Immanuel Rehabilitation Institute


About the Facility

CMS Certification Number (CCN)
28T081
Ownership Type
Non-profit
CMS Region
Kansas City
Certification Date
Address
6901 North 72nd
Phone Number
(402) 572-3989

Facility Medical Condition Statistics

All other conditions
28
Brain disease or condition (non-traumatic)
-
Brain injury (traumatic)
18
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
39
Nervous system disorder (excluding stroke)
22
Spinal cord disease or condition (non-traumatic)
12
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
102

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
105
Predicted number of infections (B)
0.286
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
222
Denominator
226
Facility rate
98.2
Change in patients ability to care for themselves
Average risk-adjusted change score
14.0
Denominator
208
Average observed change score
14.5
Change in patients ability to move around
Average risk-adjusted change score
31.8
Denominator
208
Average observed change score
33.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
159
Denominator
208
Facility rate
76.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
137
Denominator
208
Facility rate
65.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
226
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
1.002
Comparative performance category
No Different than the National Benchmark
Patient days
5,796
Predicted number of infections (B)
2.991
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
3,732
Number of health care workers
4,266
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
10
Number of eligible stays
237
Unadjusted potentially preventable readmission rate
4.22
Risk-standardized potentially preventable readmission rate (RSRR)
7.77
Lower limit of the 95% confidence interval on the RSRR
6.01
Upper limit of the 95% confidence interval on the RSRR
9.88
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
3
Number of eligible stays
245
Unadjusted potentially preventable readmission rate
1.22
Risk-standardized potentially preventable readmission rate (RSRR)
3.78
Lower limit of the 95% confidence interval on the RSRR
2.60
Upper limit of the 95% confidence interval on the RSRR
5.22
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)
144
Number of eligible stays
203
Observed discharge to community rate
70.94
Risk-standardized discharge to community rate
66.90
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.04
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.46
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.91
Number of eligible episodes
232
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
213
Denominator
226
Facility rate
94.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
225
Facility observed rate
1.3
Facility risk-adjusted rate
1.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
88
Number of health care workers
89
Rate of COVID-19 vaccination
98.9