About the Facility
- CMS Certification Number (CCN)
- 45T508
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1204 N. Mound St.
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 60
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 43
- Hip or knee replacement, amputation or other bone or joint condition
- 34
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 20
- Spinal cord injury (traumatic)
- -
- Stroke
- 39
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
- 220
- Predicted number of infections (B)
- 0.456
- 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
- 208
- Denominator
- 208
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.6
- Denominator
- 193
- Average observed change score
- 11.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.6
- Denominator
- 193
- Average observed change score
- 26.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 102
- Denominator
- 193
- Facility rate
- 52.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 125
- Denominator
- 193
- Facility rate
- 64.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 208
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.947
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 2,687
- Predicted number of infections (B)
- 1.539
- 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
- 27
- Number of health care workers
- 41
- Rate of flu vaccination
- 65.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 30
- Number of eligible stays
- 236
- Unadjusted potentially preventable readmission rate
- 12.71
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.51
- Lower limit of the 95% confidence interval on the RSRR
- 8.44
- Upper limit of the 95% confidence interval on the RSRR
- 13.10
- 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
- 264
- Unadjusted potentially preventable readmission rate
- 7.20
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.46
- Lower limit of the 95% confidence interval on the RSRR
- 4.46
- Upper limit of the 95% confidence interval on the RSRR
- 9.39
- 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)
- 124
- Number of eligible stays
- 209
- Observed discharge to community rate
- 59.33
- Risk-standardized discharge to community rate
- 59.20
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 53.56
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.63
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 252
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 206
- Denominator
- 208
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 208
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 22
- Number of health care workers
- 28
- Rate of COVID-19 vaccination
- 78.6