About the Facility
- CMS Certification Number (CCN)
- 16T045
- Ownership Type
- Non-profit
- CMS Region
- Kansas City
- Certification Date
- Address
1026 a Avenue Ne
- Phone Number
- (319) 369-8096
Facility Medical Condition Statistics
- All other conditions
- 64
- Brain disease or condition (non-traumatic)
- 31
- Brain injury (traumatic)
- 17
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 20
- Nervous system disorder (excluding stroke)
- 37
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 94
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
- 268
- Predicted number of infections (B)
- 0.730
- 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
- 271
- Denominator
- 271
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.0
- Denominator
- 236
- Average observed change score
- 10.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.1
- Denominator
- 236
- Average observed change score
- 28.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 108
- Denominator
- 236
- Facility rate
- 45.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 127
- Denominator
- 236
- Facility rate
- 53.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 271
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.348
- SIR 95% confidence interval - upper limit
- 3.726
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,688
- Predicted number of infections (B)
- 2.192
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.369
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 404
- Number of health care workers
- 416
- Rate of flu vaccination
- 97.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 18
- Number of eligible stays
- 263
- Unadjusted potentially preventable readmission rate
- 6.84
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.46
- Lower limit of the 95% confidence interval on the RSRR
- 6.71
- Upper limit of the 95% confidence interval on the RSRR
- 10.55
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 14
- Number of eligible stays
- 294
- Unadjusted potentially preventable readmission rate
- 4.76
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.13
- Lower limit of the 95% confidence interval on the RSRR
- 3.77
- Upper limit of the 95% confidence interval on the RSRR
- 6.76
- 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)
- 161
- Number of eligible stays
- 242
- Observed discharge to community rate
- 66.53
- Risk-standardized discharge to community rate
- 64.59
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.84
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.09
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.89
- Number of eligible episodes
- 262
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 268
- Denominator
- 271
- Facility rate
- 98.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 271
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 704
- Number of health care workers
- 929
- Rate of COVID-19 vaccination
- 75.8