About the Facility
- CMS Certification Number (CCN)
- 673031
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
3020 West Wheatland Road
- Phone Number
- (972) 708-8600
Facility Medical Condition Statistics
- All other conditions
- 291
- Brain disease or condition (non-traumatic)
- 128
- Brain injury (traumatic)
- 29
- Hip or femur fracture
- 134
- Hip or knee replacement, amputation or other bone or joint condition
- 176
- Nervous system disorder (excluding stroke)
- 142
- Spinal cord disease or condition (non-traumatic)
- 34
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 165
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
- 890
- Predicted number of infections (B)
- 0.962
- Number of infections reported (A)
- 6
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,096
- Denominator
- 1,096
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 16.2
- Denominator
- 947
- Average observed change score
- 19.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.5
- Denominator
- 947
- Average observed change score
- 40.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 853
- Denominator
- 947
- Facility rate
- 90.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 795
- Denominator
- 947
- Facility rate
- 83.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,096
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.402
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 15,416
- Predicted number of infections (B)
- 7.450
- 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
- 256
- Number of health care workers
- 270
- Rate of flu vaccination
- 94.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 75
- Number of eligible stays
- 870
- Unadjusted potentially preventable readmission rate
- 8.62
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.31
- Lower limit of the 95% confidence interval on the RSRR
- 7.09
- Upper limit of the 95% confidence interval on the RSRR
- 9.91
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 38
- Number of eligible stays
- 963
- Unadjusted potentially preventable readmission rate
- 3.95
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.12
- Lower limit of the 95% confidence interval on the RSRR
- 3.02
- Upper limit of the 95% confidence interval on the RSRR
- 5.41
- 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)
- 540
- Number of eligible stays
- 775
- Observed discharge to community rate
- 69.68
- Risk-standardized discharge to community rate
- 73.02
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.77
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.23
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 972
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,092
- Denominator
- 1,096
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 1,095
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 225
- Number of health care workers
- 246
- Rate of COVID-19 vaccination
- 91.5