About the Facility
- CMS Certification Number (CCN)
- 45T196
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
820 Clarksville Street
865 Deshong Drive
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 66
- Brain disease or condition (non-traumatic)
- 35
- Brain injury (traumatic)
- 12
- Hip or femur fracture
- 71
- Hip or knee replacement, amputation or other bone or joint condition
- 83
- Nervous system disorder (excluding stroke)
- 163
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 56
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
- 357
- Predicted number of infections (B)
- 0.516
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 485
- Denominator
- 485
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.7
- Denominator
- 442
- Average observed change score
- 13.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.3
- Denominator
- 442
- Average observed change score
- 31.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 285
- Denominator
- 442
- Facility rate
- 64.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 259
- Denominator
- 442
- Facility rate
- 58.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 485
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.131
- SIR 95% confidence interval - upper limit
- 2.584
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,426
- Predicted number of infections (B)
- 2.557
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.782
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 23
- Number of health care workers
- 31
- Rate of flu vaccination
- 74.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 61
- Number of eligible stays
- 799
- Unadjusted potentially preventable readmission rate
- 7.63
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.95
- Lower limit of the 95% confidence interval on the RSRR
- 6.61
- Upper limit of the 95% confidence interval on the RSRR
- 9.34
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 16
- Number of eligible stays
- 849
- Unadjusted potentially preventable readmission rate
- 1.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.21
- Lower limit of the 95% confidence interval on the RSRR
- 2.43
- Upper limit of the 95% confidence interval on the RSRR
- 4.26
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 468
- Number of eligible stays
- 680
- Observed discharge to community rate
- 68.82
- Risk-standardized discharge to community rate
- 65.03
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.06
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.93
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 801
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 483
- Denominator
- 485
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 483
- Facility observed rate
- 2.1
- Facility risk-adjusted rate
- 2.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 21
- Number of health care workers
- 31
- Rate of COVID-19 vaccination
- 67.7