About the Facility
- CMS Certification Number (CCN)
- 673052
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
20180 Chasewood Park Drive
- Phone Number
- (972) 308-8567
Facility Medical Condition Statistics
- All other conditions
- 207
- Brain disease or condition (non-traumatic)
- 126
- Brain injury (traumatic)
- 28
- Hip or femur fracture
- 95
- Hip or knee replacement, amputation or other bone or joint condition
- 211
- Nervous system disorder (excluding stroke)
- 308
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 151
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.602
- SIR 95% confidence interval - upper limit
- 8.221
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 1,405
- Predicted number of infections (B)
- 1.518
- Number of infections reported (A)
- 6
- SIR (A/B)
- 3.953
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,131
- Denominator
- 1,133
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.7
- Denominator
- 1,002
- Average observed change score
- 14.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.3
- Denominator
- 1,002
- Average observed change score
- 37.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 699
- Denominator
- 1,002
- Facility rate
- 69.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 782
- Denominator
- 1,002
- Facility rate
- 78.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 1,133
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.525
- SIR 95% confidence interval - upper limit
- 2.373
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 16,101
- Predicted number of infections (B)
- 5.835
- Number of infections reported (A)
- 7
- SIR (A/B)
- 1.200
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 250
- Number of health care workers
- 324
- Rate of flu vaccination
- 77.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 158
- Number of eligible stays
- 1,206
- Unadjusted potentially preventable readmission rate
- 13.10
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.40
- Lower limit of the 95% confidence interval on the RSRR
- 9.21
- Upper limit of the 95% confidence interval on the RSRR
- 11.76
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 45
- Number of eligible stays
- 1,303
- Unadjusted potentially preventable readmission rate
- 3.45
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.48
- Lower limit of the 95% confidence interval on the RSRR
- 2.78
- Upper limit of the 95% confidence interval on the RSRR
- 4.39
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 743
- Number of eligible stays
- 1,076
- Observed discharge to community rate
- 69.05
- Risk-standardized discharge to community rate
- 73.38
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.55
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.06
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.09
- Number of eligible episodes
- 1,412
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,125
- Denominator
- 1,133
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 1,128
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 270
- Number of health care workers
- 312
- Rate of COVID-19 vaccination
- 86.5