About the Facility
- CMS Certification Number (CCN)
- 45T352
- Ownership Type
- Government
- CMS Region
- Dallas
- Certification Date
- Address
4215 Joe Ramsey Blvd
- Phone Number
- (903) 408-1740
Facility Medical Condition Statistics
- All other conditions
- 38
- Brain disease or condition (non-traumatic)
- 56
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 59
- Hip or knee replacement, amputation or other bone or joint condition
- 37
- Nervous system disorder (excluding stroke)
- 37
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- 11
- Stroke
- 85
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
- 1.548
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 796
- Predicted number of infections (B)
- 1.935
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 333
- Denominator
- 333
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.7
- Denominator
- 296
- Average observed change score
- 13.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.2
- Denominator
- 296
- Average observed change score
- 32.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 192
- Denominator
- 296
- Facility rate
- 64.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 165
- Denominator
- 296
- Facility rate
- 55.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 333
- 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
- 2.014
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,088
- Predicted number of infections (B)
- 1.487
- 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
- 20
- Number of health care workers
- 29
- Rate of flu vaccination
- 69.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 38
- Number of eligible stays
- 357
- Unadjusted potentially preventable readmission rate
- 10.64
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.75
- Lower limit of the 95% confidence interval on the RSRR
- 7.97
- Upper limit of the 95% confidence interval on the RSRR
- 11.95
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 18
- Number of eligible stays
- 388
- Unadjusted potentially preventable readmission rate
- 4.64
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.18
- Lower limit of the 95% confidence interval on the RSRR
- 3.60
- Upper limit of the 95% confidence interval on the RSRR
- 6.77
- 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)
- 201
- Number of eligible stays
- 296
- Observed discharge to community rate
- 67.91
- Risk-standardized discharge to community rate
- 66.19
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.34
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.67
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 338
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 329
- Denominator
- 333
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 332
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 54
- Number of health care workers
- 81
- Rate of COVID-19 vaccination
- 66.7