About the Facility
- CMS Certification Number (CCN)
- 453054
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
3901 Armory Road
- Phone Number
- (940) 720-5700
Facility Medical Condition Statistics
- All other conditions
- 90
- Brain disease or condition (non-traumatic)
- 145
- Brain injury (traumatic)
- 26
- Hip or femur fracture
- 103
- Hip or knee replacement, amputation or other bone or joint condition
- 186
- Nervous system disorder (excluding stroke)
- 615
- Spinal cord disease or condition (non-traumatic)
- 59
- Spinal cord injury (traumatic)
- 15
- Stroke
- 275
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.017
- SIR 95% confidence interval - upper limit
- 1.648
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,291
- Predicted number of infections (B)
- 2.993
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.334
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,471
- Denominator
- 1,471
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 16.4
- Denominator
- 1,305
- Average observed change score
- 18.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.5
- Denominator
- 1,305
- Average observed change score
- 36.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 1,052
- Denominator
- 1,305
- Facility rate
- 80.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 934
- Denominator
- 1,305
- Facility rate
- 71.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 1,471
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.818
- SIR 95% confidence interval - upper limit
- 2.131
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 21,329
- Predicted number of infections (B)
- 12.512
- Number of infections reported (A)
- 17
- SIR (A/B)
- 1.359
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 270
- Number of health care workers
- 318
- Rate of flu vaccination
- 84.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 126
- Number of eligible stays
- 1,464
- Unadjusted potentially preventable readmission rate
- 8.61
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.09
- Lower limit of the 95% confidence interval on the RSRR
- 6.99
- Upper limit of the 95% confidence interval on the RSRR
- 9.26
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 73
- Number of eligible stays
- 1,616
- Unadjusted potentially preventable readmission rate
- 4.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.59
- Lower limit of the 95% confidence interval on the RSRR
- 3.78
- Upper limit of the 95% confidence interval on the RSRR
- 5.68
- 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)
- 935
- Number of eligible stays
- 1,272
- Observed discharge to community rate
- 73.51
- Risk-standardized discharge to community rate
- 74.94
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.55
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 77.24
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 2,067
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,467
- Denominator
- 1,471
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 9
- Denominator
- 1,465
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 228
- Number of health care workers
- 282
- Rate of COVID-19 vaccination
- 80.9