About the Facility
- CMS Certification Number (CCN)
- 45T271
- Ownership Type
- Government
- CMS Region
- Dallas
- Certification Date
- Address
2000 S. Fm 51
- Phone Number
- (940) 626-2992
Facility Medical Condition Statistics
- All other conditions
- 51
- Brain disease or condition (non-traumatic)
- 15
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 55
- Hip or knee replacement, amputation or other bone or joint condition
- 26
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 47
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
- 202
- Predicted number of infections (B)
- 0.362
- 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
- 203
- Denominator
- 203
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.2
- Denominator
- 190
- Average observed change score
- 14.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.2
- Denominator
- 190
- Average observed change score
- 36.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 108
- Denominator
- 190
- Facility rate
- 56.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 125
- Denominator
- 190
- Facility rate
- 65.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 203
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 2,897
- Predicted number of infections (B)
- 0.811
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 35
- Number of health care workers
- 73
- Rate of flu vaccination
- 47.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 21
- Number of eligible stays
- 225
- Unadjusted potentially preventable readmission rate
- 9.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.89
- Lower limit of the 95% confidence interval on the RSRR
- 7.09
- Upper limit of the 95% confidence interval on the RSRR
- 11.05
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 8
- Number of eligible stays
- 235
- Unadjusted potentially preventable readmission rate
- 3.40
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.46
- Lower limit of the 95% confidence interval on the RSRR
- 3.09
- Upper limit of the 95% confidence interval on the RSRR
- 6.67
- 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)
- 140
- Number of eligible stays
- 188
- Observed discharge to community rate
- 74.47
- Risk-standardized discharge to community rate
- 71.22
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.51
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.94
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.22
- Number of eligible episodes
- 198
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 199
- Denominator
- 203
- Facility rate
- 98.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 202
- Facility observed rate
- 2.0
- Facility risk-adjusted rate
- 2.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 52
- Number of health care workers
- 69
- Rate of COVID-19 vaccination
- 75.4