Capital Region Medical Center


About the Facility

CMS Certification Number (CCN)
26T047
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
Po Box 1128
Phone Number
(573) 632-5627

Facility Medical Condition Statistics

All other conditions
59
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
33
Hip or knee replacement, amputation or other bone or joint condition
16
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)
-
Stroke
80

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
272
Predicted number of infections (B)
0.517
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
216
Denominator
216
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.6
Denominator
194
Average observed change score
10.7
Change in patients ability to move around
Average risk-adjusted change score
29.7
Denominator
194
Average observed change score
32.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
93
Denominator
194
Facility rate
47.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
106
Denominator
194
Facility rate
54.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
216
Facility rate
0.5
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.037
SIR 95% confidence interval - upper limit
3.634
Comparative performance category
No Different than the National Benchmark
Patient days
3,104
Predicted number of infections (B)
1.357
Number of infections reported (A)
1
SIR (A/B)
0.737
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
22
Number of health care workers
28
Rate of flu vaccination
78.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
13
Number of eligible stays
229
Unadjusted potentially preventable readmission rate
5.68
Risk-standardized potentially preventable readmission rate (RSRR)
8.29
Lower limit of the 95% confidence interval on the RSRR
6.44
Upper limit of the 95% confidence interval on the RSRR
10.44
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
8
Number of eligible stays
244
Unadjusted potentially preventable readmission rate
3.28
Risk-standardized potentially preventable readmission rate (RSRR)
4.67
Lower limit of the 95% confidence interval on the RSRR
3.13
Upper limit of the 95% confidence interval on the RSRR
6.88
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)
147
Number of eligible stays
199
Observed discharge to community rate
73.87
Risk-standardized discharge to community rate
70.37
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.29
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.26
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.83
Number of eligible episodes
229
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
216
Denominator
216
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
215
Facility observed rate
0.9
Facility risk-adjusted rate
1.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
22
Number of health care workers
24
Rate of COVID-19 vaccination
91.7