About the Facility
- CMS Certification Number (CCN)
- 28T061
- Ownership Type
- Non-profit
- CMS Region
- Kansas City
- Certification Date
- Address
4021 Avenue B
- Phone Number
- (308) 630-1070
Facility Medical Condition Statistics
- All other conditions
- 20
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- 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
- 42
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 26
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
- 211
- Predicted number of infections (B)
- 0.435
- 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
- 147
- Denominator
- 148
- Facility rate
- 99.3
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.7
- Denominator
- 140
- Average observed change score
- 12.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 20.5
- Denominator
- 140
- Average observed change score
- 22.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 85
- Denominator
- 140
- Facility rate
- 60.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 47
- Denominator
- 140
- Facility rate
- 33.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 148
- 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
- 2.680
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 2,177
- Predicted number of infections (B)
- 1.118
- 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
- 23
- Number of health care workers
- 24
- Rate of flu vaccination
- 95.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 9
- Number of eligible stays
- 216
- Unadjusted potentially preventable readmission rate
- 4.17
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.09
- Lower limit of the 95% confidence interval on the RSRR
- 6.26
- Upper limit of the 95% confidence interval on the RSRR
- 10.27
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 8
- Number of eligible stays
- 234
- Unadjusted potentially preventable readmission rate
- 3.42
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.93
- Lower limit of the 95% confidence interval on the RSRR
- 3.15
- Upper limit of the 95% confidence interval on the RSRR
- 6.63
- 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)
- 130
- Number of eligible stays
- 194
- Observed discharge to community rate
- 67.01
- Risk-standardized discharge to community rate
- 62.61
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.26
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.04
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.01
- Number of eligible episodes
- 219
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 146
- Denominator
- 148
- Facility rate
- 98.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 147
- Facility observed rate
- 2.7
- Facility risk-adjusted rate
- 3.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 18
- Number of health care workers
- 23
- Rate of COVID-19 vaccination
- 78.3