About the Facility
- CMS Certification Number (CCN)
- 16T153
- Ownership Type
- Non-profit
- CMS Region
- Kansas City
- Certification Date
- Address
801 5th Street
6nw, Room 6617
- Phone Number
- (712) 279-2023
Facility Medical Condition Statistics
- All other conditions
- 23
- Brain disease or condition (non-traumatic)
- 14
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 33
- Hip or knee replacement, amputation or other bone or joint condition
- 52
- Nervous system disorder (excluding stroke)
- 28
- 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
- 33
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
- 256
- Predicted number of infections (B)
- 0.529
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 182
- Denominator
- 182
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.8
- Denominator
- 163
- Average observed change score
- 11.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.0
- Denominator
- 164
- Average observed change score
- 31.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 91
- Denominator
- 164
- Facility rate
- 55.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 98
- Denominator
- 164
- Facility rate
- 59.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 182
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.275
- SIR 95% confidence interval - upper limit
- 5.417
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 2,699
- Predicted number of infections (B)
- 1.220
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.640
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 81
- Number of health care workers
- 98
- Rate of flu vaccination
- 82.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 16
- Number of eligible stays
- 251
- Unadjusted potentially preventable readmission rate
- 6.37
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.16
- Lower limit of the 95% confidence interval on the RSRR
- 6.49
- Upper limit of the 95% confidence interval on the RSRR
- 10.31
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 9
- Number of eligible stays
- 275
- Unadjusted potentially preventable readmission rate
- 3.27
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.48
- Lower limit of the 95% confidence interval on the RSRR
- 3.26
- Upper limit of the 95% confidence interval on the RSRR
- 6.02
- 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)
- 144
- Number of eligible stays
- 224
- Observed discharge to community rate
- 64.29
- Risk-standardized discharge to community rate
- 62.55
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.11
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.28
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.90
- Number of eligible episodes
- 234
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 178
- Denominator
- 182
- Facility rate
- 97.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 182
- Facility observed rate
- 2.7
- Facility risk-adjusted rate
- 3.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 96
- Number of health care workers
- 96
- Rate of COVID-19 vaccination
- 100.0