About the Facility
- CMS Certification Number (CCN)
- 713025
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
64030 Hwy 434, 1st and 2nd Floor of the Tower
- Phone Number
- (985) 218-4660
Facility Medical Condition Statistics
- All other conditions
- 96
- Brain disease or condition (non-traumatic)
- 24
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- 68
- Hip or knee replacement, amputation or other bone or joint condition
- 73
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 29
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 107
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
- 143
- Predicted number of infections (B)
- 0.298
- 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
- 408
- Denominator
- 408
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.7
- Denominator
- 368
- Average observed change score
- 13.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.7
- Denominator
- 368
- Average observed change score
- 31.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 178
- Denominator
- 368
- Facility rate
- 48.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 189
- Denominator
- 368
- Facility rate
- 51.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 408
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.343
- SIR 95% confidence interval - upper limit
- 3.675
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,718
- Predicted number of infections (B)
- 2.222
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.350
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 115
- Number of health care workers
- 144
- Rate of flu vaccination
- 79.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 31
- Number of eligible stays
- 333
- Unadjusted potentially preventable readmission rate
- 9.31
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.21
- Lower limit of the 95% confidence interval on the RSRR
- 7.38
- Upper limit of the 95% confidence interval on the RSRR
- 11.34
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 358
- Unadjusted potentially preventable readmission rate
- 2.79
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.93
- Lower limit of the 95% confidence interval on the RSRR
- 2.71
- Upper limit of the 95% confidence interval on the RSRR
- 5.63
- 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)
- 218
- Number of eligible stays
- 287
- Observed discharge to community rate
- 75.96
- Risk-standardized discharge to community rate
- 74.51
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.54
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.68
- 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
- 325
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 405
- Denominator
- 408
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 407
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 129
- Number of health care workers
- 156
- Rate of COVID-19 vaccination
- 82.7