About the Facility
- CMS Certification Number (CCN)
- 45T324
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1200 Reba Mcentire Lane
- Phone Number
- (903) 416-1010
Facility Medical Condition Statistics
- All other conditions
- 105
- Brain disease or condition (non-traumatic)
- 43
- Brain injury (traumatic)
- 37
- Hip or femur fracture
- 72
- Hip or knee replacement, amputation or other bone or joint condition
- 66
- Nervous system disorder (excluding stroke)
- 27
- Spinal cord disease or condition (non-traumatic)
- 15
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 84
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
- 412
- Predicted number of infections (B)
- 0.594
- 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
- 430
- Denominator
- 430
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.9
- Denominator
- 396
- Average observed change score
- 16.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.7
- Denominator
- 396
- Average observed change score
- 42.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 323
- Denominator
- 396
- Facility rate
- 81.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 334
- Denominator
- 396
- Facility rate
- 84.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 430
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.025
- SIR 95% confidence interval - upper limit
- 2.451
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,131
- Predicted number of infections (B)
- 2.013
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.497
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 18
- Number of health care workers
- 45
- Rate of flu vaccination
- 40.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 44
- Number of eligible stays
- 517
- Unadjusted potentially preventable readmission rate
- 8.51
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.96
- Lower limit of the 95% confidence interval on the RSRR
- 7.38
- Upper limit of the 95% confidence interval on the RSRR
- 10.95
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 21
- Number of eligible stays
- 562
- Unadjusted potentially preventable readmission rate
- 3.74
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.33
- Lower limit of the 95% confidence interval on the RSRR
- 3.46
- Upper limit of the 95% confidence interval on the RSRR
- 5.68
- 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)
- 336
- Number of eligible stays
- 471
- Observed discharge to community rate
- 71.34
- Risk-standardized discharge to community rate
- 70.59
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.82
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.31
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 517
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 429
- Denominator
- 430
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 430
- Facility observed rate
- 0.2
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 41
- Number of health care workers
- 65
- Rate of COVID-19 vaccination
- 63.1