About the Facility
- CMS Certification Number (CCN)
- 673044
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2304 Highway 121
- Phone Number
- (817) 684-2000
Facility Medical Condition Statistics
- All other conditions
- 308
- Brain disease or condition (non-traumatic)
- 152
- Brain injury (traumatic)
- 35
- Hip or femur fracture
- 109
- Hip or knee replacement, amputation or other bone or joint condition
- 266
- Nervous system disorder (excluding stroke)
- 232
- Spinal cord disease or condition (non-traumatic)
- 30
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 182
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.026
- SIR 95% confidence interval - upper limit
- 2.604
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,312
- Predicted number of infections (B)
- 1.894
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.528
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,294
- Denominator
- 1,294
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.1
- Denominator
- 1,107
- Average observed change score
- 14.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.5
- Denominator
- 1,108
- Average observed change score
- 36.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 822
- Denominator
- 1,108
- Facility rate
- 74.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 865
- Denominator
- 1,108
- Facility rate
- 78.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,294
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.424
- SIR 95% confidence interval - upper limit
- 1.920
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 18,587
- Predicted number of infections (B)
- 7.212
- Number of infections reported (A)
- 7
- SIR (A/B)
- 0.971
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 331
- Number of health care workers
- 365
- Rate of flu vaccination
- 90.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 137
- Number of eligible stays
- 1,050
- Unadjusted potentially preventable readmission rate
- 13.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.94
- Lower limit of the 95% confidence interval on the RSRR
- 9.50
- Upper limit of the 95% confidence interval on the RSRR
- 12.54
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 61
- Number of eligible stays
- 1,162
- Unadjusted potentially preventable readmission rate
- 5.25
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.06
- Lower limit of the 95% confidence interval on the RSRR
- 4.16
- Upper limit of the 95% confidence interval on the RSRR
- 6.27
- 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)
- 602
- Number of eligible stays
- 904
- Observed discharge to community rate
- 66.59
- Risk-standardized discharge to community rate
- 67.90
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.03
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.64
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 1,350
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,286
- Denominator
- 1,294
- Facility rate
- 99.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 1,293
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 332
- Number of health care workers
- 367
- Rate of COVID-19 vaccination
- 90.5