Phelps County Regional Med Center


About the Facility

CMS Certification Number (CCN)
26T017
Ownership Type
Government
CMS Region
Kansas City
Certification Date
Address
1000 West Tenth St
Phone Number
(502) 596-6346

Facility Medical Condition Statistics

All other conditions
70
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
75
Hip or knee replacement, amputation or other bone or joint condition
23
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
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
34

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
483
Predicted number of infections (B)
0.697
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
194
Denominator
195
Facility rate
99.5
Change in patients ability to care for themselves
Average risk-adjusted change score
11.5
Denominator
176
Average observed change score
11.8
Change in patients ability to move around
Average risk-adjusted change score
31.6
Denominator
176
Average observed change score
33.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
110
Denominator
176
Facility rate
62.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
110
Denominator
176
Facility rate
62.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
195
Facility rate
0.5
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.050
SIR 95% confidence interval - upper limit
4.907
Comparative performance category
No Different than the National Benchmark
Patient days
3,094
Predicted number of infections (B)
1.005
Number of infections reported (A)
1
SIR (A/B)
0.995
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
8
Number of health care workers
20
Rate of flu vaccination
40.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
37
Number of eligible stays
308
Unadjusted potentially preventable readmission rate
12.01
Risk-standardized potentially preventable readmission rate (RSRR)
10.21
Lower limit of the 95% confidence interval on the RSRR
8.23
Upper limit of the 95% confidence interval on the RSRR
12.71
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
18
Number of eligible stays
336
Unadjusted potentially preventable readmission rate
5.36
Risk-standardized potentially preventable readmission rate (RSRR)
5.62
Lower limit of the 95% confidence interval on the RSRR
3.99
Upper limit of the 95% confidence interval on the RSRR
7.51
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)
180
Number of eligible stays
282
Observed discharge to community rate
63.83
Risk-standardized discharge to community rate
62.41
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
57.27
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.03
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.00
Number of eligible episodes
286
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
187
Denominator
195
Facility rate
95.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
193
Facility observed rate
2.1
Facility risk-adjusted rate
2.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
13
Number of health care workers
19
Rate of COVID-19 vaccination
68.4