About the Facility
- CMS Certification Number (CCN)
- 45T176
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
900 S. Bryan Rd.
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 87
- Brain disease or condition (non-traumatic)
- 43
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 40
- Hip or knee replacement, amputation or other bone or joint condition
- 35
- 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
- 42
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
- 310
- Predicted number of infections (B)
- 0.448
- 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
- 316
- Denominator
- 316
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.3
- Denominator
- 278
- Average observed change score
- 13.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.5
- Denominator
- 278
- Average observed change score
- 32.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 153
- Denominator
- 278
- Facility rate
- 55.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 182
- Denominator
- 278
- Facility rate
- 65.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 316
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.024
- SIR 95% confidence interval - upper limit
- 2.331
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,976
- Predicted number of infections (B)
- 2.116
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.473
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 40
- Number of health care workers
- 53
- Rate of flu vaccination
- 75.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 37
- Number of eligible stays
- 307
- Unadjusted potentially preventable readmission rate
- 12.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.30
- Lower limit of the 95% confidence interval on the RSRR
- 7.55
- Upper limit of the 95% confidence interval on the RSRR
- 11.41
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 22
- Number of eligible stays
- 344
- Unadjusted potentially preventable readmission rate
- 6.40
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.34
- Lower limit of the 95% confidence interval on the RSRR
- 3.94
- Upper limit of the 95% confidence interval on the RSRR
- 7.12
- 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)
- 166
- Number of eligible stays
- 270
- Observed discharge to community rate
- 61.48
- Risk-standardized discharge to community rate
- 65.82
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.93
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.83
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 313
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 315
- Denominator
- 316
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 12
- Denominator
- 316
- Facility observed rate
- 3.8
- Facility risk-adjusted rate
- 3.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 27
- Number of health care workers
- 28
- Rate of COVID-19 vaccination
- 96.4