About the Facility
- CMS Certification Number (CCN)
- 673032
- Ownership Type
- Non-profit
- CMS Region
- Dallas
- Certification Date
- Address
1400 Hester's Crossing
- Phone Number
- (972) 308-8517
Facility Medical Condition Statistics
- All other conditions
- 306
- Brain disease or condition (non-traumatic)
- 202
- Brain injury (traumatic)
- 72
- Hip or femur fracture
- 114
- Hip or knee replacement, amputation or other bone or joint condition
- 298
- Nervous system disorder (excluding stroke)
- 271
- Spinal cord disease or condition (non-traumatic)
- 36
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 213
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.185
- SIR 95% confidence interval - upper limit
- 3.653
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,674
- Predicted number of infections (B)
- 1.809
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.106
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,492
- Denominator
- 1,494
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.3
- Denominator
- 1,296
- Average observed change score
- 16.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.9
- Denominator
- 1,296
- Average observed change score
- 34.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 1,015
- Denominator
- 1,296
- Facility rate
- 78.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 958
- Denominator
- 1,296
- Facility rate
- 73.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,494
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.004
- SIR 95% confidence interval - upper limit
- 0.420
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 24,357
- Predicted number of infections (B)
- 11.748
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.085
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 319
- Number of health care workers
- 413
- Rate of flu vaccination
- 77.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 125
- Number of eligible stays
- 1,196
- Unadjusted potentially preventable readmission rate
- 10.45
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.06
- Lower limit of the 95% confidence interval on the RSRR
- 7.85
- Upper limit of the 95% confidence interval on the RSRR
- 10.40
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 85
- Number of eligible stays
- 1,369
- Unadjusted potentially preventable readmission rate
- 6.21
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.69
- Lower limit of the 95% confidence interval on the RSRR
- 4.58
- Upper limit of the 95% confidence interval on the RSRR
- 6.79
- 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)
- 723
- Number of eligible stays
- 1,045
- Observed discharge to community rate
- 69.19
- Risk-standardized discharge to community rate
- 71.69
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.06
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.32
- Comparative performance category
- Better 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
- 1,484
- Denominator
- 1,494
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 12
- Denominator
- 1,488
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 344
- Number of health care workers
- 394
- Rate of COVID-19 vaccination
- 87.3