About the Facility
- CMS Certification Number (CCN)
- 673070
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
5406 Colgate Street
- Phone Number
- (806) 507-3500
Facility Medical Condition Statistics
- All other conditions
- 237
- Brain disease or condition (non-traumatic)
- 50
- Brain injury (traumatic)
- 39
- Hip or femur fracture
- 134
- Hip or knee replacement, amputation or other bone or joint condition
- 265
- Nervous system disorder (excluding stroke)
- 445
- Spinal cord disease or condition (non-traumatic)
- 43
- Spinal cord injury (traumatic)
- 14
- Stroke
- 139
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.329
- SIR 95% confidence interval - upper limit
- 3.521
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 2,147
- Predicted number of infections (B)
- 2.319
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.294
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,342
- Denominator
- 1,342
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.7
- Denominator
- 1,171
- Average observed change score
- 16.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.0
- Denominator
- 1,171
- Average observed change score
- 38.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 904
- Denominator
- 1,171
- Facility rate
- 77.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 888
- Denominator
- 1,171
- Facility rate
- 75.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 8
- Denominator
- 1,342
- Facility rate
- 0.6
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.943
- SIR 95% confidence interval - upper limit
- 2.826
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 22,215
- Predicted number of infections (B)
- 7.669
- Number of infections reported (A)
- 13
- SIR (A/B)
- 1.695
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 308
- Number of health care workers
- 346
- Rate of flu vaccination
- 89.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 97
- Number of eligible stays
- 947
- Unadjusted potentially preventable readmission rate
- 10.24
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.83
- Lower limit of the 95% confidence interval on the RSRR
- 7.56
- Upper limit of the 95% confidence interval on the RSRR
- 10.27
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 54
- Number of eligible stays
- 1,062
- Unadjusted potentially preventable readmission rate
- 5.08
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.50
- Lower limit of the 95% confidence interval on the RSRR
- 3.55
- Upper limit of the 95% confidence interval on the RSRR
- 5.56
- 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)
- 564
- Number of eligible stays
- 851
- Observed discharge to community rate
- 66.27
- Risk-standardized discharge to community rate
- 70.35
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.82
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.59
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 1,308
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,312
- Denominator
- 1,342
- Facility rate
- 97.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 14
- Denominator
- 1,337
- Facility observed rate
- 1.0
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 220
- Number of health care workers
- 289
- Rate of COVID-19 vaccination
- 76.1