About the Facility
- CMS Certification Number (CCN)
- 673029
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
3351 Waterview Parkway
- Phone Number
- (972) 398-5700
Facility Medical Condition Statistics
- All other conditions
- 250
- Brain disease or condition (non-traumatic)
- 137
- Brain injury (traumatic)
- 26
- Hip or femur fracture
- 86
- Hip or knee replacement, amputation or other bone or joint condition
- 187
- Nervous system disorder (excluding stroke)
- 305
- Spinal cord disease or condition (non-traumatic)
- 20
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 192
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.028
- SIR 95% confidence interval - upper limit
- 2.740
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,666
- Predicted number of infections (B)
- 1.800
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.556
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,174
- Denominator
- 1,174
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 1,016
- Average observed change score
- 13.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.2
- Denominator
- 1,016
- Average observed change score
- 36.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 724
- Denominator
- 1,016
- Facility rate
- 71.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 793
- Denominator
- 1,016
- Facility rate
- 78.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,174
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.109
- SIR 95% confidence interval - upper limit
- 1.161
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 17,390
- Predicted number of infections (B)
- 7.032
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.427
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 253
- Number of health care workers
- 308
- Rate of flu vaccination
- 82.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 122
- Number of eligible stays
- 1,199
- Unadjusted potentially preventable readmission rate
- 10.18
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.94
- Lower limit of the 95% confidence interval on the RSRR
- 7.74
- Upper limit of the 95% confidence interval on the RSRR
- 10.23
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 58
- Number of eligible stays
- 1,315
- Unadjusted potentially preventable readmission rate
- 4.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.52
- Lower limit of the 95% confidence interval on the RSRR
- 3.64
- Upper limit of the 95% confidence interval on the RSRR
- 5.75
- 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)
- 707
- Number of eligible stays
- 1,027
- Observed discharge to community rate
- 68.84
- Risk-standardized discharge to community rate
- 69.36
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.56
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.00
- 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
- 1,556
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,172
- Denominator
- 1,174
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 1,172
- Facility observed rate
- 0.1
- Facility risk-adjusted rate
- 0.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 307
- Number of health care workers
- 334
- Rate of COVID-19 vaccination
- 91.9