About the Facility
- CMS Certification Number (CCN)
- 673043
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
7930 Northaven Road
- Phone Number
- (214) 706-8200
Facility Medical Condition Statistics
- All other conditions
- 154
- Brain disease or condition (non-traumatic)
- 60
- Brain injury (traumatic)
- 19
- Hip or femur fracture
- 77
- Hip or knee replacement, amputation or other bone or joint condition
- 254
- Nervous system disorder (excluding stroke)
- 418
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- 12
- Stroke
- 167
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.027
- SIR 95% confidence interval - upper limit
- 2.637
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,732
- Predicted number of infections (B)
- 1.870
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.535
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,160
- Denominator
- 1,160
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.1
- Denominator
- 1,011
- Average observed change score
- 13.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.1
- Denominator
- 1,011
- Average observed change score
- 31.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 692
- Denominator
- 1,011
- Facility rate
- 68.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 676
- Denominator
- 1,011
- Facility rate
- 66.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 1,160
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.565
- SIR 95% confidence interval - upper limit
- 2.126
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 19,255
- Predicted number of infections (B)
- 7.768
- Number of infections reported (A)
- 9
- SIR (A/B)
- 1.159
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 237
- Number of health care workers
- 362
- Rate of flu vaccination
- 65.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 98
- Number of eligible stays
- 953
- Unadjusted potentially preventable readmission rate
- 10.28
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.75
- Lower limit of the 95% confidence interval on the RSRR
- 7.50
- Upper limit of the 95% confidence interval on the RSRR
- 10.17
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 52
- Number of eligible stays
- 1,069
- Unadjusted potentially preventable readmission rate
- 4.86
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.43
- Lower limit of the 95% confidence interval on the RSRR
- 3.47
- Upper limit of the 95% confidence interval on the RSRR
- 5.56
- 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)
- 538
- Number of eligible stays
- 845
- Observed discharge to community rate
- 63.67
- Risk-standardized discharge to community rate
- 67.81
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.72
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.21
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 1,334
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,158
- Denominator
- 1,160
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 1,159
- Facility observed rate
- 0.2
- Facility risk-adjusted rate
- 0.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 349
- Number of health care workers
- 384
- Rate of COVID-19 vaccination
- 90.9