About the Facility
- CMS Certification Number (CCN)
- 673073
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
701 E Loop 281
- Phone Number
- (430) 240-4600
Facility Medical Condition Statistics
- All other conditions
- 228
- Brain disease or condition (non-traumatic)
- 84
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 71
- Hip or knee replacement, amputation or other bone or joint condition
- 131
- Nervous system disorder (excluding stroke)
- 100
- Spinal cord disease or condition (non-traumatic)
- 19
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 61
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
- 735
- Predicted number of infections (B)
- 0.794
- 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
- 620
- Denominator
- 629
- Facility rate
- 98.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.4
- Denominator
- 539
- Average observed change score
- 13.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.4
- Denominator
- 539
- Average observed change score
- 35.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 340
- Denominator
- 539
- Facility rate
- 63.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 341
- Denominator
- 539
- Facility rate
- 63.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 629
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.429
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,529
- Predicted number of infections (B)
- 2.097
- 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
- 48
- Number of health care workers
- 95
- Rate of flu vaccination
- 50.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 71
- Number of eligible stays
- 701
- Unadjusted potentially preventable readmission rate
- 10.13
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.68
- Lower limit of the 95% confidence interval on the RSRR
- 8.05
- Upper limit of the 95% confidence interval on the RSRR
- 11.49
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 45
- Number of eligible stays
- 804
- Unadjusted potentially preventable readmission rate
- 5.60
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.91
- Lower limit of the 95% confidence interval on the RSRR
- 4.34
- Upper limit of the 95% confidence interval on the RSRR
- 7.98
- 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)
- 423
- Number of eligible stays
- 654
- Observed discharge to community rate
- 64.68
- Risk-standardized discharge to community rate
- 61.91
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.39
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.92
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.22
- Number of eligible episodes
- 819
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 613
- Denominator
- 629
- Facility rate
- 97.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 626
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 108
- Number of health care workers
- 132
- Rate of COVID-19 vaccination
- 81.8