About the Facility
- CMS Certification Number (CCN)
- 45T015
- Ownership Type
- Government
- CMS Region
- Dallas
- Certification Date
- Address
5200 Harry Hines Blvd
- Phone Number
- (469) 419-2024
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 13
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 21
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.617
- SIR 95% confidence interval - upper limit
- 6.600
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 454
- Predicted number of infections (B)
- 1.237
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.425
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 62
- Denominator
- 62
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.5
- Denominator
- 60
- Average observed change score
- 10.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.4
- Denominator
- 60
- Average observed change score
- 26.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 24
- Denominator
- 60
- Facility rate
- 40.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 27
- Denominator
- 60
- Facility rate
- 45.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 62
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.880
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 6,599
- Predicted number of infections (B)
- 3.405
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 54
- Number of health care workers
- 56
- Rate of flu vaccination
- 96.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 2
- Number of eligible stays
- 38
- Unadjusted potentially preventable readmission rate
- 5.26
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.62
- Lower limit of the 95% confidence interval on the RSRR
- 6.39
- Upper limit of the 95% confidence interval on the RSRR
- 11.38
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 0
- Number of eligible stays
- 40
- Unadjusted potentially preventable readmission rate
- 0.00
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.49
- Lower limit of the 95% confidence interval on the RSRR
- 2.87
- Upper limit of the 95% confidence interval on the RSRR
- 6.87
- 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)
- 24
- Number of eligible stays
- 31
- Observed discharge to community rate
- 77.42
- Risk-standardized discharge to community rate
- 69.41
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.07
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 77.41
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.77
- Number of eligible episodes
- 33
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 55
- Denominator
- 62
- Facility rate
- 88.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 62
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 55
- Number of health care workers
- 57
- Rate of COVID-19 vaccination
- 96.5