) 355-8620
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
- 71
- Hip or knee replacement, amputation or other bone or joint condition
- 23
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- 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
- 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
- 347
- Predicted number of infections (B)
- 0.502
- 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
- 204
- Denominator
- 204
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.8
- Denominator
- 186
- Average observed change score
- 10.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.4
- Denominator
- 186
- Average observed change score
- 31.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 71
- Denominator
- 186
- Facility rate
- 38.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 90
- Denominator
- 186
- Facility rate
- 48.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 204
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.032
- SIR 95% confidence interval - upper limit
- 3.170
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,576
- Predicted number of infections (B)
- 1.556
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.643
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 103
- Number of health care workers
- 150
- Rate of flu vaccination
- 68.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 24
- Number of eligible stays
- 319
- Unadjusted potentially preventable readmission rate
- 7.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.19
- Lower limit of the 95% confidence interval on the RSRR
- 7.42
- Upper limit of the 95% confidence interval on the RSRR
- 11.59
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 20
- Number of eligible stays
- 353
- Unadjusted potentially preventable readmission rate
- 5.67
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.10
- Lower limit of the 95% confidence interval on the RSRR
- 4.38
- Upper limit of the 95% confidence interval on the RSRR
- 9.28
- 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)
- 190
- Number of eligible stays
- 291
- Observed discharge to community rate
- 65.29
- Risk-standardized discharge to community rate
- 63.61
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.90
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.12
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 301
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 198
- Denominator
- 204
- Facility rate
- 97.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 204
- Facility observed rate
- 2.0
- Facility risk-adjusted rate
- 1.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 50
- Number of health care workers
- 61
- Rate of COVID-19 vaccination
- 82.0