About the Facility
- CMS Certification Number (CCN)
- 45T107
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
300 Waymore
- Phone Number
- (915) 577-2630
Facility Medical Condition Statistics
- All other conditions
- 268
- Brain disease or condition (non-traumatic)
- 78
- Brain injury (traumatic)
- 78
- Hip or femur fracture
- 220
- Hip or knee replacement, amputation or other bone or joint condition
- 243
- Nervous system disorder (excluding stroke)
- 72
- Spinal cord disease or condition (non-traumatic)
- 37
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 155
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.176
- SIR 95% confidence interval - upper limit
- 3.472
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,423
- Predicted number of infections (B)
- 1.903
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.051
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,016
- Denominator
- 1,019
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.4
- Denominator
- 851
- Average observed change score
- 15.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.7
- Denominator
- 851
- Average observed change score
- 35.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 598
- Denominator
- 851
- Facility rate
- 70.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 575
- Denominator
- 851
- Facility rate
- 67.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,019
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.059
- SIR 95% confidence interval - upper limit
- 1.170
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 18,258
- Predicted number of infections (B)
- 5.648
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.354
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 88
- Number of health care workers
- 127
- Rate of flu vaccination
- 69.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 32
- Number of eligible stays
- 476
- Unadjusted potentially preventable readmission rate
- 6.72
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.91
- Lower limit of the 95% confidence interval on the RSRR
- 6.41
- Upper limit of the 95% confidence interval on the RSRR
- 9.82
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 41
- Number of eligible stays
- 553
- Unadjusted potentially preventable readmission rate
- 7.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.47
- Lower limit of the 95% confidence interval on the RSRR
- 5.05
- Upper limit of the 95% confidence interval on the RSRR
- 8.21
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 296
- Number of eligible stays
- 462
- Observed discharge to community rate
- 64.07
- Risk-standardized discharge to community rate
- 66.84
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.79
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.88
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.14
- Number of eligible episodes
- 477
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 971
- Denominator
- 1,019
- Facility rate
- 95.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 26
- Denominator
- 1,018
- Facility observed rate
- 2.6
- Facility risk-adjusted rate
- 2.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 128
- Number of health care workers
- 144
- Rate of COVID-19 vaccination
- 88.9