About the Facility
- CMS Certification Number (CCN)
- 45T647
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
7777 Forest Lane
9th Floor - Inpatient Rehab
- Phone Number
- (972) 566-6751
Facility Medical Condition Statistics
- All other conditions
- 157
- Brain disease or condition (non-traumatic)
- 40
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 37
- Hip or knee replacement, amputation or other bone or joint condition
- 74
- Nervous system disorder (excluding stroke)
- 51
- Spinal cord disease or condition (non-traumatic)
- 41
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 51
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
- 271
- Predicted number of infections (B)
- 0.561
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 422
- Denominator
- 423
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.0
- Denominator
- 381
- Average observed change score
- 16.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.7
- Denominator
- 381
- Average observed change score
- 38.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 327
- Denominator
- 381
- Facility rate
- 85.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 334
- Denominator
- 381
- Facility rate
- 87.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 423
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.145
- SIR 95% confidence interval - upper limit
- 2.854
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,434
- Predicted number of infections (B)
- 2.315
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.864
- 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
- 36
- Rate of flu vaccination
- 50.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 49
- Number of eligible stays
- 525
- Unadjusted potentially preventable readmission rate
- 9.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.52
- Lower limit of the 95% confidence interval on the RSRR
- 7.83
- Upper limit of the 95% confidence interval on the RSRR
- 11.63
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 24
- Number of eligible stays
- 586
- Unadjusted potentially preventable readmission rate
- 4.10
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.88
- Lower limit of the 95% confidence interval on the RSRR
- 3.62
- Upper limit of the 95% confidence interval on the RSRR
- 6.68
- 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)
- 315
- Number of eligible stays
- 459
- Observed discharge to community rate
- 68.63
- Risk-standardized discharge to community rate
- 66.74
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.71
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.18
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.01
- Number of eligible episodes
- 543
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 423
- Denominator
- 423
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 423
- Facility observed rate
- 1.4
- Facility risk-adjusted rate
- 1.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 33
- Number of health care workers
- 36
- Rate of COVID-19 vaccination
- 91.7