About the Facility
- CMS Certification Number (CCN)
- 453057
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1800 Heritage Boulevard
- Phone Number
- (915) 520-1600
Facility Medical Condition Statistics
- All other conditions
- 92
- Brain disease or condition (non-traumatic)
- 77
- Brain injury (traumatic)
- 61
- Hip or femur fracture
- 182
- Hip or knee replacement, amputation or other bone or joint condition
- 233
- Nervous system disorder (excluding stroke)
- 772
- Spinal cord disease or condition (non-traumatic)
- 83
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 194
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.253
- SIR 95% confidence interval - upper limit
- 2.709
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,790
- Predicted number of infections (B)
- 3.014
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.995
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,656
- Denominator
- 1,656
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 1,421
- Average observed change score
- 14.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.5
- Denominator
- 1,421
- Average observed change score
- 34.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 1,037
- Denominator
- 1,421
- Facility rate
- 73.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 1,028
- Denominator
- 1,421
- Facility rate
- 72.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 1,656
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.041
- SIR 95% confidence interval - upper limit
- 0.805
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 25,709
- Predicted number of infections (B)
- 8.208
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.244
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 278
- Number of health care workers
- 385
- Rate of flu vaccination
- 72.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 104
- Number of eligible stays
- 1,245
- Unadjusted potentially preventable readmission rate
- 8.35
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.38
- Lower limit of the 95% confidence interval on the RSRR
- 7.18
- Upper limit of the 95% confidence interval on the RSRR
- 9.72
- 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
- 1,363
- Unadjusted potentially preventable readmission rate
- 5.21
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.28
- Lower limit of the 95% confidence interval on the RSRR
- 4.25
- Upper limit of the 95% confidence interval on the RSRR
- 6.58
- 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)
- 747
- Number of eligible stays
- 1,056
- Observed discharge to community rate
- 70.74
- Risk-standardized discharge to community rate
- 70.94
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.30
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.54
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.99
- Number of eligible episodes
- 1,848
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,645
- Denominator
- 1,656
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 41
- Denominator
- 1,656
- Facility observed rate
- 2.5
- Facility risk-adjusted rate
- 2.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 279
- Number of health care workers
- 330
- Rate of COVID-19 vaccination
- 84.5