About the Facility
- CMS Certification Number (CCN)
- 673077
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
791 S Main Street
- Phone Number
- (817) 562-9700
Facility Medical Condition Statistics
- All other conditions
- 191
- Brain disease or condition (non-traumatic)
- 41
- Brain injury (traumatic)
- 12
- Hip or femur fracture
- 103
- Hip or knee replacement, amputation or other bone or joint condition
- 135
- Nervous system disorder (excluding stroke)
- 106
- Spinal cord disease or condition (non-traumatic)
- 21
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 115
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
- 670
- Predicted number of infections (B)
- 0.724
- 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
- 641
- Denominator
- 642
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.8
- Denominator
- 575
- Average observed change score
- 16.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 39.8
- Denominator
- 575
- Average observed change score
- 40.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 504
- Denominator
- 575
- Facility rate
- 87.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 517
- Denominator
- 575
- Facility rate
- 89.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 642
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.018
- SIR 95% confidence interval - upper limit
- 1.728
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,166
- Predicted number of infections (B)
- 2.854
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.350
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 100
- Number of health care workers
- 136
- Rate of flu vaccination
- 73.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 51
- Number of eligible stays
- 491
- Unadjusted potentially preventable readmission rate
- 10.39
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.78
- Lower limit of the 95% confidence interval on the RSRR
- 8.00
- Upper limit of the 95% confidence interval on the RSRR
- 11.70
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 18
- Number of eligible stays
- 524
- Unadjusted potentially preventable readmission rate
- 3.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.24
- Lower limit of the 95% confidence interval on the RSRR
- 3.18
- Upper limit of the 95% confidence interval on the RSRR
- 5.82
- 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)
- 348
- Number of eligible stays
- 473
- Observed discharge to community rate
- 73.57
- Risk-standardized discharge to community rate
- 71.07
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.33
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.54
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 524
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 640
- Denominator
- 642
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 641
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 108
- Number of health care workers
- 121
- Rate of COVID-19 vaccination
- 89.3