About the Facility
- CMS Certification Number (CCN)
- 673079
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
3600 South Loop 340 Highway
- Phone Number
- (254) 523-2200
Facility Medical Condition Statistics
- All other conditions
- 157
- Brain disease or condition (non-traumatic)
- 40
- Brain injury (traumatic)
- 33
- Hip or femur fracture
- 96
- Hip or knee replacement, amputation or other bone or joint condition
- 171
- Nervous system disorder (excluding stroke)
- 179
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 159
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
- 775
- Predicted number of infections (B)
- 0.835
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 827
- Denominator
- 827
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.5
- Denominator
- 734
- Average observed change score
- 16.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.6
- Denominator
- 734
- Average observed change score
- 38.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 556
- Denominator
- 734
- Facility rate
- 75.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 540
- Denominator
- 734
- Facility rate
- 73.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 5
- Denominator
- 827
- Facility rate
- 0.6
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.062
- SIR 95% confidence interval - upper limit
- 1.225
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 10,646
- Predicted number of infections (B)
- 5.392
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.371
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 165
- Number of health care workers
- 213
- Rate of flu vaccination
- 77.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 27
- Number of eligible stays
- 301
- Unadjusted potentially preventable readmission rate
- 8.97
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.50
- Lower limit of the 95% confidence interval on the RSRR
- 6.87
- Upper limit of the 95% confidence interval on the RSRR
- 10.43
- 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
- 332
- Unadjusted potentially preventable readmission rate
- 6.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.47
- Lower limit of the 95% confidence interval on the RSRR
- 3.77
- Upper limit of the 95% confidence interval on the RSRR
- 7.36
- 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)
- 211
- Number of eligible stays
- 298
- Observed discharge to community rate
- 70.81
- Risk-standardized discharge to community rate
- 71.70
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.05
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.25
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 419
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 820
- Denominator
- 827
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 824
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 151
- Number of health care workers
- 194
- Rate of COVID-19 vaccination
- 77.8