About the Facility
- CMS Certification Number (CCN)
- 673041
- Ownership Type
- Physician
- CMS Region
- Dallas
- Certification Date
- Address
1810 West Highway 82
- Phone Number
- (903) 870-2600
Facility Medical Condition Statistics
- All other conditions
- 166
- Brain disease or condition (non-traumatic)
- 60
- Brain injury (traumatic)
- 14
- Hip or femur fracture
- 64
- Hip or knee replacement, amputation or other bone or joint condition
- 83
- Nervous system disorder (excluding stroke)
- 85
- Spinal cord disease or condition (non-traumatic)
- 29
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 70
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
- 2.718
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 711
- Predicted number of infections (B)
- 1.102
- 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
- 562
- Denominator
- 562
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.1
- Denominator
- 495
- Average observed change score
- 12.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.0
- Denominator
- 495
- Average observed change score
- 26.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 254
- Denominator
- 495
- Facility rate
- 51.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 134
- Denominator
- 495
- Facility rate
- 27.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 562
- 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
- 0.916
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 8,332
- Predicted number of infections (B)
- 3.271
- 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
- 77
- Number of health care workers
- 111
- Rate of flu vaccination
- 69.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 72
- Number of eligible stays
- 659
- Unadjusted potentially preventable readmission rate
- 10.93
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.79
- Lower limit of the 95% confidence interval on the RSRR
- 8.29
- Upper limit of the 95% confidence interval on the RSRR
- 11.58
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 22
- Number of eligible stays
- 716
- Unadjusted potentially preventable readmission rate
- 3.07
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.66
- Lower limit of the 95% confidence interval on the RSRR
- 2.80
- Upper limit of the 95% confidence interval on the RSRR
- 4.73
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 354
- Number of eligible stays
- 573
- Observed discharge to community rate
- 61.78
- Risk-standardized discharge to community rate
- 61.66
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.08
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.99
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.01
- Number of eligible episodes
- 736
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 190
- Denominator
- 562
- Facility rate
- 33.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 557
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 101
- Number of health care workers
- 114
- Rate of COVID-19 vaccination
- 88.6