About the Facility
- CMS Certification Number (CCN)
- 45T403
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
130 S Central Expressway
- Phone Number
- (972) 547-8266
Facility Medical Condition Statistics
- All other conditions
- 112
- Brain disease or condition (non-traumatic)
- 58
- Brain injury (traumatic)
- 27
- Hip or femur fracture
- 84
- Hip or knee replacement, amputation or other bone or joint condition
- 131
- Nervous system disorder (excluding stroke)
- 25
- Spinal cord disease or condition (non-traumatic)
- 31
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 62
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
- 322
- Predicted number of infections (B)
- 0.610
- 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
- 492
- Denominator
- 492
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.5
- Denominator
- 455
- Average observed change score
- 16.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.1
- Denominator
- 455
- Average observed change score
- 39.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 372
- Denominator
- 455
- Facility rate
- 81.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 346
- Denominator
- 455
- Facility rate
- 76.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 492
- 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
- 1.212
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,702
- Predicted number of infections (B)
- 2.471
- 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
- 10
- Number of health care workers
- 21
- Rate of flu vaccination
- 47.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 58
- Number of eligible stays
- 570
- Unadjusted potentially preventable readmission rate
- 10.18
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.74
- Lower limit of the 95% confidence interval on the RSRR
- 8.05
- Upper limit of the 95% confidence interval on the RSRR
- 11.50
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 19
- Number of eligible stays
- 603
- Unadjusted potentially preventable readmission rate
- 3.15
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.09
- Lower limit of the 95% confidence interval on the RSRR
- 2.69
- Upper limit of the 95% confidence interval on the RSRR
- 5.69
- 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)
- 351
- Number of eligible stays
- 495
- Observed discharge to community rate
- 70.91
- Risk-standardized discharge to community rate
- 68.99
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.49
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.36
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 537
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 491
- Denominator
- 492
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 9
- Denominator
- 491
- Facility observed rate
- 1.8
- Facility risk-adjusted rate
- 2.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 28
- Number of health care workers
- 31
- Rate of COVID-19 vaccination
- 90.3