About the Facility
- CMS Certification Number (CCN)
- 37T091
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
6161 S. Yale Ave.
4-South
- Phone Number
- (918) 494-4244
Facility Medical Condition Statistics
- All other conditions
- 84
- Brain disease or condition (non-traumatic)
- 34
- Brain injury (traumatic)
- 25
- Hip or femur fracture
- 99
- Hip or knee replacement, amputation or other bone or joint condition
- 51
- Nervous system disorder (excluding stroke)
- 25
- Spinal cord disease or condition (non-traumatic)
- 21
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 94
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.211
- SIR 95% confidence interval - upper limit
- 7.325
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 578
- Predicted number of infections (B)
- 1.513
- Number of infections reported (A)
- 5
- SIR (A/B)
- 3.305
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 437
- Denominator
- 437
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.3
- Denominator
- 382
- Average observed change score
- 14.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.9
- Denominator
- 382
- Average observed change score
- 36.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 267
- Denominator
- 382
- Facility rate
- 69.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 252
- Denominator
- 382
- Facility rate
- 66.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 437
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.745
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 7,807
- Predicted number of infections (B)
- 4.023
- 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
- 887
- Number of health care workers
- 914
- Rate of flu vaccination
- 97.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 19
- Number of eligible stays
- 385
- Unadjusted potentially preventable readmission rate
- 4.94
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.70
- Lower limit of the 95% confidence interval on the RSRR
- 6.19
- Upper limit of the 95% confidence interval on the RSRR
- 9.61
- 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
- 442
- Unadjusted potentially preventable readmission rate
- 4.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.96
- Lower limit of the 95% confidence interval on the RSRR
- 3.69
- Upper limit of the 95% confidence interval on the RSRR
- 6.94
- 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)
- 237
- Number of eligible stays
- 354
- Observed discharge to community rate
- 66.95
- Risk-standardized discharge to community rate
- 65.13
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.35
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.09
- 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
- 374
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 437
- Denominator
- 437
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 18
- Denominator
- 436
- Facility observed rate
- 4.1
- Facility risk-adjusted rate
- 4.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 391
- Number of health care workers
- 447
- Rate of COVID-19 vaccination
- 87.5