About the Facility
- CMS Certification Number (CCN)
- 673062
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
703 Eureka Street
- Phone Number
- (682) 803-0100
Facility Medical Condition Statistics
- All other conditions
- 144
- Brain disease or condition (non-traumatic)
- 39
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 91
- Hip or knee replacement, amputation or other bone or joint condition
- 116
- Nervous system disorder (excluding stroke)
- 115
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 89
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
- 418
- Predicted number of infections (B)
- 0.451
- 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
- 587
- Denominator
- 587
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.6
- Denominator
- 494
- Average observed change score
- 17.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 39.6
- Denominator
- 494
- Average observed change score
- 42.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 414
- Denominator
- 494
- Facility rate
- 83.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 386
- Denominator
- 494
- Facility rate
- 78.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 587
- 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
- 1.598
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,183
- Predicted number of infections (B)
- 1.875
- 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
- 60
- Number of health care workers
- 127
- 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
- 59
- Number of eligible stays
- 552
- Unadjusted potentially preventable readmission rate
- 10.69
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.04
- Lower limit of the 95% confidence interval on the RSRR
- 8.26
- Upper limit of the 95% confidence interval on the RSRR
- 12.27
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 66
- Number of eligible stays
- 641
- Unadjusted potentially preventable readmission rate
- 10.30
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.35
- Lower limit of the 95% confidence interval on the RSRR
- 7.62
- Upper limit of the 95% confidence interval on the RSRR
- 12.11
- 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)
- 354
- Number of eligible stays
- 534
- Observed discharge to community rate
- 66.29
- Risk-standardized discharge to community rate
- 65.09
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.38
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.65
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 667
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 550
- Denominator
- 587
- Facility rate
- 93.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 587
- Facility observed rate
- 1.0
- Facility risk-adjusted rate
- 1.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 87
- Number of health care workers
- 118
- Rate of COVID-19 vaccination
- 73.7