About the Facility
- CMS Certification Number (CCN)
- 45T101
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
100 Hillcrest Medical Blvd
- Phone Number
- (254) 202-9815
Facility Medical Condition Statistics
- All other conditions
- 95
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- 12
- Hip or femur fracture
- 54
- Hip or knee replacement, amputation or other bone or joint condition
- 46
- Nervous system disorder (excluding stroke)
- 13
- Spinal cord disease or condition (non-traumatic)
- 12
- Spinal cord injury (traumatic)
- -
- Stroke
- 60
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
- 345
- Predicted number of infections (B)
- 0.694
- 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
- 300
- Denominator
- 300
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.1
- Denominator
- 280
- Average observed change score
- 11.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.9
- Denominator
- 280
- Average observed change score
- 27.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 133
- Denominator
- 280
- Facility rate
- 47.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 79
- Denominator
- 280
- Facility rate
- 28.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 300
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.023
- SIR 95% confidence interval - upper limit
- 2.271
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,577
- Predicted number of infections (B)
- 2.172
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.460
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 100
- Number of health care workers
- 120
- Rate of flu vaccination
- 83.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 22
- Number of eligible stays
- 253
- Unadjusted potentially preventable readmission rate
- 8.70
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.46
- Lower limit of the 95% confidence interval on the RSRR
- 7.44
- Upper limit of the 95% confidence interval on the RSRR
- 11.93
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 265
- Unadjusted potentially preventable readmission rate
- 2.64
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.54
- Lower limit of the 95% confidence interval on the RSRR
- 2.92
- Upper limit of the 95% confidence interval on the RSRR
- 7.03
- 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)
- 173
- Number of eligible stays
- 231
- Observed discharge to community rate
- 74.89
- Risk-standardized discharge to community rate
- 67.66
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.25
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.86
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.87
- Number of eligible episodes
- 232
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 151
- Denominator
- 300
- Facility rate
- 50.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 300
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 99
- Number of health care workers
- 125
- Rate of COVID-19 vaccination
- 79.2