About the Facility
- CMS Certification Number (CCN)
- 28T040
- Ownership Type
- Non-profit
- CMS Region
- Kansas City
- Certification Date
- Address
8303 Dodge Street
- Phone Number
- (402) 354-4408
Facility Medical Condition Statistics
- All other conditions
- 48
- Brain disease or condition (non-traumatic)
- 24
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 25
- Nervous system disorder (excluding stroke)
- 14
- Spinal cord disease or condition (non-traumatic)
- 19
- 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
- 2.993
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 367
- Predicted number of infections (B)
- 1.001
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 259
- Denominator
- 259
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.0
- Denominator
- 216
- Average observed change score
- 10.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.7
- Denominator
- 216
- Average observed change score
- 27.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 114
- Denominator
- 216
- Facility rate
- 52.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 118
- Denominator
- 216
- Facility rate
- 54.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 259
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.235
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,012
- Predicted number of infections (B)
- 2.426
- 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
- 2,244
- Number of health care workers
- 3,508
- Rate of flu vaccination
- 64.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 15
- Number of eligible stays
- 279
- Unadjusted potentially preventable readmission rate
- 5.38
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.93
- Lower limit of the 95% confidence interval on the RSRR
- 6.31
- Upper limit of the 95% confidence interval on the RSRR
- 9.92
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 9
- Number of eligible stays
- 308
- Unadjusted potentially preventable readmission rate
- 2.92
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.29
- Lower limit of the 95% confidence interval on the RSRR
- 2.94
- Upper limit of the 95% confidence interval on the RSRR
- 6.31
- 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)
- 161
- Number of eligible stays
- 240
- Observed discharge to community rate
- 67.08
- Risk-standardized discharge to community rate
- 63.71
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.83
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.24
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.90
- Number of eligible episodes
- 275
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 259
- Denominator
- 259
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 257
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 1.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 4,070
- Number of health care workers
- 4,479
- Rate of COVID-19 vaccination
- 90.9