About the Facility
- CMS Certification Number (CCN)
- 673069
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
351 Seton Parkway
- Phone Number
- (737) 708-9800
Facility Medical Condition Statistics
- All other conditions
- 160
- Brain disease or condition (non-traumatic)
- 41
- Brain injury (traumatic)
- 21
- Hip or femur fracture
- 49
- Hip or knee replacement, amputation or other bone or joint condition
- 177
- Nervous system disorder (excluding stroke)
- 185
- Spinal cord disease or condition (non-traumatic)
- 34
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 105
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
- 2.908
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 952
- Predicted number of infections (B)
- 1.030
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 767
- Denominator
- 767
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.1
- Denominator
- 672
- Average observed change score
- 13.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.5
- Denominator
- 672
- Average observed change score
- 33.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 368
- Denominator
- 672
- Facility rate
- 54.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 417
- Denominator
- 672
- Facility rate
- 62.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 767
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.176
- SIR 95% confidence interval - upper limit
- 1.883
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 11,097
- Predicted number of infections (B)
- 4.337
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.692
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 199
- Number of health care workers
- 223
- Rate of flu vaccination
- 89.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 79
- Number of eligible stays
- 701
- Unadjusted potentially preventable readmission rate
- 11.27
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.50
- Lower limit of the 95% confidence interval on the RSRR
- 7.98
- Upper limit of the 95% confidence interval on the RSRR
- 11.08
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 32
- Number of eligible stays
- 768
- Unadjusted potentially preventable readmission rate
- 4.17
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.03
- Lower limit of the 95% confidence interval on the RSRR
- 3.00
- Upper limit of the 95% confidence interval on the RSRR
- 5.27
- 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)
- 406
- Number of eligible stays
- 595
- Observed discharge to community rate
- 68.24
- Risk-standardized discharge to community rate
- 70.67
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.93
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.30
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.11
- Number of eligible episodes
- 921
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 765
- Denominator
- 767
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 767
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 233
- Number of health care workers
- 247
- Rate of COVID-19 vaccination
- 94.3