About the Facility
- CMS Certification Number (CCN)
- 713028
- Ownership Type
- For Profit
- CMS Region
- Dallas
- Certification Date
- Address
8650 Millicent Way
- Phone Number
- (318) 642-8100
Facility Medical Condition Statistics
- All other conditions
- 139
- Brain disease or condition (non-traumatic)
- 65
- Brain injury (traumatic)
- 22
- Hip or femur fracture
- 34
- Hip or knee replacement, amputation or other bone or joint condition
- 136
- Nervous system disorder (excluding stroke)
- 175
- Spinal cord disease or condition (non-traumatic)
- 19
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 91
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
- 1.422
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,610
- Predicted number of infections (B)
- 2.106
- 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
- 663
- Denominator
- 664
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 16.2
- Denominator
- 547
- Average observed change score
- 15.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.5
- Denominator
- 547
- Average observed change score
- 33.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 494
- Denominator
- 547
- Facility rate
- 90.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 452
- Denominator
- 547
- Facility rate
- 82.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 664
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.264
- SIR 95% confidence interval - upper limit
- 2.001
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 12,838
- Predicted number of infections (B)
- 4.822
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.829
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 129
- Number of health care workers
- 251
- Rate of flu vaccination
- 51.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 48
- Number of eligible stays
- 387
- Unadjusted potentially preventable readmission rate
- 12.40
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.96
- Lower limit of the 95% confidence interval on the RSRR
- 8.27
- Upper limit of the 95% confidence interval on the RSRR
- 12.11
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 40
- Number of eligible stays
- 446
- Unadjusted potentially preventable readmission rate
- 8.97
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.25
- Lower limit of the 95% confidence interval on the RSRR
- 5.99
- Upper limit of the 95% confidence interval on the RSRR
- 9.46
- Comparative performance category
- Worse than the National Rate
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- 240
- Number of eligible stays
- 413
- Observed discharge to community rate
- 58.11
- Risk-standardized discharge to community rate
- 60.49
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 56.37
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.73
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.04
- Number of eligible episodes
- 443
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 661
- Denominator
- 664
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 16
- Denominator
- 662
- Facility observed rate
- 2.4
- Facility risk-adjusted rate
- 2.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 171
- Number of health care workers
- 215
- Rate of COVID-19 vaccination
- 79.5