About the Facility
- CMS Certification Number (CCN)
- 45T032
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
700 East Marshall Avenue
- Phone Number
- (903) 315-3299
Facility Medical Condition Statistics
- All other conditions
- 111
- Brain disease or condition (non-traumatic)
- 25
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 94
- Hip or knee replacement, amputation or other bone or joint condition
- 95
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 37
- Spinal cord injury (traumatic)
- -
- Stroke
- 95
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
- 2.152
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 672
- Predicted number of infections (B)
- 1.392
- 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
- 464
- Denominator
- 464
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.0
- Denominator
- 453
- Average observed change score
- 8.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 15.7
- Denominator
- 454
- Average observed change score
- 20.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 120
- Denominator
- 454
- Facility rate
- 26.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 61
- Denominator
- 454
- Facility rate
- 13.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 464
- 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
- 0.813
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 7,178
- Predicted number of infections (B)
- 3.685
- 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
- 1,045
- Number of health care workers
- 1,096
- Rate of flu vaccination
- 95.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 57
- Number of eligible stays
- 477
- Unadjusted potentially preventable readmission rate
- 11.95
- Risk-standardized potentially preventable readmission rate (RSRR)
- 11.09
- Lower limit of the 95% confidence interval on the RSRR
- 9.19
- Upper limit of the 95% confidence interval on the RSRR
- 13.32
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 498
- Unadjusted potentially preventable readmission rate
- 1.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.28
- Lower limit of the 95% confidence interval on the RSRR
- 2.27
- Upper limit of the 95% confidence interval on the RSRR
- 4.52
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 215
- Number of eligible stays
- 382
- Observed discharge to community rate
- 56.28
- Risk-standardized discharge to community rate
- 55.52
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 51.52
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.87
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 510
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1
- Denominator
- 464
- Facility rate
- 0.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 463
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 39
- Number of health care workers
- 57
- Rate of COVID-19 vaccination
- 68.4