About the Facility
- CMS Certification Number (CCN)
- 45TA62
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
200 Memorial Drive
- Phone Number
- (803) 875-8400
Facility Medical Condition Statistics
- All other conditions
- 83
- Brain disease or condition (non-traumatic)
- 14
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 24
- Hip or knee replacement, amputation or other bone or joint condition
- 58
- Nervous system disorder (excluding stroke)
- 141
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 41
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
- 546
- Predicted number of infections (B)
- 0.789
- 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
- 372
- Denominator
- 372
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.9
- Denominator
- 325
- Average observed change score
- 13.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.3
- Denominator
- 325
- Average observed change score
- 29.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 172
- Denominator
- 325
- Facility rate
- 52.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 160
- Denominator
- 325
- Facility rate
- 49.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 372
- 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
- 1.610
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,682
- Predicted number of infections (B)
- 1.860
- 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
- 188
- Number of health care workers
- 258
- Rate of flu vaccination
- 72.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 20
- Number of eligible stays
- 217
- Unadjusted potentially preventable readmission rate
- 9.22
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.55
- Lower limit of the 95% confidence interval on the RSRR
- 6.71
- Upper limit of the 95% confidence interval on the RSRR
- 10.66
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 25
- Number of eligible stays
- 259
- Unadjusted potentially preventable readmission rate
- 9.65
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.89
- Lower limit of the 95% confidence interval on the RSRR
- 5.00
- Upper limit of the 95% confidence interval on the RSRR
- 8.88
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 131
- Number of eligible stays
- 194
- Observed discharge to community rate
- 67.53
- Risk-standardized discharge to community rate
- 68.14
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.53
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.62
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.10
- Number of eligible episodes
- 402
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 352
- Denominator
- 372
- Facility rate
- 94.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 368
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 250
- Number of health care workers
- 296
- Rate of COVID-19 vaccination
- 84.5