Mercyone North Iowa Medical Center


About the Facility

CMS Certification Number (CCN)
16T064
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
1000 4th St Sw
Phone Number
(641) 428-6182

Facility Medical Condition Statistics

All other conditions
Data not available for this reporting period.
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
-
Hip or knee replacement, amputation or other bone or joint condition
Data not available for this reporting period.
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
30

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
84
Predicted number of infections (B)
0.161
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
45
Denominator
45
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.5
Denominator
37
Average observed change score
11.5
Change in patients ability to move around
Average risk-adjusted change score
30.1
Denominator
37
Average observed change score
30.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
19
Denominator
37
Facility rate
51.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
21
Denominator
37
Facility rate
56.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
45
Facility rate
0.0
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
925
Predicted number of infections (B)
0.404
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
0
Number of health care workers
310
Rate of flu vaccination
0.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
1
Number of eligible stays
55
Unadjusted potentially preventable readmission rate
1.82
Risk-standardized potentially preventable readmission rate (RSRR)
8.22
Lower limit of the 95% confidence interval on the RSRR
6.14
Upper limit of the 95% confidence interval on the RSRR
10.80
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
1
Number of eligible stays
59
Unadjusted potentially preventable readmission rate
1.69
Risk-standardized potentially preventable readmission rate (RSRR)
4.63
Lower limit of the 95% confidence interval on the RSRR
2.86
Upper limit of the 95% confidence interval on the RSRR
7.93
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)
22
Number of eligible stays
51
Observed discharge to community rate
43.14
Risk-standardized discharge to community rate
55.10
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
45.83
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.61
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.00
Number of eligible episodes
60
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
44
Denominator
45
Facility rate
97.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
45
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
237
Number of health care workers
255
Rate of COVID-19 vaccination
92.9