About the Facility
- CMS Certification Number (CCN)
- 45T209
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
1501 S Coulter
- Phone Number
- (806) 351-5115
Facility Medical Condition Statistics
- All other conditions
- 89
- Brain disease or condition (non-traumatic)
- 44
- Brain injury (traumatic)
- 12
- Hip or femur fracture
- 50
- Hip or knee replacement, amputation or other bone or joint condition
- 51
- Nervous system disorder (excluding stroke)
- 18
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 49
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
- 633
- Predicted number of infections (B)
- 0.913
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 309
- Denominator
- 310
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.3
- Denominator
- 277
- Average observed change score
- 14.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.7
- Denominator
- 277
- Average observed change score
- 39.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 194
- Denominator
- 277
- Facility rate
- 70.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 212
- Denominator
- 277
- Facility rate
- 76.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 310
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.571
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,356
- Predicted number of infections (B)
- 1.907
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,132
- Number of health care workers
- 1,166
- Rate of flu vaccination
- 97.1
- 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
- 365
- Unadjusted potentially preventable readmission rate
- 6.03
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.07
- Lower limit of the 95% confidence interval on the RSRR
- 6.37
- Upper limit of the 95% confidence interval on the RSRR
- 10.20
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 6
- Number of eligible stays
- 383
- Unadjusted potentially preventable readmission rate
- 1.57
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.43
- Lower limit of the 95% confidence interval on the RSRR
- 2.55
- Upper limit of the 95% confidence interval on the RSRR
- 4.95
- 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)
- 221
- Number of eligible stays
- 299
- Observed discharge to community rate
- 73.91
- Risk-standardized discharge to community rate
- 69.49
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.26
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.60
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 330
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 301
- Denominator
- 310
- Facility rate
- 97.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 310
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 1,361
- Number of health care workers
- 1,704
- Rate of COVID-19 vaccination
- 79.9