St Marys Medical Center


About the Facility

CMS Certification Number (CCN)
26T193
Ownership Type
For Profit
CMS Region
Kansas City
Certification Date
Address
201 Nw R.d. Mize
Phone Number
(816) 655-5628

Facility Medical Condition Statistics

All other conditions
21
Brain disease or condition (non-traumatic)
15
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
16
Hip or knee replacement, amputation or other bone or joint condition
14
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
14

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
78
Predicted number of infections (B)
0.112
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
87
Denominator
87
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.0
Denominator
76
Average observed change score
11.4
Change in patients ability to move around
Average risk-adjusted change score
27.6
Denominator
76
Average observed change score
30.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
33
Denominator
76
Facility rate
43.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
40
Denominator
76
Facility rate
52.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
87
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
Not Available
Comparative performance category
Not Available
Patient days
1,385
Predicted number of infections (B)
0.598
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
647
Number of health care workers
931
Rate of flu vaccination
69.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
21
Number of eligible stays
140
Unadjusted potentially preventable readmission rate
15.00
Risk-standardized potentially preventable readmission rate (RSRR)
9.92
Lower limit of the 95% confidence interval on the RSRR
7.73
Upper limit of the 95% confidence interval on the RSRR
12.54
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
7
Number of eligible stays
150
Unadjusted potentially preventable readmission rate
4.67
Risk-standardized potentially preventable readmission rate (RSRR)
4.71
Lower limit of the 95% confidence interval on the RSRR
3.00
Upper limit of the 95% confidence interval on the RSRR
7.11
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)
77
Number of eligible stays
115
Observed discharge to community rate
66.96
Risk-standardized discharge to community rate
67.15
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.12
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.63
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.12
Number of eligible episodes
131
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
86
Denominator
87
Facility rate
98.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
87
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
14
Number of health care workers
21
Rate of COVID-19 vaccination
66.7