About the Facility
- CMS Certification Number (CCN)
- 673039
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
6401 Directors Parkway
- Phone Number
- (325) 691-1600
Facility Medical Condition Statistics
- All other conditions
- 128
- Brain disease or condition (non-traumatic)
- 120
- Brain injury (traumatic)
- 20
- Hip or femur fracture
- 68
- Hip or knee replacement, amputation or other bone or joint condition
- 213
- Nervous system disorder (excluding stroke)
- 432
- Spinal cord disease or condition (non-traumatic)
- 22
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 140
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.278
- SIR 95% confidence interval - upper limit
- 2.979
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,899
- Predicted number of infections (B)
- 2.741
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.094
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,102
- Denominator
- 1,102
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.1
- Denominator
- 951
- Average observed change score
- 17.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.3
- Denominator
- 951
- Average observed change score
- 37.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 719
- Denominator
- 951
- Facility rate
- 75.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 731
- Denominator
- 951
- Facility rate
- 76.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,102
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.155
- SIR 95% confidence interval - upper limit
- 1.659
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 15,417
- Predicted number of infections (B)
- 4.922
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.610
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 206
- Number of health care workers
- 261
- Rate of flu vaccination
- 78.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 112
- Number of eligible stays
- 938
- Unadjusted potentially preventable readmission rate
- 11.94
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.35
- Lower limit of the 95% confidence interval on the RSRR
- 8.97
- Upper limit of the 95% confidence interval on the RSRR
- 11.95
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 68
- Number of eligible stays
- 1,058
- Unadjusted potentially preventable readmission rate
- 6.43
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.91
- Lower limit of the 95% confidence interval on the RSRR
- 4.83
- Upper limit of the 95% confidence interval on the RSRR
- 7.31
- 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)
- 550
- Number of eligible stays
- 805
- Observed discharge to community rate
- 68.32
- Risk-standardized discharge to community rate
- 69.93
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.70
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.94
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 1,476
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,087
- Denominator
- 1,102
- Facility rate
- 98.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 17
- Denominator
- 1,099
- Facility observed rate
- 1.5
- Facility risk-adjusted rate
- 1.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 171
- Number of health care workers
- 224
- Rate of COVID-19 vaccination
- 76.3