Ssm Health Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
263031
Ownership Type
For Profit
CMS Region
Kansas City
Certification Date
Address
1027 Bellevue Avenue
Phone Number
(314) 768-5202

Facility Medical Condition Statistics

All other conditions
608
Brain disease or condition (non-traumatic)
153
Brain injury (traumatic)
99
Hip or femur fracture
214
Hip or knee replacement, amputation or other bone or joint condition
359
Nervous system disorder (excluding stroke)
112
Spinal cord disease or condition (non-traumatic)
130
Spinal cord injury (traumatic)
16
Stroke
529

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
1.723
SIR 95% confidence interval - upper limit
4.958
Comparative performance category
Worse than the National Benchmark
Catheter days
2,555
Predicted number of infections (B)
4.625
Number of infections reported (A)
14
SIR (A/B)
3.027
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
2,162
Denominator
2,162
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.7
Denominator
1,813
Average observed change score
12.8
Change in patients ability to move around
Average risk-adjusted change score
27.2
Denominator
1,813
Average observed change score
28.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
920
Denominator
1,813
Facility rate
50.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
832
Denominator
1,813
Facility rate
45.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
2,162
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.117
SIR 95% confidence interval - upper limit
0.710
Comparative performance category
Better than the National Benchmark
Patient days
41,116
Predicted number of infections (B)
15.606
Number of infections reported (A)
5
SIR (A/B)
0.320
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
1,645
Number of health care workers
1,753
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
162
Number of eligible stays
1,998
Unadjusted potentially preventable readmission rate
8.11
Risk-standardized potentially preventable readmission rate (RSRR)
8.18
Lower limit of the 95% confidence interval on the RSRR
7.21
Upper limit of the 95% confidence interval on the RSRR
9.32
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
133
Number of eligible stays
2,246
Unadjusted potentially preventable readmission rate
5.92
Risk-standardized potentially preventable readmission rate (RSRR)
5.99
Lower limit of the 95% confidence interval on the RSRR
5.18
Upper limit of the 95% confidence interval on the RSRR
6.97
Comparative performance category
Worse than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
1,155
Number of eligible stays
1,839
Observed discharge to community rate
62.81
Risk-standardized discharge to community rate
63.85
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.81
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.04
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.03
Number of eligible episodes
2,000
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
2,154
Denominator
2,162
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
17
Denominator
2,158
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
633
Number of health care workers
733
Rate of COVID-19 vaccination
86.4