About the Facility
- CMS Certification Number (CCN)
- 28TA03
- Ownership Type
- Non-profit
- CMS Region
- Kansas City
- Certification Date
- Address
17500 Burke Street
- Phone Number
- (402) 401-3000
Facility Medical Condition Statistics
- All other conditions
- 106
- Brain disease or condition (non-traumatic)
- 25
- Brain injury (traumatic)
- 45
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 81
- Nervous system disorder (excluding stroke)
- 19
- Spinal cord disease or condition (non-traumatic)
- 26
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 194
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
- 554
- Predicted number of infections (B)
- 0.967
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 497
- Denominator
- 497
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.1
- Denominator
- 439
- Average observed change score
- 12.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.8
- Denominator
- 439
- Average observed change score
- 25.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 265
- Denominator
- 439
- Facility rate
- 60.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 189
- Denominator
- 439
- Facility rate
- 43.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 497
- Facility rate
- 0.6
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.084
- SIR 95% confidence interval - upper limit
- 0.895
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 20,768
- Predicted number of infections (B)
- 9.121
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.329
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 526
- Number of health care workers
- 606
- Rate of flu vaccination
- 86.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 11
- Number of eligible stays
- 274
- Unadjusted potentially preventable readmission rate
- 4.01
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.48
- Lower limit of the 95% confidence interval on the RSRR
- 5.76
- Upper limit of the 95% confidence interval on the RSRR
- 9.44
- 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
- 302
- Unadjusted potentially preventable readmission rate
- 2.98
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.21
- Lower limit of the 95% confidence interval on the RSRR
- 2.92
- Upper limit of the 95% confidence interval on the RSRR
- 6.37
- 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)
- 193
- Number of eligible stays
- 286
- Observed discharge to community rate
- 67.48
- Risk-standardized discharge to community rate
- 66.79
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.22
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.38
- 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
- 257
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 486
- Denominator
- 497
- Facility rate
- 97.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 495
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 578
- Number of health care workers
- 601
- Rate of COVID-19 vaccination
- 96.2