About the Facility
- CMS Certification Number (CCN)
- 673076
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
3100 Peters Colony Road
- Phone Number
- (469) 933-2855
Facility Medical Condition Statistics
- All other conditions
- 155
- Brain disease or condition (non-traumatic)
- 85
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- 56
- Hip or knee replacement, amputation or other bone or joint condition
- 107
- Nervous system disorder (excluding stroke)
- 115
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 49
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
- 2.231
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 935
- Predicted number of infections (B)
- 1.343
- 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
- 562
- Denominator
- 567
- Facility rate
- 99.1
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.4
- Denominator
- 486
- Average observed change score
- 13.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.4
- Denominator
- 485
- Average observed change score
- 31.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 303
- Denominator
- 486
- Facility rate
- 62.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 301
- Denominator
- 486
- Facility rate
- 61.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 567
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.200
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,039
- Predicted number of infections (B)
- 2.497
- 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
- 86
- Number of health care workers
- 180
- Rate of flu vaccination
- 47.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 65
- Number of eligible stays
- 453
- Unadjusted potentially preventable readmission rate
- 14.35
- Risk-standardized potentially preventable readmission rate (RSRR)
- 11.19
- Lower limit of the 95% confidence interval on the RSRR
- 9.51
- Upper limit of the 95% confidence interval on the RSRR
- 13.26
- Comparative performance category
- Worse than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 28
- Number of eligible stays
- 498
- Unadjusted potentially preventable readmission rate
- 5.62
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.54
- Lower limit of the 95% confidence interval on the RSRR
- 4.35
- Upper limit of the 95% confidence interval on the RSRR
- 7.64
- 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)
- 270
- Number of eligible stays
- 439
- Observed discharge to community rate
- 61.50
- Risk-standardized discharge to community rate
- 61.58
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.32
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.64
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 506
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 565
- Denominator
- 567
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 566
- Facility observed rate
- 1.8
- Facility risk-adjusted rate
- 1.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 150
- Number of health care workers
- 161
- Rate of COVID-19 vaccination
- 93.2