About the Facility
- CMS Certification Number (CCN)
- 453096
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
7200 West 9th Street
- Phone Number
- (806) 468-2981
Facility Medical Condition Statistics
- All other conditions
- 62
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 55
- Hip or knee replacement, amputation or other bone or joint condition
- 161
- Nervous system disorder (excluding stroke)
- 187
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 46
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.267
- SIR 95% confidence interval - upper limit
- 5.261
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,162
- Predicted number of infections (B)
- 1.256
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.592
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 562
- Denominator
- 569
- Facility rate
- 98.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.1
- Denominator
- 502
- Average observed change score
- 11.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.2
- Denominator
- 502
- Average observed change score
- 28.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 256
- Denominator
- 502
- Facility rate
- 51.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 262
- Denominator
- 502
- Facility rate
- 52.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 569
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.118
- SIR 95% confidence interval - upper limit
- 2.317
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,160
- Predicted number of infections (B)
- 2.852
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.701
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 226
- Number of health care workers
- 233
- Rate of flu vaccination
- 97.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 69
- Number of eligible stays
- 701
- Unadjusted potentially preventable readmission rate
- 9.84
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.43
- Lower limit of the 95% confidence interval on the RSRR
- 7.90
- Upper limit of the 95% confidence interval on the RSRR
- 11.25
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 33
- Number of eligible stays
- 774
- Unadjusted potentially preventable readmission rate
- 4.26
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.62
- Lower limit of the 95% confidence interval on the RSRR
- 3.57
- Upper limit of the 95% confidence interval on the RSRR
- 5.96
- 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)
- 322
- Number of eligible stays
- 580
- Observed discharge to community rate
- 55.52
- Risk-standardized discharge to community rate
- 55.09
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 51.31
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.59
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 747
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 498
- Denominator
- 569
- Facility rate
- 87.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 561
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 185
- Number of health care workers
- 185
- Rate of COVID-19 vaccination
- 100.0