Mary Lanning Memorial - Irf


About the Facility

CMS Certification Number (CCN)
28T032
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
715 North St. Joseph Avenue
Phone Number
(402) 461-5365

Facility Medical Condition Statistics

All other conditions
-
Brain disease or condition (non-traumatic)
-
Brain injury (traumatic)
-
Hip or femur fracture
-
Hip or knee replacement, amputation or other bone or joint condition
-
Nervous system disorder (excluding stroke)
-
Spinal cord disease or condition (non-traumatic)
-
Spinal cord injury (traumatic)
-
Stroke
-

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
0
Predicted number of infections (B)
Not Available
Number of infections reported (A)
Not Available
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
Not Available
Denominator
Not Available
Facility rate
Not Available
Change in patients ability to care for themselves
Average risk-adjusted change score
Not Available
Denominator
Not Available
Average observed change score
Not Available
Change in patients ability to move around
Average risk-adjusted change score
Not Available
Denominator
Not Available
Average observed change score
Not Available
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
Not Available
Denominator
Not Available
Facility rate
Not Available
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
Not Available
Denominator
Not Available
Facility rate
Not Available
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
Not Available
Denominator
Not Available
Facility rate
Not Available
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
0
Predicted number of infections (B)
Not Available
Number of infections reported (A)
Not Available
SIR (A/B)
Not Available
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
20
Number of health care workers
25
Rate of flu vaccination
80.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
1
Number of eligible stays
27
Unadjusted potentially preventable readmission rate
3.70
Risk-standardized potentially preventable readmission rate (RSRR)
8.48
Lower limit of the 95% confidence interval on the RSRR
6.38
Upper limit of the 95% confidence interval on the RSRR
11.22
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
0
Number of eligible stays
28
Unadjusted potentially preventable readmission rate
0.00
Risk-standardized potentially preventable readmission rate (RSRR)
4.64
Lower limit of the 95% confidence interval on the RSRR
3.11
Upper limit of the 95% confidence interval on the RSRR
6.77
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)
Not Available
Number of eligible stays
21
Observed discharge to community rate
Not Available
Risk-standardized discharge to community rate
Not Available
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
Not Available
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
Not Available
Comparative performance category
Not Available
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.99
Number of eligible episodes
28
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
Not Available
Denominator
Not Available
Facility rate
Not Available
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
Not Available
Denominator
Not Available
Facility observed rate
Not Available
Facility risk-adjusted rate
Not Available
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
22
Number of health care workers
23
Rate of COVID-19 vaccination
95.7