About the Facility
- CMS Certification Number (CCN)
- 673055
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2301 Marsh Lane Suite 200
- Phone Number
- (972) 899-5510
Facility Medical Condition Statistics
- All other conditions
- 92
- Brain disease or condition (non-traumatic)
- 54
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- 60
- Hip or knee replacement, amputation or other bone or joint condition
- 144
- Nervous system disorder (excluding stroke)
- 183
- 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
- 55
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.718
- SIR 95% confidence interval - upper limit
- 7.681
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 737
- Predicted number of infections (B)
- 1.063
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.822
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 604
- Denominator
- 604
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.1
- Denominator
- 510
- Average observed change score
- 10.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.9
- Denominator
- 510
- Average observed change score
- 28.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 187
- Denominator
- 510
- Facility rate
- 36.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 223
- Denominator
- 510
- Facility rate
- 43.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 604
- Facility rate
- 0.7
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.114
- SIR 95% confidence interval - upper limit
- 2.253
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,572
- Predicted number of infections (B)
- 2.933
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.682
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 184
- Number of health care workers
- 252
- Rate of flu vaccination
- 73.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 71
- Number of eligible stays
- 639
- Unadjusted potentially preventable readmission rate
- 11.11
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.51
- Lower limit of the 95% confidence interval on the RSRR
- 8.05
- Upper limit of the 95% confidence interval on the RSRR
- 11.14
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 54
- Number of eligible stays
- 729
- Unadjusted potentially preventable readmission rate
- 7.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.56
- Lower limit of the 95% confidence interval on the RSRR
- 4.93
- Upper limit of the 95% confidence interval on the RSRR
- 7.98
- 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)
- 328
- Number of eligible stays
- 580
- Observed discharge to community rate
- 56.55
- Risk-standardized discharge to community rate
- 57.79
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 53.92
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.39
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 752
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 604
- Denominator
- 604
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 603
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 200
- Number of health care workers
- 217
- Rate of COVID-19 vaccination
- 92.2