About the Facility
- CMS Certification Number (CCN)
- 453042
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
6701 Oakmont Boulevard
- Phone Number
- (817) 370-4700
Facility Medical Condition Statistics
- All other conditions
- 84
- Brain disease or condition (non-traumatic)
- 119
- Brain injury (traumatic)
- 32
- Hip or femur fracture
- 97
- Hip or knee replacement, amputation or other bone or joint condition
- 233
- Nervous system disorder (excluding stroke)
- 624
- Spinal cord disease or condition (non-traumatic)
- 44
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 210
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.618
- SIR 95% confidence interval - upper limit
- 3.738
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,656
- Predicted number of infections (B)
- 2.965
- Number of infections reported (A)
- 5
- SIR (A/B)
- 1.686
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,404
- Denominator
- 1,404
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 1,211
- Average observed change score
- 13.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.0
- Denominator
- 1,211
- Average observed change score
- 31.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 833
- Denominator
- 1,211
- Facility rate
- 68.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 883
- Denominator
- 1,211
- Facility rate
- 72.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,403
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.006
- SIR 95% confidence interval - upper limit
- 0.543
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 19,516
- Predicted number of infections (B)
- 9.076
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.110
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 254
- Number of health care workers
- 383
- Rate of flu vaccination
- 66.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 101
- Number of eligible stays
- 873
- Unadjusted potentially preventable readmission rate
- 11.57
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.17
- Lower limit of the 95% confidence interval on the RSRR
- 7.93
- Upper limit of the 95% confidence interval on the RSRR
- 10.56
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 71
- Number of eligible stays
- 995
- Unadjusted potentially preventable readmission rate
- 7.14
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.16
- Lower limit of the 95% confidence interval on the RSRR
- 5.18
- Upper limit of the 95% confidence interval on the RSRR
- 7.49
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 509
- Number of eligible stays
- 791
- Observed discharge to community rate
- 64.35
- Risk-standardized discharge to community rate
- 68.36
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.19
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.36
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 1,327
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,398
- Denominator
- 1,404
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 1,401
- Facility observed rate
- 0.1
- Facility risk-adjusted rate
- 0.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 345
- Number of health care workers
- 375
- Rate of COVID-19 vaccination
- 92.0