About the Facility
- CMS Certification Number (CCN)
- 17T023
- Ownership Type
- Non-profit
- CMS Region
- Kansas City
- Certification Date
- Address
401 East Spruce St.
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 33
- 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
- 27
- Hip or knee replacement, amputation or other bone or joint condition
- 17
- Nervous system disorder (excluding stroke)
- 24
- 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
- 14
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
- 203
- Predicted number of infections (B)
- 0.292
- 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
- 125
- Denominator
- 125
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.4
- Denominator
- 116
- Average observed change score
- 14.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 42.2
- Denominator
- 116
- Average observed change score
- 45.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 77
- Denominator
- 116
- Facility rate
- 66.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 101
- Denominator
- 116
- Facility rate
- 87.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 125
- 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
- 1,963
- Predicted number of infections (B)
- 0.952
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,034
- Number of health care workers
- 1,095
- Rate of flu vaccination
- 94.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 7
- Number of eligible stays
- 143
- Unadjusted potentially preventable readmission rate
- 4.90
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.90
- Lower limit of the 95% confidence interval on the RSRR
- 6.01
- Upper limit of the 95% confidence interval on the RSRR
- 10.01
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 151
- Unadjusted potentially preventable readmission rate
- 3.31
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.48
- Lower limit of the 95% confidence interval on the RSRR
- 3.20
- Upper limit of the 95% confidence interval on the RSRR
- 6.45
- 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)
- 76
- Number of eligible stays
- 116
- Observed discharge to community rate
- 65.52
- Risk-standardized discharge to community rate
- 65.47
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.44
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.52
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 144
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 124
- Denominator
- 125
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 125
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 305
- Number of health care workers
- 306
- Rate of COVID-19 vaccination
- 99.7