About the Facility
- CMS Certification Number (CCN)
- 45T669
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
500 W Main St
- Phone Number
- (469) 370-2515
Facility Medical Condition Statistics
- All other conditions
- 129
- Brain disease or condition (non-traumatic)
- 16
- Brain injury (traumatic)
- 17
- Hip or femur fracture
- 79
- Hip or knee replacement, amputation or other bone or joint condition
- 85
- Nervous system disorder (excluding stroke)
- 12
- Spinal cord disease or condition (non-traumatic)
- 29
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 43
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
- 356
- Predicted number of infections (B)
- 0.736
- 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
- 392
- Denominator
- 393
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.4
- Denominator
- 368
- Average observed change score
- 17.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.5
- Denominator
- 368
- Average observed change score
- 39.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 310
- Denominator
- 368
- Facility rate
- 84.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 295
- Denominator
- 368
- Facility rate
- 80.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 393
- 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
- 1.333
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,860
- Predicted number of infections (B)
- 2.247
- 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
- 22
- Number of health care workers
- 38
- Rate of flu vaccination
- 57.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 33
- Number of eligible stays
- 459
- Unadjusted potentially preventable readmission rate
- 7.19
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.68
- Lower limit of the 95% confidence interval on the RSRR
- 6.92
- Upper limit of the 95% confidence interval on the RSRR
- 10.70
- 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
- 482
- Unadjusted potentially preventable readmission rate
- 3.32
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.55
- Lower limit of the 95% confidence interval on the RSRR
- 3.30
- Upper limit of the 95% confidence interval on the RSRR
- 5.90
- 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)
- 311
- Number of eligible stays
- 393
- Observed discharge to community rate
- 79.13
- Risk-standardized discharge to community rate
- 73.74
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.26
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.93
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.99
- Number of eligible episodes
- 456
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 393
- Denominator
- 393
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 391
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 38
- Number of health care workers
- 42
- Rate of COVID-19 vaccination
- 90.5