Meadowbrook Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
173033
Ownership Type
For Profit
CMS Region
Kansas City
Certification Date
Address
427 West Main Street
Phone Number
(913) 856-8747

Facility Medical Condition Statistics

All other conditions
Data not available for this reporting period.
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
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
21
Nervous system disorder (excluding stroke)
30
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
-
Stroke
11

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.179
SIR 95% confidence interval - upper limit
3.532
Comparative performance category
No Different than the National Benchmark
Catheter days
1,734
Predicted number of infections (B)
1.871
Number of infections reported (A)
2
SIR (A/B)
1.069
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
68
Denominator
68
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
8.6
Denominator
60
Average observed change score
7.0
Change in patients ability to move around
Average risk-adjusted change score
18.5
Denominator
61
Average observed change score
20.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
16
Denominator
61
Facility rate
26.2
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
13
Denominator
61
Facility rate
21.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
68
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.008
SIR 95% confidence interval - upper limit
0.747
Comparative performance category
Better than the National Benchmark
Patient days
15,437
Predicted number of infections (B)
6.600
Number of infections reported (A)
1
SIR (A/B)
0.152
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
109
Number of health care workers
227
Rate of flu vaccination
48.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
5
Number of eligible stays
94
Unadjusted potentially preventable readmission rate
5.32
Risk-standardized potentially preventable readmission rate (RSRR)
8.07
Lower limit of the 95% confidence interval on the RSRR
6.14
Upper limit of the 95% confidence interval on the RSRR
10.34
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
7
Number of eligible stays
109
Unadjusted potentially preventable readmission rate
6.42
Risk-standardized potentially preventable readmission rate (RSRR)
5.33
Lower limit of the 95% confidence interval on the RSRR
3.36
Upper limit of the 95% confidence interval on the RSRR
7.72
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)
42
Number of eligible stays
87
Observed discharge to community rate
48.28
Risk-standardized discharge to community rate
54.95
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
46.75
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.09
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.00
Number of eligible episodes
104
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
67
Denominator
68
Facility rate
98.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
68
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
148
Number of health care workers
176
Rate of COVID-19 vaccination
84.1