About the Facility
- CMS Certification Number (CCN)
- 673046
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2990 Legacy Drive
- Phone Number
- (469) 888-5100
Facility Medical Condition Statistics
- All other conditions
- 205
- Brain disease or condition (non-traumatic)
- 31
- Brain injury (traumatic)
- 29
- Hip or femur fracture
- 143
- Hip or knee replacement, amputation or other bone or joint condition
- 160
- Nervous system disorder (excluding stroke)
- 55
- Spinal cord disease or condition (non-traumatic)
- 50
- Spinal cord injury (traumatic)
- 11
- Stroke
- 121
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.033
- SIR 95% confidence interval - upper limit
- 3.207
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 993
- Predicted number of infections (B)
- 1.538
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.650
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 795
- Denominator
- 795
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.0
- Denominator
- 714
- Average observed change score
- 12.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.0
- Denominator
- 714
- Average observed change score
- 35.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 372
- Denominator
- 714
- Facility rate
- 52.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 415
- Denominator
- 714
- Facility rate
- 58.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 795
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.184
- SIR 95% confidence interval - upper limit
- 1.394
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 14,843
- Predicted number of infections (B)
- 6.922
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.578
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 302
- Number of health care workers
- 341
- Rate of flu vaccination
- 88.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 57
- Number of eligible stays
- 949
- Unadjusted potentially preventable readmission rate
- 6.01
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.72
- Lower limit of the 95% confidence interval on the RSRR
- 6.46
- Upper limit of the 95% confidence interval on the RSRR
- 9.30
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 44
- Number of eligible stays
- 1,029
- Unadjusted potentially preventable readmission rate
- 4.28
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.92
- Lower limit of the 95% confidence interval on the RSRR
- 3.61
- Upper limit of the 95% confidence interval on the RSRR
- 6.06
- 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)
- 650
- Number of eligible stays
- 845
- Observed discharge to community rate
- 76.92
- Risk-standardized discharge to community rate
- 73.11
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.62
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.57
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 949
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 795
- Denominator
- 795
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 792
- 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
- 256
- Number of health care workers
- 287
- Rate of COVID-19 vaccination
- 89.2