About the Facility
- CMS Certification Number (CCN)
- 28T003
- Ownership Type
- Non-profit
- CMS Region
- Kansas City
- Certification Date
- Address
2300 South 16th Street
- Phone Number
- (402) 481-9399
Facility Medical Condition Statistics
- All other conditions
- 24
- Brain disease or condition (non-traumatic)
- 22
- Brain injury (traumatic)
- 29
- Hip or femur fracture
- 19
- Hip or knee replacement, amputation or other bone or joint condition
- 51
- Nervous system disorder (excluding stroke)
- 19
- Spinal cord disease or condition (non-traumatic)
- 27
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 112
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
- 307
- Predicted number of infections (B)
- 0.838
- 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
- 307
- Denominator
- 307
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.6
- Denominator
- 265
- Average observed change score
- 11.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.9
- Denominator
- 265
- Average observed change score
- 26.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 145
- Denominator
- 265
- Facility rate
- 54.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 143
- Denominator
- 265
- Facility rate
- 54.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 307
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.270
- SIR 95% confidence interval - upper limit
- 2.886
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,342
- Predicted number of infections (B)
- 2.829
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.061
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 279
- Number of health care workers
- 319
- Rate of flu vaccination
- 87.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 14
- Number of eligible stays
- 346
- Unadjusted potentially preventable readmission rate
- 4.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.86
- Lower limit of the 95% confidence interval on the RSRR
- 6.08
- Upper limit of the 95% confidence interval on the RSRR
- 10.12
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 11
- Number of eligible stays
- 371
- Unadjusted potentially preventable readmission rate
- 2.96
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.65
- Lower limit of the 95% confidence interval on the RSRR
- 3.18
- Upper limit of the 95% confidence interval on the RSRR
- 6.71
- 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)
- 233
- Number of eligible stays
- 316
- Observed discharge to community rate
- 73.73
- Risk-standardized discharge to community rate
- 66.89
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.58
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.39
- 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
- 335
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 295
- Denominator
- 307
- Facility rate
- 96.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 306
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 261
- Number of health care workers
- 276
- Rate of COVID-19 vaccination
- 94.6