About the Facility
- CMS Certification Number (CCN)
- 453053
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
515 West 12th St
- Phone Number
- (903) 793-0088
Facility Medical Condition Statistics
- All other conditions
- 95
- Brain disease or condition (non-traumatic)
- 71
- Brain injury (traumatic)
- 26
- Hip or femur fracture
- 72
- Hip or knee replacement, amputation or other bone or joint condition
- 125
- Nervous system disorder (excluding stroke)
- 371
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 159
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
- 1.372
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,021
- Predicted number of infections (B)
- 2.183
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 898
- Denominator
- 898
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.3
- Denominator
- 769
- Average observed change score
- 16.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.0
- Denominator
- 769
- Average observed change score
- 38.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 604
- Denominator
- 769
- Facility rate
- 78.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 585
- Denominator
- 769
- Facility rate
- 76.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 898
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.058
- SIR 95% confidence interval - upper limit
- 1.133
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 14,522
- Predicted number of infections (B)
- 5.831
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.343
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 193
- Number of health care workers
- 256
- Rate of flu vaccination
- 75.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 85
- Number of eligible stays
- 823
- Unadjusted potentially preventable readmission rate
- 10.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.18
- Lower limit of the 95% confidence interval on the RSRR
- 7.73
- Upper limit of the 95% confidence interval on the RSRR
- 10.76
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 51
- Number of eligible stays
- 914
- Unadjusted potentially preventable readmission rate
- 5.58
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.25
- Lower limit of the 95% confidence interval on the RSRR
- 4.18
- Upper limit of the 95% confidence interval on the RSRR
- 6.60
- 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)
- 466
- Number of eligible stays
- 678
- Observed discharge to community rate
- 68.73
- Risk-standardized discharge to community rate
- 69.41
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.12
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.59
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 1,281
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 891
- Denominator
- 898
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 895
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 161
- Number of health care workers
- 241
- Rate of COVID-19 vaccination
- 66.8