About the Facility
- CMS Certification Number (CCN)
- 453040
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
3200 Matlock Road
- Phone Number
- (817) 468-4000
Facility Medical Condition Statistics
- All other conditions
- 57
- Brain disease or condition (non-traumatic)
- 99
- Brain injury (traumatic)
- 34
- Hip or femur fracture
- 91
- Hip or knee replacement, amputation or other bone or joint condition
- 206
- Nervous system disorder (excluding stroke)
- 574
- Spinal cord disease or condition (non-traumatic)
- 87
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 307
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.128
- SIR 95% confidence interval - upper limit
- 2.530
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,687
- Predicted number of infections (B)
- 2.612
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.766
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,438
- Denominator
- 1,440
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 1,261
- Average observed change score
- 14.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.9
- Denominator
- 1,261
- Average observed change score
- 34.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 888
- Denominator
- 1,261
- Facility rate
- 70.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 906
- Denominator
- 1,261
- Facility rate
- 71.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 5
- Denominator
- 1,440
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.235
- SIR 95% confidence interval - upper limit
- 1.062
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 23,099
- Predicted number of infections (B)
- 13.040
- Number of infections reported (A)
- 7
- SIR (A/B)
- 0.537
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 386
- Number of health care workers
- 466
- Rate of flu vaccination
- 82.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 129
- Number of eligible stays
- 1,008
- Unadjusted potentially preventable readmission rate
- 12.80
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.05
- Lower limit of the 95% confidence interval on the RSRR
- 8.67
- Upper limit of the 95% confidence interval on the RSRR
- 11.47
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 72
- Number of eligible stays
- 1,132
- Unadjusted potentially preventable readmission rate
- 6.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.52
- Lower limit of the 95% confidence interval on the RSRR
- 4.59
- Upper limit of the 95% confidence interval on the RSRR
- 6.66
- 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)
- 587
- Number of eligible stays
- 882
- Observed discharge to community rate
- 66.55
- Risk-standardized discharge to community rate
- 71.16
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.82
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.21
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 1,332
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,436
- Denominator
- 1,440
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 1,439
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 363
- Number of health care workers
- 415
- Rate of COVID-19 vaccination
- 87.5