About the Facility
- CMS Certification Number (CCN)
- 45T675
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
3301 Matlock Road
- Phone Number
- (817) 525-4688
Facility Medical Condition Statistics
- All other conditions
- 64
- Brain disease or condition (non-traumatic)
- 22
- Brain injury (traumatic)
- 23
- Hip or femur fracture
- 54
- Hip or knee replacement, amputation or other bone or joint condition
- 71
- Nervous system disorder (excluding stroke)
- 11
- Spinal cord disease or condition (non-traumatic)
- 20
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 50
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
- 285
- Predicted number of infections (B)
- 0.722
- 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
- 287
- Denominator
- 290
- Facility rate
- 99.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.2
- Denominator
- 256
- Average observed change score
- 15.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.3
- Denominator
- 256
- Average observed change score
- 38.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 196
- Denominator
- 256
- Facility rate
- 76.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 199
- Denominator
- 256
- Facility rate
- 77.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 290
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.026
- SIR 95% confidence interval - upper limit
- 2.586
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,577
- Predicted number of infections (B)
- 1.907
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.524
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 12
- Number of health care workers
- 23
- Rate of flu vaccination
- 52.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 15
- Number of eligible stays
- 192
- Unadjusted potentially preventable readmission rate
- 7.81
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.89
- Lower limit of the 95% confidence interval on the RSRR
- 6.91
- Upper limit of the 95% confidence interval on the RSRR
- 11.21
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 209
- Unadjusted potentially preventable readmission rate
- 4.78
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.23
- Lower limit of the 95% confidence interval on the RSRR
- 3.55
- Upper limit of the 95% confidence interval on the RSRR
- 7.59
- 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)
- 122
- Number of eligible stays
- 171
- Observed discharge to community rate
- 71.35
- Risk-standardized discharge to community rate
- 69.86
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.32
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.09
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.12
- Number of eligible episodes
- 168
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 284
- Denominator
- 290
- Facility rate
- 97.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 9
- Denominator
- 289
- Facility observed rate
- 3.1
- Facility risk-adjusted rate
- 3.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 35
- Number of health care workers
- 38
- Rate of COVID-19 vaccination
- 92.1