Phelps County Regional Medical Center

Doing business as Phelps Health

Hospital in Rolla, MO, Medicare certification number 260017. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 260017The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Government - Local
Control type: Local
Participating since: Jul 1, 1966
Last certification: May 9, 2003
Beds: 240
Overall star rating: 2 of 5Care Compare
Address: 1000 W 10TH St
Rolla, MO 65401
(573) 458-8899

NPI records for this facility (CCN to NPI Mapping) 3

Phelps County Regional Medical Center

dba Phelps Health Medical Group
- Rural Health Clinic/Center
- Salem, MO
- NPI 1194077701
Medicare enrollment
Phelps County Regional Medical Center

dba Phelps Health
- Rehabilitation Hospital Unit
- Rolla, MO
- NPI 1346287455
Medicare enrollment
Phelps County Regional Medical Center

dba Phelps Health
- General Acute Care Hospital
- Rolla, MO
- NPI 1891766051
Medicare enrollment

Units certified under this facility 1

Provider of Services

Parts of this facility that Medicare certifies under a number of their own, such as a psychiatric or rehabilitation unit.

Phelps County Regional Med Center Inpatient rehabilitation facility, CCN 26T017, 18 measures, 6 providers

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.3 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.69 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.43 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 3.09 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.39 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.41 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.57 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better4 of 5
- State average 3.66 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.31 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 373

Page 1 of 15Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Nurelign G. Abebe, M.D.
- Nephrology Physician
- Rolla, MO
- NPI 1154587038
Archana S Abhyankar, MD
- Diagnostic Radiology Physician
- Chesterfield, MO
- NPI 1477710051
Tyler Joseph Adamski, DNP
- Family Nurse Practitioner
- Sullivan, MO
- NPI 1649708264
Rafay Ahmed, MD
- Diagnostic Radiology Physician
- Aurora, IL
- NPI 1851617146
Naureen Ali, M.D.
- Internal Medicine Physician
- Sullivan, MO
- NPI 1487036547
Yaqoob Ali, M.D.
- Hematology & Oncology Physician
- Rolla, MO
- NPI 1477582799
Katie Ann Allen, RN,MSN,FNP-C
- Nurse Practitioner
- Waynesville, MO
- NPI 1235737982
Paige Loring Alvarado, CNM
- Advanced Practice Midwife
- Rolla, MO
- NPI 1316669781
Sharon R Anderson, DPM
- Foot & Ankle Surgery Podiatrist
- Rolla, MO
- NPI 1417919432
Okechukwu Chukwuma Anochie, MD
- Internal Medicine Physician
- South Bend, IN
- NPI 1346772894
John Ashton Armstrong, DO
- Internal Medicine Physician
- Rolla, MO
- NPI 1427679232
Niraj A Arora, MD
- Neurocritical Care Physician
- Columbia, MO
- NPI 1225399488
Julian Ategeka
- Internal Medicine Physician
- Rolla, MO
- NPI 1891427852
Kristi D Atkins, CNP-F
- Family Nurse Practitioner
- Richland, MO
- NPI 1114427556
Muhammad Baber, M.D.
- Psychiatry Physician
- Florissant, MO
- NPI 1497769194
Bradley K Baker, M.D.
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1093790487
Jonathan Craig Baker, MD
- Diagnostic Radiology Physician
- Saint Louis, MO
- NPI 1275749293
Steven R Ballard, ANP
- Adult Health Nurse Practitioner
- Rolla, MO
- NPI 1043454564
Mahmoud Ballout, MD
- Internal Medicine Physician
- Rolla, MO
- NPI 1891427472
Joshua Matthew Barbieri, P.A.
- Surgical Physician Assistant
- Springfield, MO
- NPI 1558666420
William Mark Barnett, M.D.
- Family Medicine Physician
- Rolla, MO
- NPI 1982990214
Fabio Alberto Barrera Pena
- Hospitalist Physician
- Pittsburgh, PA
- NPI 1487038105
Caitlyn Micah Barry, FNP
- Family Nurse Practitioner
- Rolla, MO
- NPI 1275098402
James Jeffrey Bass, M.D.
- General Practice Physician
- Rolla, MO
- NPI 1336130079
Jonathan Robert Beers, DO
- Internal Medicine Physician
- Rolla, MO
- NPI 1477783686

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.97
- State average 1.03 (computed here)
- National average 1.06
- No different than the national rate
- 267 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.89
- State average 0.97 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected190.73
- State average 181.23 (computed here)
- National average 173.3
- No different than the national rate
- 30 patients
- Period from 07/01/2022
Death rate for COPD patients As expected11.8
- State average 8.71 (computed here)
- National average 8.6
- No different than the national rate
- 123 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected10.9
- State average 11.96 (computed here)
- National average 11.9
- No different than the national rate
- 99 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected13.2
- State average 11.68 (computed here)
- National average 11.1
- No different than the national rate
- 271 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected16.7
- State average 15.5 (computed here)
- National average 15.2
- No different than the national rate
- 257 patients
- Period from 07/01/2022
Death rate for stroke patients As expected12.6
- State average 12.03 (computed here)
- National average 11.9
- No different than the national rate
- 69 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected5.1
- State average 3.99 (computed here)
- National average 3.9
- No different than the national rate
- 1,208 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.18
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 3,410 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.28
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 3,315 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected2.78
- State average 3.39 (computed here)
- National average 3.52
- No different than the national rate
- 572 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.63
- State average 1.62 (computed here)
- National average 1.67
- No different than the national rate
- 128 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.15
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 548 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected10.13
- State average 9.85 (computed here)
- National average 9.42
- No different than the national rate
- 134 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.8
- State average 5.07 (computed here)
- National average 5.27
- No different than the national rate
- 118 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.7
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 76 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.28
- State average 0.56 (computed here)
- National average 0.63
- No different than the national rate
- 2,295 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.2
- State average 4.2 (computed here)
- National average 4.1
- No different than the national rate
- 41 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected1.76
- State average 0.5
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected1.43
- State average 0.63
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.24
- State average 0.33
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.89
- State average 0.69
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.74
- State average 0.83
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 2.8
- State average 5.29 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 4
- State average 6.54 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.98
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 96
- State average 95.06 (computed here)
- National average 92.79 (computed here)
- 53 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 55
- State average 63
- National average 65
- 507 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 212
- State average 162
- National average 168
- 375 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 466
- State average 272
- National average 287
- 11 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 211
- State average 155
- National average 162
- 343 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 237
- State average 263
- National average 257
- 22 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 96
- State average 96.61 (computed here)
- National average 96.1 (computed here)
- 54 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 85
- State average 96
- National average 93
- 67 patients
- Period from 01/01/2024
Head CT results 50
- State average 74
- National average 69
- 22 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 79
- State average 87
- National average 78
- 2,161 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 90
- State average 95.05 (computed here)
- National average 93.49 (computed here)
- 682 patients
- Period from 01/01/2024
Left before being seen 2
- State average 3
- National average 2
- 33,171 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 24
- State average 16
- National average 15
- 1,358 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 68
- State average 70
- National average 73
- 129 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 95
- State average 85
- National average 87
- 39 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 64
- State average 79
- National average 81
- 507 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 98
- State average 94
- National average 93
- 217 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Emergency department volume — medium
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.1
- State average 14.32 (computed here)
- National average 14.4
- No different than the national rate
- 134 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected24.2
- State average 21.62 (computed here)
- National average 21.3
- No different than the national rate
- 347 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 21.5
- State average 5.15 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 100 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 45
- State average 2 (computed here)
- National average 4.02 (computed here)
- More days than average per 100 discharges
- 325 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 41.4
- State average 0.79 (computed here)
- National average 5.65 (computed here)
- More days than average per 100 discharges
- 287 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.5
- State average 17.28 (computed here)
- National average 17.3
- No different than the national rate
- 294 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.8
- State average 5.32 (computed here)
- National average 5.4
- No different than the national rate
- 130 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected11.7
- State average 11.22 (computed here)
- National average 10.7
- No different than the national rate
- 130 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected6.4
- State average 6.12 (computed here)
- National average 5.8
- No different than the national rate
- 37 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.8
- State average 20.11 (computed here)
- National average 20
- No different than the national rate
- 150 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.9
- State average 13.12 (computed here)
- National average 13
- No different than the national rate
- 886 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 0.98 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 362 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission for CABG — 5

Other hospitals near Rolla, MO

No other hospitals are listed in Rolla, MO; these share its ZIP code area (654xx).

General Leonard Wood ACH (FT Leonard Wood) Fort Leonard Wood terminated
Texas County Memorial Hospital Houston

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.