About the Facility
- CMS Certification Number (CCN)
- 45T119
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1102 W Trenton
Po Box 2000
- Phone Number
- (804) 245-0406
Facility Medical Condition Statistics
- All other conditions
- 94
- Brain disease or condition (non-traumatic)
- 43
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 48
- Hip or knee replacement, amputation or other bone or joint condition
- 36
- Nervous system disorder (excluding stroke)
- 68
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 55
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.208
- SIR 95% confidence interval - upper limit
- 4.104
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 917
- Predicted number of infections (B)
- 1.610
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.242
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 353
- Denominator
- 355
- Facility rate
- 99.4
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.6
- Denominator
- 319
- Average observed change score
- 16.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 39.0
- Denominator
- 319
- Average observed change score
- 36.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 295
- Denominator
- 319
- Facility rate
- 92.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 288
- Denominator
- 319
- Facility rate
- 90.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 354
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.119
- SIR 95% confidence interval - upper limit
- 1.278
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 11,591
- Predicted number of infections (B)
- 6.389
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.470
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 115
- Number of health care workers
- 122
- Rate of flu vaccination
- 94.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 63
- Number of eligible stays
- 625
- Unadjusted potentially preventable readmission rate
- 10.08
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.83
- Lower limit of the 95% confidence interval on the RSRR
- 7.39
- Upper limit of the 95% confidence interval on the RSRR
- 10.44
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 27
- Number of eligible stays
- 681
- Unadjusted potentially preventable readmission rate
- 3.96
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.98
- Lower limit of the 95% confidence interval on the RSRR
- 3.05
- Upper limit of the 95% confidence interval on the RSRR
- 5.23
- 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)
- 361
- Number of eligible stays
- 532
- Observed discharge to community rate
- 67.86
- Risk-standardized discharge to community rate
- 73.37
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.19
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 77.13
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.07
- Number of eligible episodes
- 598
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 354
- Denominator
- 355
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 355
- Facility observed rate
- 1.4
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 130
- Number of health care workers
- 134
- Rate of COVID-19 vaccination
- 97.0