About the Facility
- CMS Certification Number (CCN)
- 673025
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1001 Raintree Circle
- Phone Number
- (972) 908-2015
Facility Medical Condition Statistics
- All other conditions
- 342
- Brain disease or condition (non-traumatic)
- 104
- Brain injury (traumatic)
- 36
- Hip or femur fracture
- 115
- Hip or knee replacement, amputation or other bone or joint condition
- 196
- Nervous system disorder (excluding stroke)
- 396
- Spinal cord disease or condition (non-traumatic)
- 28
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 172
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
- 1.356
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,889
- Predicted number of infections (B)
- 2.210
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,348
- Denominator
- 1,349
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.8
- Denominator
- 1,152
- Average observed change score
- 13.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.3
- Denominator
- 1,152
- Average observed change score
- 29.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 722
- Denominator
- 1,152
- Facility rate
- 62.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 568
- Denominator
- 1,152
- Facility rate
- 49.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,349
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.376
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 17,809
- Predicted number of infections (B)
- 7.959
- 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
- 373
- Number of health care workers
- 432
- Rate of flu vaccination
- 86.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 160
- Number of eligible stays
- 1,469
- Unadjusted potentially preventable readmission rate
- 10.89
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.71
- Lower limit of the 95% confidence interval on the RSRR
- 8.52
- Upper limit of the 95% confidence interval on the RSRR
- 10.91
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 77
- Number of eligible stays
- 1,616
- Unadjusted potentially preventable readmission rate
- 4.76
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.67
- Lower limit of the 95% confidence interval on the RSRR
- 3.92
- Upper limit of the 95% confidence interval on the RSRR
- 5.62
- 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)
- 860
- Number of eligible stays
- 1,284
- Observed discharge to community rate
- 66.98
- Risk-standardized discharge to community rate
- 67.67
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.29
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.99
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 1,714
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,343
- Denominator
- 1,349
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 13
- Denominator
- 1,348
- Facility observed rate
- 1.0
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 367
- Number of health care workers
- 431
- Rate of COVID-19 vaccination
- 85.2