Ascension Via Christi Rehabilitation Hospital, Inc


About the Facility

CMS Certification Number (CCN)
173028
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
1151 N Rock Road
Phone Number
(316) 268-5000

Facility Medical Condition Statistics

All other conditions
157
Brain disease or condition (non-traumatic)
24
Brain injury (traumatic)
17
Hip or femur fracture
28
Hip or knee replacement, amputation or other bone or joint condition
63
Nervous system disorder (excluding stroke)
23
Spinal cord disease or condition (non-traumatic)
37
Spinal cord injury (traumatic)
-
Stroke
170

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
207
Predicted number of infections (B)
0.423
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
508
Denominator
508
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.8
Denominator
439
Average observed change score
12.8
Change in patients ability to move around
Average risk-adjusted change score
25.4
Denominator
439
Average observed change score
28.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
243
Denominator
439
Facility rate
55.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
182
Denominator
439
Facility rate
41.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
508
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.076
SIR 95% confidence interval - upper limit
1.492
Comparative performance category
No Different than the National Benchmark
Patient days
9,988
Predicted number of infections (B)
4.428
Number of infections reported (A)
2
SIR (A/B)
0.452
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
152
Number of health care workers
162
Rate of flu vaccination
93.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
26
Number of eligible stays
570
Unadjusted potentially preventable readmission rate
4.56
Risk-standardized potentially preventable readmission rate (RSRR)
6.98
Lower limit of the 95% confidence interval on the RSRR
5.56
Upper limit of the 95% confidence interval on the RSRR
8.68
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
17
Number of eligible stays
612
Unadjusted potentially preventable readmission rate
2.78
Risk-standardized potentially preventable readmission rate (RSRR)
4.05
Lower limit of the 95% confidence interval on the RSRR
3.01
Upper limit of the 95% confidence interval on the RSRR
5.79
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)
336
Number of eligible stays
510
Observed discharge to community rate
65.88
Risk-standardized discharge to community rate
63.14
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
59.52
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.15
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
536
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
505
Denominator
508
Facility rate
99.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
508
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
Not Available
Number of health care workers
Not Available
Rate of COVID-19 vaccination
Not Available