About the Facility
- CMS Certification Number (CCN)
- 16T079
- Ownership Type
- Non-profit
- CMS Region
- Kansas City
- Certification Date
- Address
701 Tenth Street Se
- Phone Number
- (319) 398-6712
Facility Medical Condition Statistics
- All other conditions
- 110
- Brain disease or condition (non-traumatic)
- 28
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 73
- Hip or knee replacement, amputation or other bone or joint condition
- 58
- Nervous system disorder (excluding stroke)
- 46
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 73
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
- 654
- Predicted number of infections (B)
- 0.944
- 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
- 400
- Denominator
- 400
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.8
- Denominator
- 367
- Average observed change score
- 14.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 36.5
- Denominator
- 368
- Average observed change score
- 38.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 286
- Denominator
- 368
- Facility rate
- 77.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 297
- Denominator
- 368
- Facility rate
- 80.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 400
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.022
- SIR 95% confidence interval - upper limit
- 2.203
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,145
- Predicted number of infections (B)
- 2.238
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.447
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 30
- Number of health care workers
- 30
- Rate of flu vaccination
- 100.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 25
- Number of eligible stays
- 369
- Unadjusted potentially preventable readmission rate
- 6.78
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.88
- Lower limit of the 95% confidence interval on the RSRR
- 6.23
- Upper limit of the 95% confidence interval on the RSRR
- 9.68
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 21
- Number of eligible stays
- 415
- Unadjusted potentially preventable readmission rate
- 5.06
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.55
- Lower limit of the 95% confidence interval on the RSRR
- 3.84
- Upper limit of the 95% confidence interval on the RSRR
- 7.48
- 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)
- 234
- Number of eligible stays
- 331
- Observed discharge to community rate
- 70.69
- Risk-standardized discharge to community rate
- 66.40
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.07
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.27
- 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
- 373
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 399
- Denominator
- 400
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 399
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 31
- Number of health care workers
- 32
- Rate of COVID-19 vaccination
- 96.9