About the Facility
- CMS Certification Number (CCN)
- 45T080
- Ownership Type
- Government
- CMS Region
- Dallas
- Certification Date
- Address
2001 N. Jefferson
- Phone Number
- (903) 577-6579
Facility Medical Condition Statistics
- All other conditions
- 13
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- -
- Hip or femur fracture
- 12
- Hip or knee replacement, amputation or other bone or joint condition
- Data not available for this reporting period.
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- -
- Stroke
- 13
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
- 45
- Predicted number of infections (B)
- 0.093
- 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
- 65
- Denominator
- 66
- Facility rate
- 98.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.8
- Denominator
- 59
- Average observed change score
- 9.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 18.1
- Denominator
- 59
- Average observed change score
- 21.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 27
- Denominator
- 59
- Facility rate
- 45.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 5
- Denominator
- 59
- Facility rate
- 8.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 66
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 741
- Predicted number of infections (B)
- 0.396
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 13
- Number of health care workers
- 24
- Rate of flu vaccination
- 54.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 8
- Number of eligible stays
- 105
- Unadjusted potentially preventable readmission rate
- 7.62
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.63
- Lower limit of the 95% confidence interval on the RSRR
- 6.80
- Upper limit of the 95% confidence interval on the RSRR
- 11.08
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 116
- Unadjusted potentially preventable readmission rate
- 4.31
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.07
- Lower limit of the 95% confidence interval on the RSRR
- 3.06
- Upper limit of the 95% confidence interval on the RSRR
- 8.08
- 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)
- 66
- Number of eligible stays
- 88
- Observed discharge to community rate
- 75.00
- Risk-standardized discharge to community rate
- 67.70
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.13
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.23
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.89
- Number of eligible episodes
- 112
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 50
- Denominator
- 66
- Facility rate
- 75.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 66
- Facility observed rate
- 1.5
- Facility risk-adjusted rate
- 1.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 6
- Number of health care workers
- 9
- Rate of COVID-19 vaccination
- 66.7