About the Facility
- CMS Certification Number (CCN)
- 45T044
- Ownership Type
- Government
- CMS Region
- Dallas
- Certification Date
- Address
5151 Harry Hines Blvd
- Phone Number
- (214) 645-4833
Facility Medical Condition Statistics
- All other conditions
- 219
- Brain disease or condition (non-traumatic)
- 85
- Brain injury (traumatic)
- 17
- Hip or femur fracture
- 32
- Hip or knee replacement, amputation or other bone or joint condition
- 42
- Nervous system disorder (excluding stroke)
- 60
- Spinal cord disease or condition (non-traumatic)
- 84
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 114
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
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 376
- Predicted number of infections (B)
- 0.779
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 651
- Denominator
- 654
- Facility rate
- 99.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.4
- Denominator
- 537
- Average observed change score
- 12.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.9
- Denominator
- 536
- Average observed change score
- 32.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 308
- Denominator
- 537
- Facility rate
- 57.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 347
- Denominator
- 537
- Facility rate
- 64.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 654
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.011
- SIR 95% confidence interval - upper limit
- 1.074
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 9,791
- Predicted number of infections (B)
- 4.592
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.218
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 87
- Number of health care workers
- 105
- Rate of flu vaccination
- 82.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 47
- Number of eligible stays
- 664
- Unadjusted potentially preventable readmission rate
- 7.08
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.51
- Lower limit of the 95% confidence interval on the RSRR
- 6.24
- Upper limit of the 95% confidence interval on the RSRR
- 8.98
- 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
- 742
- Unadjusted potentially preventable readmission rate
- 4.45
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.18
- Lower limit of the 95% confidence interval on the RSRR
- 3.17
- Upper limit of the 95% confidence interval on the RSRR
- 5.52
- 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)
- 403
- Number of eligible stays
- 590
- Observed discharge to community rate
- 68.31
- Risk-standardized discharge to community rate
- 72.08
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.36
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.46
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 654
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 569
- Denominator
- 654
- Facility rate
- 87.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 651
- Facility observed rate
- 1.2
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 85
- Number of health care workers
- 92
- Rate of COVID-19 vaccination
- 92.4