Chi Health Good Samaritan


About the Facility

CMS Certification Number (CCN)
28T009
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
10 E 31st Street
Phone Number
(308) 865-7189

Facility Medical Condition Statistics

All other conditions
52
Brain disease or condition (non-traumatic)
18
Brain injury (traumatic)
21
Hip or femur fracture
Data not available for this reporting period.
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)
27
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
88
Predicted number of infections (B)
0.182
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
185
Denominator
186
Facility rate
99.5
Change in patients ability to care for themselves
Average risk-adjusted change score
12.6
Denominator
169
Average observed change score
14.5
Change in patients ability to move around
Average risk-adjusted change score
30.5
Denominator
169
Average observed change score
31.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
115
Denominator
169
Facility rate
68.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
101
Denominator
169
Facility rate
59.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
186
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
1.716
Comparative performance category
No Different than the National Benchmark
Patient days
2,779
Predicted number of infections (B)
1.745
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
9
Number of health care workers
9
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
18
Number of eligible stays
203
Unadjusted potentially preventable readmission rate
8.87
Risk-standardized potentially preventable readmission rate (RSRR)
8.86
Lower limit of the 95% confidence interval on the RSRR
6.88
Upper limit of the 95% confidence interval on the RSRR
11.34
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
10
Number of eligible stays
226
Unadjusted potentially preventable readmission rate
4.42
Risk-standardized potentially preventable readmission rate (RSRR)
4.72
Lower limit of the 95% confidence interval on the RSRR
3.08
Upper limit of the 95% confidence interval on the RSRR
6.98
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)
137
Number of eligible stays
193
Observed discharge to community rate
70.98
Risk-standardized discharge to community rate
69.41
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.62
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
74.19
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
206
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
185
Denominator
186
Facility rate
99.5
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
186
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
8
Number of health care workers
9
Rate of COVID-19 vaccination
88.9