About the Facility
- CMS Certification Number (CCN)
- 45T668
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1625 Medical Center Dr.
- Phone Number
- (915) 747-2100
Facility Medical Condition Statistics
- All other conditions
- 82
- Brain disease or condition (non-traumatic)
- 26
- Brain injury (traumatic)
- 14
- Hip or femur fracture
- 47
- Hip or knee replacement, amputation or other bone or joint condition
- 64
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 47
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 65
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.223
- SIR 95% confidence interval - upper limit
- 4.391
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 727
- Predicted number of infections (B)
- 1.505
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.329
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 346
- Denominator
- 346
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.3
- Denominator
- 288
- Average observed change score
- 13.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.3
- Denominator
- 288
- Average observed change score
- 32.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 167
- Denominator
- 288
- Facility rate
- 58.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 160
- Denominator
- 288
- Facility rate
- 55.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 346
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.013
- SIR 95% confidence interval - upper limit
- 1.296
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,302
- Predicted number of infections (B)
- 3.806
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.263
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 632
- Number of health care workers
- 661
- Rate of flu vaccination
- 95.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 9
- Number of eligible stays
- 256
- Unadjusted potentially preventable readmission rate
- 3.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.23
- Lower limit of the 95% confidence interval on the RSRR
- 5.66
- Upper limit of the 95% confidence interval on the RSRR
- 9.24
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 16
- Number of eligible stays
- 291
- Unadjusted potentially preventable readmission rate
- 5.50
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.28
- Lower limit of the 95% confidence interval on the RSRR
- 3.68
- Upper limit of the 95% confidence interval on the RSRR
- 6.86
- 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)
- 180
- Number of eligible stays
- 259
- Observed discharge to community rate
- 69.50
- Risk-standardized discharge to community rate
- 70.46
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.17
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.15
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 265
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 334
- Denominator
- 346
- Facility rate
- 96.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 16
- Denominator
- 344
- Facility observed rate
- 4.7
- Facility risk-adjusted rate
- 4.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 1,062
- Number of health care workers
- 1,098
- Rate of COVID-19 vaccination
- 96.7