Menorah Medical Center


About the Facility

CMS Certification Number (CCN)
17T182
Ownership Type
For Profit
CMS Region
Kansas City
Certification Date
Address
5721 West 119th Street
Phone Number
(913) 498-6436

Facility Medical Condition Statistics

All other conditions
96
Brain disease or condition (non-traumatic)
39
Brain injury (traumatic)
16
Hip or femur fracture
34
Hip or knee replacement, amputation or other bone or joint condition
33
Nervous system disorder (excluding stroke)
44
Spinal cord disease or condition (non-traumatic)
24
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
35

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
406
Predicted number of infections (B)
0.841
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
317
Denominator
318
Facility rate
99.7
Change in patients ability to care for themselves
Average risk-adjusted change score
12.9
Denominator
279
Average observed change score
14.0
Change in patients ability to move around
Average risk-adjusted change score
34.8
Denominator
279
Average observed change score
37.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
192
Denominator
279
Facility rate
68.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
214
Denominator
279
Facility rate
76.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
318
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.022
SIR 95% confidence interval - upper limit
2.153
Comparative performance category
No Different than the National Benchmark
Patient days
4,884
Predicted number of infections (B)
2.290
Number of infections reported (A)
1
SIR (A/B)
0.437
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
0
Number of health care workers
3
Rate of flu vaccination
0.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
24
Number of eligible stays
305
Unadjusted potentially preventable readmission rate
7.87
Risk-standardized potentially preventable readmission rate (RSRR)
8.72
Lower limit of the 95% confidence interval on the RSRR
6.91
Upper limit of the 95% confidence interval on the RSRR
10.94
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
19
Number of eligible stays
340
Unadjusted potentially preventable readmission rate
5.59
Risk-standardized potentially preventable readmission rate (RSRR)
5.59
Lower limit of the 95% confidence interval on the RSRR
4.08
Upper limit of the 95% confidence interval on the RSRR
7.77
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)
206
Number of eligible stays
295
Observed discharge to community rate
69.83
Risk-standardized discharge to community rate
66.91
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.47
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.45
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.95
Number of eligible episodes
290
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
317
Denominator
318
Facility rate
99.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
316
Facility observed rate
0.3
Facility risk-adjusted rate
0.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
10
Number of health care workers
11
Rate of COVID-19 vaccination
90.9