About the Facility
- CMS Certification Number (CCN)
- 453047
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2800 W 15th St
- Phone Number
- (972) 612-9000
Facility Medical Condition Statistics
- All other conditions
- 202
- Brain disease or condition (non-traumatic)
- 98
- Brain injury (traumatic)
- 21
- Hip or femur fracture
- 118
- Hip or knee replacement, amputation or other bone or joint condition
- 312
- Nervous system disorder (excluding stroke)
- 623
- Spinal cord disease or condition (non-traumatic)
- 41
- Spinal cord injury (traumatic)
- 12
- Stroke
- 151
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 2.194
- SIR 95% confidence interval - upper limit
- 7.700
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 2,143
- Predicted number of infections (B)
- 2.315
- Number of infections reported (A)
- 10
- SIR (A/B)
- 4.320
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,526
- Denominator
- 1,526
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.6
- Denominator
- 1,305
- Average observed change score
- 14.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.1
- Denominator
- 1,306
- Average observed change score
- 34.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 926
- Denominator
- 1,306
- Facility rate
- 70.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 961
- Denominator
- 1,306
- Facility rate
- 73.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 1,526
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.381
- SIR 95% confidence interval - upper limit
- 1.558
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 22,408
- Predicted number of infections (B)
- 9.753
- Number of infections reported (A)
- 8
- SIR (A/B)
- 0.820
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 407
- Number of health care workers
- 580
- Rate of flu vaccination
- 70.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 162
- Number of eligible stays
- 1,350
- Unadjusted potentially preventable readmission rate
- 12.00
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.21
- Lower limit of the 95% confidence interval on the RSRR
- 8.92
- Upper limit of the 95% confidence interval on the RSRR
- 11.53
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 78
- Number of eligible stays
- 1,514
- Unadjusted potentially preventable readmission rate
- 5.15
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.90
- Lower limit of the 95% confidence interval on the RSRR
- 4.02
- Upper limit of the 95% confidence interval on the RSRR
- 5.69
- 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)
- 788
- Number of eligible stays
- 1,171
- Observed discharge to community rate
- 67.29
- Risk-standardized discharge to community rate
- 69.18
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.47
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.85
- 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
- 1,904
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,511
- Denominator
- 1,526
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 1,523
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 442
- Number of health care workers
- 474
- Rate of COVID-19 vaccination
- 93.2