About the Facility
- CMS Certification Number (CCN)
- 16T067
- Ownership Type
- Non-profit
- CMS Region
- Kansas City
- Certification Date
- Address
3421 West Ninth Street
- Phone Number
- (319) 272-7929
Facility Medical Condition Statistics
- All other conditions
- 24
- Brain disease or condition (non-traumatic)
- 15
- Brain injury (traumatic)
- 21
- Hip or femur fracture
- 11
- Hip or knee replacement, amputation or other bone or joint condition
- 20
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 24
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 50
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.034
- SIR 95% confidence interval - upper limit
- 3.397
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 533
- Predicted number of infections (B)
- 1.452
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.689
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 167
- Denominator
- 167
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.5
- Denominator
- 146
- Average observed change score
- 12.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.2
- Denominator
- 148
- Average observed change score
- 31.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 94
- Denominator
- 148
- Facility rate
- 63.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 91
- Denominator
- 148
- Facility rate
- 61.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 167
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.513
- SIR 95% confidence interval - upper limit
- 5.491
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,859
- Predicted number of infections (B)
- 1.487
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.018
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 126
- Number of health care workers
- 137
- Rate of flu vaccination
- 92.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 8
- Number of eligible stays
- 127
- Unadjusted potentially preventable readmission rate
- 6.30
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.59
- Lower limit of the 95% confidence interval on the RSRR
- 6.63
- Upper limit of the 95% confidence interval on the RSRR
- 11.16
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 3
- Number of eligible stays
- 135
- Unadjusted potentially preventable readmission rate
- 2.22
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.42
- Lower limit of the 95% confidence interval on the RSRR
- 2.80
- Upper limit of the 95% confidence interval on the RSRR
- 7.03
- 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)
- 77
- Number of eligible stays
- 114
- Observed discharge to community rate
- 67.54
- Risk-standardized discharge to community rate
- 65.24
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.72
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.90
- 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
- 133
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 165
- Denominator
- 167
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 167
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 28
- Number of health care workers
- 30
- Rate of COVID-19 vaccination
- 93.3