About the Facility
- CMS Certification Number (CCN)
- 673048
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
425 Alabama Avenue
- Phone Number
- (817) 820-3400
Facility Medical Condition Statistics
- All other conditions
- 132
- Brain disease or condition (non-traumatic)
- 89
- Brain injury (traumatic)
- 69
- Hip or femur fracture
- 128
- Hip or knee replacement, amputation or other bone or joint condition
- 207
- Nervous system disorder (excluding stroke)
- 181
- Spinal cord disease or condition (non-traumatic)
- 61
- Spinal cord injury (traumatic)
- 11
- Stroke
- 284
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.114
- SIR 95% confidence interval - upper limit
- 2.254
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,437
- Predicted number of infections (B)
- 2.931
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.682
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,110
- Denominator
- 1,110
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.6
- Denominator
- 990
- Average observed change score
- 17.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.9
- Denominator
- 990
- Average observed change score
- 39.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 862
- Denominator
- 990
- Facility rate
- 87.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 803
- Denominator
- 990
- Facility rate
- 81.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 1,110
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.100
- SIR 95% confidence interval - upper limit
- 1.074
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 18,344
- Predicted number of infections (B)
- 7.605
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.394
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- Not Available
- Number of health care workers
- Not Available
- Rate of flu vaccination
- Not Available
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 91
- Number of eligible stays
- 950
- Unadjusted potentially preventable readmission rate
- 9.58
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.12
- Lower limit of the 95% confidence interval on the RSRR
- 7.79
- Upper limit of the 95% confidence interval on the RSRR
- 10.66
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 48
- Number of eligible stays
- 1,048
- Unadjusted potentially preventable readmission rate
- 4.58
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.52
- Lower limit of the 95% confidence interval on the RSRR
- 3.78
- Upper limit of the 95% confidence interval on the RSRR
- 5.59
- 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)
- 568
- Number of eligible stays
- 840
- Observed discharge to community rate
- 67.62
- Risk-standardized discharge to community rate
- 70.73
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.74
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.62
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 1,067
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,105
- Denominator
- 1,110
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 1,108
- Facility observed rate
- 0.1
- Facility risk-adjusted rate
- 0.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 256
- Number of health care workers
- 280
- Rate of COVID-19 vaccination
- 91.4