About the Facility
- CMS Certification Number (CCN)
- 37T106
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
4401 South Western Avenue
- Phone Number
- (405) 636-7000
Facility Medical Condition Statistics
- All other conditions
- 220
- Brain disease or condition (non-traumatic)
- 33
- Brain injury (traumatic)
- 25
- Hip or femur fracture
- 160
- Hip or knee replacement, amputation or other bone or joint condition
- 120
- Nervous system disorder (excluding stroke)
- 27
- Spinal cord disease or condition (non-traumatic)
- 36
- Spinal cord injury (traumatic)
- 13
- Stroke
- 157
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
- 465
- Predicted number of infections (B)
- 0.961
- 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
- 776
- Denominator
- 777
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.8
- Denominator
- 689
- Average observed change score
- 12.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.9
- Denominator
- 689
- Average observed change score
- 30.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 402
- Denominator
- 689
- Facility rate
- 58.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 370
- Denominator
- 689
- Facility rate
- 53.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 777
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.280
- SIR 95% confidence interval - upper limit
- 1.437
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 15,200
- Predicted number of infections (B)
- 8.687
- Number of infections reported (A)
- 6
- SIR (A/B)
- 0.691
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 125
- Number of health care workers
- 156
- Rate of flu vaccination
- 80.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 92
- Number of eligible stays
- 1,050
- Unadjusted potentially preventable readmission rate
- 8.76
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.68
- Lower limit of the 95% confidence interval on the RSRR
- 8.23
- Upper limit of the 95% confidence interval on the RSRR
- 11.33
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 47
- Number of eligible stays
- 1,157
- Unadjusted potentially preventable readmission rate
- 4.06
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.80
- Lower limit of the 95% confidence interval on the RSRR
- 3.72
- Upper limit of the 95% confidence interval on the RSRR
- 6.16
- 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)
- 621
- Number of eligible stays
- 922
- Observed discharge to community rate
- 67.35
- Risk-standardized discharge to community rate
- 65.58
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.74
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.19
- 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
- 1,019
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 766
- Denominator
- 777
- Facility rate
- 98.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 16
- Denominator
- 776
- Facility observed rate
- 2.1
- Facility risk-adjusted rate
- 2.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 146
- Number of health care workers
- 162
- Rate of COVID-19 vaccination
- 90.1