About the Facility
- CMS Certification Number (CCN)
- 45T747
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
2900 South Loop 256
- Phone Number
- (903) 731-5278
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- -
- Hip or femur fracture
- 24
- Hip or knee replacement, amputation or other bone or joint condition
- Data not available for this reporting period.
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 31
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
- 93
- Predicted number of infections (B)
- 0.165
- 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
- 87
- Denominator
- 87
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.5
- Denominator
- 76
- Average observed change score
- 12.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.6
- Denominator
- 76
- Average observed change score
- 33.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 44
- Denominator
- 76
- Facility rate
- 57.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 45
- Denominator
- 76
- Facility rate
- 59.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 87
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 1,255
- Predicted number of infections (B)
- 0.376
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 9
- Number of health care workers
- 11
- Rate of flu vaccination
- 81.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 2
- Number of eligible stays
- 103
- Unadjusted potentially preventable readmission rate
- 1.94
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.81
- Lower limit of the 95% confidence interval on the RSRR
- 6.01
- Upper limit of the 95% confidence interval on the RSRR
- 10.12
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 2
- Number of eligible stays
- 109
- Unadjusted potentially preventable readmission rate
- 1.83
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.60
- Lower limit of the 95% confidence interval on the RSRR
- 3.23
- Upper limit of the 95% confidence interval on the RSRR
- 7.18
- 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)
- 48
- Number of eligible stays
- 84
- Observed discharge to community rate
- 57.14
- Risk-standardized discharge to community rate
- 58.68
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 52.00
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.34
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.01
- Number of eligible episodes
- 114
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 83
- Denominator
- 87
- Facility rate
- 95.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 87
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 6
- Number of health care workers
- 9
- Rate of COVID-19 vaccination
- 66.7