About the Facility
- CMS Certification Number (CCN)
- 17T040
- Ownership Type
- Government
- CMS Region
- Kansas City
- Certification Date
- Address
3901 Rainbow Boulevard
- Phone Number
- (913) 588-4779
Facility Medical Condition Statistics
- All other conditions
- 106
- Brain disease or condition (non-traumatic)
- 36
- Brain injury (traumatic)
- 24
- Hip or femur fracture
- 20
- Hip or knee replacement, amputation or other bone or joint condition
- 26
- Nervous system disorder (excluding stroke)
- 18
- Spinal cord disease or condition (non-traumatic)
- 45
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 90
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
- 411
- Predicted number of infections (B)
- 0.746
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 367
- Denominator
- 367
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.8
- Denominator
- 285
- Average observed change score
- 13.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.7
- Denominator
- 285
- Average observed change score
- 29.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 191
- Denominator
- 285
- Facility rate
- 67.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 155
- Denominator
- 285
- Facility rate
- 54.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 367
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.207
- SIR 95% confidence interval - upper limit
- 1.571
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 9,661
- Predicted number of infections (B)
- 6.141
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.651
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 125
- Number of health care workers
- 132
- Rate of flu vaccination
- 94.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 22
- Number of eligible stays
- 388
- Unadjusted potentially preventable readmission rate
- 5.67
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.27
- Lower limit of the 95% confidence interval on the RSRR
- 5.92
- Upper limit of the 95% confidence interval on the RSRR
- 9.08
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 26
- Number of eligible stays
- 446
- Unadjusted potentially preventable readmission rate
- 5.83
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.35
- Lower limit of the 95% confidence interval on the RSRR
- 4.10
- Upper limit of the 95% confidence interval on the RSRR
- 7.09
- 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)
- 247
- Number of eligible stays
- 338
- Observed discharge to community rate
- 73.08
- Risk-standardized discharge to community rate
- 72.04
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.04
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.32
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.91
- Number of eligible episodes
- 369
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 367
- Denominator
- 367
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 366
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 121
- Number of health care workers
- 123
- Rate of COVID-19 vaccination
- 98.4