About the Facility
- CMS Certification Number (CCN)
- 453036
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
909 North Washington Avenue
- Phone Number
- (214) 820-9543
Facility Medical Condition Statistics
- All other conditions
- 190
- Brain disease or condition (non-traumatic)
- 63
- Brain injury (traumatic)
- 70
- Hip or femur fracture
- 89
- Hip or knee replacement, amputation or other bone or joint condition
- 204
- Nervous system disorder (excluding stroke)
- 144
- Spinal cord disease or condition (non-traumatic)
- 60
- Spinal cord injury (traumatic)
- 39
- Stroke
- 210
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.325
- SIR 95% confidence interval - upper limit
- 2.464
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,529
- Predicted number of infections (B)
- 3.916
- Number of infections reported (A)
- 4
- SIR (A/B)
- 1.021
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,054
- Denominator
- 1,054
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.4
- Denominator
- 927
- Average observed change score
- 12.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.5
- Denominator
- 927
- Average observed change score
- 29.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 472
- Denominator
- 927
- Facility rate
- 50.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 437
- Denominator
- 927
- Facility rate
- 47.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,054
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.173
- SIR 95% confidence interval - upper limit
- 0.889
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 28,607
- Predicted number of infections (B)
- 14.030
- Number of infections reported (A)
- 6
- SIR (A/B)
- 0.428
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 398
- Number of health care workers
- 410
- Rate of flu vaccination
- 97.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 78
- Number of eligible stays
- 966
- Unadjusted potentially preventable readmission rate
- 8.07
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.62
- Lower limit of the 95% confidence interval on the RSRR
- 7.26
- Upper limit of the 95% confidence interval on the RSRR
- 10.09
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 56
- Number of eligible stays
- 1,069
- Unadjusted potentially preventable readmission rate
- 5.24
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.12
- Lower limit of the 95% confidence interval on the RSRR
- 4.05
- Upper limit of the 95% confidence interval on the RSRR
- 6.52
- 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)
- 601
- Number of eligible stays
- 854
- Observed discharge to community rate
- 70.37
- Risk-standardized discharge to community rate
- 70.71
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.73
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.41
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 975
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,052
- Denominator
- 1,054
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 9
- Denominator
- 1,052
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 389
- Number of health care workers
- 417
- Rate of COVID-19 vaccination
- 93.3