About the Facility
- CMS Certification Number (CCN)
- 673066
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
2121 Business Center Dr
- Phone Number
- (346) 907-3000
Facility Medical Condition Statistics
- All other conditions
- 195
- Brain disease or condition (non-traumatic)
- 110
- Brain injury (traumatic)
- 36
- Hip or femur fracture
- 92
- Hip or knee replacement, amputation or other bone or joint condition
- 189
- Nervous system disorder (excluding stroke)
- 188
- Spinal cord disease or condition (non-traumatic)
- 40
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 216
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.158
- SIR 95% confidence interval - upper limit
- 8.787
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 1,016
- Predicted number of infections (B)
- 1.098
- Number of infections reported (A)
- 4
- SIR (A/B)
- 3.643
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,034
- Denominator
- 1,034
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.6
- Denominator
- 903
- Average observed change score
- 15.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.6
- Denominator
- 903
- Average observed change score
- 34.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 752
- Denominator
- 903
- Facility rate
- 83.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 692
- Denominator
- 903
- Facility rate
- 76.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 4
- Denominator
- 1,034
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.049
- SIR 95% confidence interval - upper limit
- 0.959
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 17,137
- Predicted number of infections (B)
- 6.889
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.290
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 273
- Number of health care workers
- 383
- Rate of flu vaccination
- 71.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 103
- Number of eligible stays
- 882
- Unadjusted potentially preventable readmission rate
- 11.68
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.34
- Lower limit of the 95% confidence interval on the RSRR
- 8.02
- Upper limit of the 95% confidence interval on the RSRR
- 10.85
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 72
- Number of eligible stays
- 1,011
- Unadjusted potentially preventable readmission rate
- 7.12
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.74
- Lower limit of the 95% confidence interval on the RSRR
- 4.85
- Upper limit of the 95% confidence interval on the RSRR
- 6.74
- 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)
- 528
- Number of eligible stays
- 764
- Observed discharge to community rate
- 69.11
- Risk-standardized discharge to community rate
- 74.82
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.43
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.15
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 1,122
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,032
- Denominator
- 1,034
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 11
- Denominator
- 1,033
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 374
- Number of health care workers
- 401
- Rate of COVID-19 vaccination
- 93.3