About the Facility
- CMS Certification Number (CCN)
- 673078
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
6046 Appaloosa Trail
- Phone Number
- (325) 284-4000
Facility Medical Condition Statistics
- All other conditions
- 124
- Brain disease or condition (non-traumatic)
- 68
- Brain injury (traumatic)
- 35
- Hip or femur fracture
- 70
- Hip or knee replacement, amputation or other bone or joint condition
- 173
- Nervous system disorder (excluding stroke)
- 146
- Spinal cord disease or condition (non-traumatic)
- 27
- 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
- 2.668
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 895
- Predicted number of infections (B)
- 1.123
- 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
- 743
- Denominator
- 743
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.2
- Denominator
- 637
- Average observed change score
- 16.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.8
- Denominator
- 637
- Average observed change score
- 39.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 522
- Denominator
- 637
- Facility rate
- 81.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 533
- Denominator
- 637
- Facility rate
- 83.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 743
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.012
- SIR 95% confidence interval - upper limit
- 1.143
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 11,944
- Predicted number of infections (B)
- 4.315
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.232
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 171
- Number of health care workers
- 232
- Rate of flu vaccination
- 73.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 57
- Number of eligible stays
- 658
- Unadjusted potentially preventable readmission rate
- 8.66
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.64
- Lower limit of the 95% confidence interval on the RSRR
- 7.15
- Upper limit of the 95% confidence interval on the RSRR
- 10.34
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 17
- Number of eligible stays
- 708
- Unadjusted potentially preventable readmission rate
- 2.40
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.54
- Lower limit of the 95% confidence interval on the RSRR
- 2.48
- Upper limit of the 95% confidence interval on the RSRR
- 4.87
- Comparative performance category
- Better than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 474
- Number of eligible stays
- 649
- Observed discharge to community rate
- 73.04
- Risk-standardized discharge to community rate
- 71.23
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.82
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.08
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 760
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 738
- Denominator
- 743
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 18
- Denominator
- 738
- Facility observed rate
- 2.4
- Facility risk-adjusted rate
- 2.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 133
- Number of health care workers
- 200
- Rate of COVID-19 vaccination
- 66.5