About the Facility
- CMS Certification Number (CCN)
- 16T033
- Ownership Type
- Non-profit
- CMS Region
- Kansas City
- Certification Date
- Address
1227 E. Rusholme St
- Phone Number
- (563) 343-1267
Facility Medical Condition Statistics
- All other conditions
- 113
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- 24
- Hip or femur fracture
- 21
- Hip or knee replacement, amputation or other bone or joint condition
- 61
- Nervous system disorder (excluding stroke)
- 36
- Spinal cord disease or condition (non-traumatic)
- 20
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 105
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.673
- SIR 95% confidence interval - upper limit
- 8.583
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 631
- Predicted number of infections (B)
- 1.454
- Number of infections reported (A)
- 6
- SIR (A/B)
- 4.127
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 405
- Denominator
- 406
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.9
- Denominator
- 349
- Average observed change score
- 12.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.8
- Denominator
- 349
- Average observed change score
- 37.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 210
- Denominator
- 349
- Facility rate
- 60.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 267
- Denominator
- 349
- Facility rate
- 76.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 406
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.016
- SIR 95% confidence interval - upper limit
- 1.552
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,664
- Predicted number of infections (B)
- 3.177
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.315
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 55
- Number of health care workers
- 57
- Rate of flu vaccination
- 96.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 37
- Number of eligible stays
- 430
- Unadjusted potentially preventable readmission rate
- 8.60
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.76
- Lower limit of the 95% confidence interval on the RSRR
- 7.21
- Upper limit of the 95% confidence interval on the RSRR
- 10.76
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 18
- Number of eligible stays
- 461
- Unadjusted potentially preventable readmission rate
- 3.90
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.54
- Lower limit of the 95% confidence interval on the RSRR
- 3.35
- Upper limit of the 95% confidence interval on the RSRR
- 5.92
- 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)
- 255
- Number of eligible stays
- 369
- Observed discharge to community rate
- 69.11
- Risk-standardized discharge to community rate
- 67.17
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.09
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.82
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.88
- Number of eligible episodes
- 447
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 395
- Denominator
- 406
- Facility rate
- 97.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 406
- Facility observed rate
- 1.0
- Facility risk-adjusted rate
- 1.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 40
- Number of health care workers
- 74
- Rate of COVID-19 vaccination
- 54.1