St. Lukes Regional Medical Center


About the Facility

CMS Certification Number (CCN)
16T146
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
2720 Stone Park Blvd
Phone Number
(712) 279-7008

Facility Medical Condition Statistics

All other conditions
59
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
18
Hip or knee replacement, amputation or other bone or joint condition
12
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)
Data not available for this reporting period.
Stroke
56

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
263
Predicted number of infections (B)
0.701
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
162
Denominator
162
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
9.6
Denominator
144
Average observed change score
9.1
Change in patients ability to move around
Average risk-adjusted change score
22.0
Denominator
144
Average observed change score
21.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
53
Denominator
144
Facility rate
36.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
36
Denominator
144
Facility rate
25.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
162
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
2,494
Predicted number of infections (B)
0.814
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
69
Number of health care workers
71
Rate of flu vaccination
97.2
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
177
Unadjusted potentially preventable readmission rate
10.17
Risk-standardized potentially preventable readmission rate (RSRR)
9.15
Lower limit of the 95% confidence interval on the RSRR
7.14
Upper limit of the 95% confidence interval on the RSRR
11.70
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
6
Number of eligible stays
191
Unadjusted potentially preventable readmission rate
3.14
Risk-standardized potentially preventable readmission rate (RSRR)
4.54
Lower limit of the 95% confidence interval on the RSRR
2.72
Upper limit of the 95% confidence interval on the RSRR
7.23
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)
91
Number of eligible stays
148
Observed discharge to community rate
61.49
Risk-standardized discharge to community rate
60.83
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
54.22
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.34
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
173
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
138
Denominator
162
Facility rate
85.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
161
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
61
Number of health care workers
66
Rate of COVID-19 vaccination
92.4