About the Facility
- CMS Certification Number (CCN)
- 453056
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
3131 Troup Hwy
- Phone Number
- (903) 510-7000
Facility Medical Condition Statistics
- All other conditions
- 371
- Brain disease or condition (non-traumatic)
- 110
- Brain injury (traumatic)
- 56
- Hip or femur fracture
- 162
- Hip or knee replacement, amputation or other bone or joint condition
- 288
- Nervous system disorder (excluding stroke)
- 423
- Spinal cord disease or condition (non-traumatic)
- 37
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 429
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
- 2.126
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,303
- Predicted number of infections (B)
- 1.409
- 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
- 1,805
- Denominator
- 1,805
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.2
- Denominator
- 1,609
- Average observed change score
- 13.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.7
- Denominator
- 1,609
- Average observed change score
- 34.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 1,192
- Denominator
- 1,609
- Facility rate
- 74.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 1,222
- Denominator
- 1,609
- Facility rate
- 75.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 1,805
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.071
- SIR 95% confidence interval - upper limit
- 0.763
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 25,041
- Predicted number of infections (B)
- 10.707
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.280
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 350
- Number of health care workers
- 386
- Rate of flu vaccination
- 90.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 148
- Number of eligible stays
- 1,796
- Unadjusted potentially preventable readmission rate
- 8.24
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.51
- Lower limit of the 95% confidence interval on the RSRR
- 7.46
- Upper limit of the 95% confidence interval on the RSRR
- 9.71
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 91
- Number of eligible stays
- 1,967
- Unadjusted potentially preventable readmission rate
- 4.63
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.41
- Lower limit of the 95% confidence interval on the RSRR
- 4.45
- Upper limit of the 95% confidence interval on the RSRR
- 6.50
- 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)
- 1,220
- Number of eligible stays
- 1,629
- Observed discharge to community rate
- 74.89
- Risk-standardized discharge to community rate
- 71.74
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.94
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.61
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.89
- Number of eligible episodes
- 2,249
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,804
- Denominator
- 1,805
- Facility rate
- 99.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 14
- Denominator
- 1,805
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 335
- Number of health care workers
- 388
- Rate of COVID-19 vaccination
- 86.3