Mercy Rehabilitation Hospital Springfield


About the Facility

CMS Certification Number (CCN)
263032
Ownership Type
For Profit
CMS Region
Kansas City
Certification Date
Address
5904 S Southwood Rd
Phone Number
(417) 820-2973

Facility Medical Condition Statistics

All other conditions
178
Brain disease or condition (non-traumatic)
68
Brain injury (traumatic)
41
Hip or femur fracture
100
Hip or knee replacement, amputation or other bone or joint condition
208
Nervous system disorder (excluding stroke)
58
Spinal cord disease or condition (non-traumatic)
45
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
231

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.016
SIR 95% confidence interval - upper limit
1.618
Comparative performance category
No Different than the National Benchmark
Catheter days
1,495
Predicted number of infections (B)
3.049
Number of infections reported (A)
1
SIR (A/B)
0.328
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
923
Denominator
923
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.6
Denominator
837
Average observed change score
14.4
Change in patients ability to move around
Average risk-adjusted change score
34.0
Denominator
837
Average observed change score
34.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
623
Denominator
837
Facility rate
74.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
640
Denominator
837
Facility rate
76.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
923
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.054
SIR 95% confidence interval - upper limit
1.057
Comparative performance category
No Different than the National Benchmark
Patient days
15,078
Predicted number of infections (B)
6.251
Number of infections reported (A)
2
SIR (A/B)
0.320
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
226
Number of health care workers
226
Rate of flu vaccination
100.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
50
Number of eligible stays
747
Unadjusted potentially preventable readmission rate
6.69
Risk-standardized potentially preventable readmission rate (RSRR)
8.05
Lower limit of the 95% confidence interval on the RSRR
6.60
Upper limit of the 95% confidence interval on the RSRR
9.66
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
25
Number of eligible stays
799
Unadjusted potentially preventable readmission rate
3.13
Risk-standardized potentially preventable readmission rate (RSRR)
4.07
Lower limit of the 95% confidence interval on the RSRR
2.96
Upper limit of the 95% confidence interval on the RSRR
5.45
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)
467
Number of eligible stays
668
Observed discharge to community rate
69.91
Risk-standardized discharge to community rate
67.72
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.53
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.72
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.89
Number of eligible episodes
747
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
918
Denominator
923
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
923
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
201
Number of health care workers
202
Rate of COVID-19 vaccination
99.5