About the Facility
- CMS Certification Number (CCN)
- 673075
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
1600 E Cliff Dr
- Phone Number
- (915) 975-8630
Facility Medical Condition Statistics
- All other conditions
- 198
- Brain disease or condition (non-traumatic)
- 24
- Brain injury (traumatic)
- 24
- Hip or femur fracture
- 64
- Hip or knee replacement, amputation or other bone or joint condition
- 123
- Nervous system disorder (excluding stroke)
- 73
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 76
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
- 0.739
- Comparative performance category
- Better than the National Benchmark
- Catheter days
- 2,809
- Predicted number of infections (B)
- 4.055
- 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
- 554
- Denominator
- 555
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.0
- Denominator
- 481
- Average observed change score
- 10.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.1
- Denominator
- 480
- Average observed change score
- 23.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 191
- Denominator
- 481
- Facility rate
- 39.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 198
- Denominator
- 481
- Facility rate
- 41.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 555
- 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
- 0.791
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 8,860
- Predicted number of infections (B)
- 3.788
- 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
- 128
- Number of health care workers
- 191
- Rate of flu vaccination
- 67.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 21
- Number of eligible stays
- 234
- Unadjusted potentially preventable readmission rate
- 8.97
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.71
- Lower limit of the 95% confidence interval on the RSRR
- 6.93
- Upper limit of the 95% confidence interval on the RSRR
- 10.78
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 21
- Number of eligible stays
- 274
- Unadjusted potentially preventable readmission rate
- 7.66
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.85
- Lower limit of the 95% confidence interval on the RSRR
- 4.20
- Upper limit of the 95% confidence interval on the RSRR
- 8.04
- 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)
- 117
- Number of eligible stays
- 232
- Observed discharge to community rate
- 50.43
- Risk-standardized discharge to community rate
- 55.54
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 50.02
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.21
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 289
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 546
- Denominator
- 555
- Facility rate
- 98.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 554
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 166
- Number of health care workers
- 168
- Rate of COVID-19 vaccination
- 98.8