About the Facility
- CMS Certification Number (CCN)
- 673060
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
900 W Arbrook Blvd
- Phone Number
- (682) 308-9867
Facility Medical Condition Statistics
- All other conditions
- 136
- Brain disease or condition (non-traumatic)
- 68
- Brain injury (traumatic)
- 32
- Hip or femur fracture
- 103
- Hip or knee replacement, amputation or other bone or joint condition
- 153
- Nervous system disorder (excluding stroke)
- 296
- Spinal cord disease or condition (non-traumatic)
- 43
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 117
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 658
- Predicted number of infections (B)
- 0.756
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 848
- Denominator
- 848
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.1
- Denominator
- 739
- Average observed change score
- 17.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.4
- Denominator
- 739
- Average observed change score
- 39.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 605
- Denominator
- 739
- Facility rate
- 81.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 585
- Denominator
- 739
- Facility rate
- 79.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 848
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.630
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 12,338
- Predicted number of infections (B)
- 4.758
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 125
- Number of health care workers
- 265
- Rate of flu vaccination
- 47.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 84
- Number of eligible stays
- 903
- Unadjusted potentially preventable readmission rate
- 9.30
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.77
- Lower limit of the 95% confidence interval on the RSRR
- 7.38
- Upper limit of the 95% confidence interval on the RSRR
- 10.32
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 50
- Number of eligible stays
- 995
- Unadjusted potentially preventable readmission rate
- 5.03
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.86
- Lower limit of the 95% confidence interval on the RSRR
- 3.92
- Upper limit of the 95% confidence interval on the RSRR
- 6.32
- 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)
- 527
- Number of eligible stays
- 763
- Observed discharge to community rate
- 69.07
- Risk-standardized discharge to community rate
- 71.59
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.75
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.54
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 973
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 847
- Denominator
- 848
- Facility rate
- 99.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 847
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- Not Available
- Number of health care workers
- Not Available
- Rate of COVID-19 vaccination
- Not Available