About the Facility
- CMS Certification Number (CCN)
- 713026
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
621 Columbia Street
- Phone Number
- (337) 254-4535
Facility Medical Condition Statistics
- All other conditions
- 93
- Brain disease or condition (non-traumatic)
- 11
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 26
- Nervous system disorder (excluding stroke)
- 55
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 38
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
- 47
- Predicted number of infections (B)
- 0.067
- 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
- 236
- Denominator
- 236
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.0
- Denominator
- 203
- Average observed change score
- 8.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 17.9
- Denominator
- 205
- Average observed change score
- 10.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 102
- Denominator
- 205
- Facility rate
- 49.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 33
- Denominator
- 205
- Facility rate
- 16.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 236
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 1,384
- Predicted number of infections (B)
- 0.592
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 32
- Number of health care workers
- 82
- Rate of flu vaccination
- 39.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 10
- Number of eligible stays
- 93
- Unadjusted potentially preventable readmission rate
- 10.75
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.55
- Lower limit of the 95% confidence interval on the RSRR
- 6.65
- Upper limit of the 95% confidence interval on the RSRR
- 10.85
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 12
- Number of eligible stays
- 110
- Unadjusted potentially preventable readmission rate
- 10.91
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.62
- Lower limit of the 95% confidence interval on the RSRR
- 4.63
- Upper limit of the 95% confidence interval on the RSRR
- 10.45
- 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)
- 39
- Number of eligible stays
- 85
- Observed discharge to community rate
- 45.88
- Risk-standardized discharge to community rate
- 54.92
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 46.83
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.21
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.25
- Number of eligible episodes
- 269
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 219
- Denominator
- 236
- Facility rate
- 92.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 236
- 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
- 26
- Number of health care workers
- 46
- Rate of COVID-19 vaccination
- 56.5