About the Facility
- CMS Certification Number (CCN)
- 45T638
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
710 Cypress Creek Pkwy
- Phone Number
- (346) 202-9009
Facility Medical Condition Statistics
- All other conditions
- 77
- Brain disease or condition (non-traumatic)
- 28
- Brain injury (traumatic)
- 14
- Hip or femur fracture
- 44
- Hip or knee replacement, amputation or other bone or joint condition
- 35
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 12
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 56
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
- 433
- Predicted number of infections (B)
- 0.896
- 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
- 273
- Denominator
- 273
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.3
- Denominator
- 255
- Average observed change score
- 13.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.4
- Denominator
- 255
- Average observed change score
- 35.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 184
- Denominator
- 255
- Facility rate
- 72.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 190
- Denominator
- 255
- Facility rate
- 74.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 273
- 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
- 1.055
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,053
- Predicted number of infections (B)
- 2.839
- 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
- 41
- Number of health care workers
- 95
- Rate of flu vaccination
- 43.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 29
- Number of eligible stays
- 277
- Unadjusted potentially preventable readmission rate
- 10.47
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.97
- Lower limit of the 95% confidence interval on the RSRR
- 7.33
- Upper limit of the 95% confidence interval on the RSRR
- 11.11
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 13
- Number of eligible stays
- 306
- Unadjusted potentially preventable readmission rate
- 4.25
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.36
- Lower limit of the 95% confidence interval on the RSRR
- 3.03
- Upper limit of the 95% confidence interval on the RSRR
- 6.14
- 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)
- 150
- Number of eligible stays
- 240
- Observed discharge to community rate
- 62.50
- Risk-standardized discharge to community rate
- 65.22
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.71
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.65
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.14
- Number of eligible episodes
- 243
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 269
- Denominator
- 273
- Facility rate
- 98.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 272
- Facility observed rate
- 2.6
- Facility risk-adjusted rate
- 2.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 62
- Number of health care workers
- 66
- Rate of COVID-19 vaccination
- 93.9