About the Facility
- CMS Certification Number (CCN)
- 673045
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1023 N Beltline Road
- Phone Number
- (972) 216-2400
Facility Medical Condition Statistics
- All other conditions
- 85
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 60
- Hip or knee replacement, amputation or other bone or joint condition
- 130
- Nervous system disorder (excluding stroke)
- 144
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 85
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
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 905
- Predicted number of infections (B)
- 0.977
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 530
- Denominator
- 530
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 18.2
- Denominator
- 474
- Average observed change score
- 21.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 49.2
- Denominator
- 474
- Average observed change score
- 50.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 421
- Denominator
- 474
- Facility rate
- 88.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 429
- Denominator
- 474
- Facility rate
- 90.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 530
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.014
- SIR 95% confidence interval - upper limit
- 1.424
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 9,442
- Predicted number of infections (B)
- 3.463
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.289
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 110
- Number of health care workers
- 143
- Rate of flu vaccination
- 76.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 54
- Number of eligible stays
- 502
- Unadjusted potentially preventable readmission rate
- 10.76
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.06
- Lower limit of the 95% confidence interval on the RSRR
- 7.56
- Upper limit of the 95% confidence interval on the RSRR
- 10.90
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 29
- Number of eligible stays
- 560
- Unadjusted potentially preventable readmission rate
- 5.18
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.64
- Lower limit of the 95% confidence interval on the RSRR
- 3.42
- Upper limit of the 95% confidence interval on the RSRR
- 6.33
- 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)
- 256
- Number of eligible stays
- 428
- Observed discharge to community rate
- 59.81
- Risk-standardized discharge to community rate
- 65.38
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.76
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.72
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.13
- Number of eligible episodes
- 562
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 511
- Denominator
- 530
- Facility rate
- 96.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 527
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 251
- Number of health care workers
- 270
- Rate of COVID-19 vaccination
- 93.0