About the Facility
- CMS Certification Number (CCN)
- 673036
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2620 Scripture Street
- Phone Number
- (940) 297-6500
Facility Medical Condition Statistics
- All other conditions
- 266
- Brain disease or condition (non-traumatic)
- 131
- Brain injury (traumatic)
- 25
- Hip or femur fracture
- 123
- Hip or knee replacement, amputation or other bone or joint condition
- 182
- Nervous system disorder (excluding stroke)
- 52
- Spinal cord disease or condition (non-traumatic)
- 48
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 95
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
- 2.668
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 725
- Predicted number of infections (B)
- 1.123
- 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
- 888
- Denominator
- 888
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.7
- Denominator
- 785
- Average observed change score
- 13.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.9
- Denominator
- 785
- Average observed change score
- 34.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 449
- Denominator
- 785
- Facility rate
- 57.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 483
- Denominator
- 785
- Facility rate
- 61.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 888
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.010
- SIR 95% confidence interval - upper limit
- 0.990
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 12,070
- Predicted number of infections (B)
- 4.979
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.201
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 209
- Number of health care workers
- 310
- Rate of flu vaccination
- 67.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 84
- Number of eligible stays
- 994
- Unadjusted potentially preventable readmission rate
- 8.45
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.27
- Lower limit of the 95% confidence interval on the RSRR
- 6.95
- Upper limit of the 95% confidence interval on the RSRR
- 9.75
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 57
- Number of eligible stays
- 1,092
- Unadjusted potentially preventable readmission rate
- 5.22
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.16
- Lower limit of the 95% confidence interval on the RSRR
- 4.20
- Upper limit of the 95% confidence interval on the RSRR
- 6.46
- 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)
- 622
- Number of eligible stays
- 902
- Observed discharge to community rate
- 68.96
- Risk-standardized discharge to community rate
- 68.58
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.64
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.33
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.01
- Number of eligible episodes
- 1,058
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 887
- Denominator
- 888
- Facility rate
- 99.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 888
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 208
- Number of health care workers
- 257
- Rate of COVID-19 vaccination
- 80.9