About the Facility
- CMS Certification Number (CCN)
- 673054
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
330 W Ben White Blvd
- Phone Number
- (972) 308-8567
Facility Medical Condition Statistics
- All other conditions
- 196
- Brain disease or condition (non-traumatic)
- 113
- Brain injury (traumatic)
- 37
- Hip or femur fracture
- 79
- Hip or knee replacement, amputation or other bone or joint condition
- 207
- Nervous system disorder (excluding stroke)
- 227
- Spinal cord disease or condition (non-traumatic)
- 20
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 134
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.290
- SIR 95% confidence interval - upper limit
- 5.716
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,072
- Predicted number of infections (B)
- 1.156
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.730
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 986
- Denominator
- 986
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 855
- Average observed change score
- 14.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.8
- Denominator
- 855
- Average observed change score
- 34.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 620
- Denominator
- 855
- Facility rate
- 72.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 614
- Denominator
- 855
- Facility rate
- 71.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 986
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.464
- SIR 95% confidence interval - upper limit
- 2.379
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 14,092
- Predicted number of infections (B)
- 5.247
- Number of infections reported (A)
- 6
- SIR (A/B)
- 1.144
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 278
- Number of health care workers
- 370
- Rate of flu vaccination
- 75.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 80
- Number of eligible stays
- 903
- Unadjusted potentially preventable readmission rate
- 8.86
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.69
- Lower limit of the 95% confidence interval on the RSRR
- 7.39
- Upper limit of the 95% confidence interval on the RSRR
- 10.20
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 78
- Number of eligible stays
- 1,050
- Unadjusted potentially preventable readmission rate
- 7.43
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.18
- Lower limit of the 95% confidence interval on the RSRR
- 5.83
- Upper limit of the 95% confidence interval on the RSRR
- 8.72
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 586
- Number of eligible stays
- 829
- Observed discharge to community rate
- 70.69
- Risk-standardized discharge to community rate
- 70.81
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.92
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.57
- 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
- 1,359
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 984
- Denominator
- 986
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 35
- Denominator
- 979
- Facility observed rate
- 3.6
- Facility risk-adjusted rate
- 3.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 313
- Number of health care workers
- 342
- Rate of COVID-19 vaccination
- 91.5