Madonna Rehabilitation Hospital

CCN

282000The number CMS certifies the facility under, not a provider identifier

Status

Active

Provider type

Hospital – Long-term

Ownership

Non-profit

Control type

Private (not for profit)

Participating since

Jul 1, 1984

Last certification

Dec 21, 2023

Beds

77

Address

5401 South St
Lincoln, NE 68506
(402) 413-3000

• Madonna Rehabilitation Hospital

  dba Madonna Rehabilitation Specialty Hospital Lincoln

  • Long Term Care Hospital
  • Lincoln, NE
  • NPI 1538256078
  Medicare enrollment

• Catheter-associated urinary tract infections (CAUTI) 1.24
  • National average 0.73
  • Period from 07/01/2024
• Central line-associated bloodstream infections (CLABSI) 0.59
  • National average 0.7
  • Period from 07/01/2024
• Change in ability to move around for patients admitted on a ventilator (adjusted) 10.38
  • National average 6.94 (computed here)
  • Period from 10/01/2023
• Change in ability to move around for patients admitted on a ventilator (observed) 11.75
  • National average 7.26 (computed here)
  • Period from 10/01/2023
• Clostridium difficile infection (CDI) 0.49
  • National average 0.25
  • Period from 07/01/2024
• Health care personnel up to date with their COVID-19 vaccines (observed) 2.06
  • National average 5.2
  • Period from 07/01/2025
• Health care personnel who got a flu shot for the current season (observed) 87.72
  • National average 69.4
  • Period from 10/01/2024
• Medicare spending per beneficiary 1.04
  • National average 1
  • Period from 10/01/2022
• Patients at or above an expected ability to care for themselves and move around at discharge (observed) 76.44
  • National average 49.05
  • Period from 10/01/2024
• Patients given a current medication list at final discharge (observed) 100
  • National average 88.61
  • Period from 10/01/2024
• Patients on ventilators assessed for readiness to breathe without one (component 1) 97.33
  • National average 95.77
  • Period from 10/01/2024
• Patients on ventilators assessed for readiness to breathe without one (component 2) 97.83
  • National average 97.49
  • Period from 10/01/2024
• Patients successfully weaned from the ventilator during their stay (adjusted) 60.9
  • National average 60.04 (computed here)
  • Period from 10/01/2024
• Patients successfully weaned from the ventilator during their stay (observed) 61.33
  • National average 54.66
  • Period from 10/01/2024
• Patients up to date with their COVID-19 vaccines (observed) 26.07
  • National average 12.29
  • Period from 07/01/2025
• Patients who experience one or more falls with major injury during their stay (observed) 0
  • National average 0.1
  • Period from 10/01/2024
• Patients whose current medication list was passed to the next health care setting (observed) 100
  • National average 83.85
  • Period from 10/01/2024
• Patients whose medications were reviewed, with follow-up when issues were identified (observed) 100
  • National average 95.55
  • Period from 10/01/2024
• Patients with pressure ulcers or injuries that are new or worsened (adjusted) 1.86
  • National average 2.59 (computed here)
  • Period from 10/01/2024
• Patients with pressure ulcers or injuries that are new or worsened (observed) 1.95
  • National average 2.38
  • Period from 10/01/2024
• Potentially preventable hospital readmissions 30 days after discharge (observed) 9.31
  • National average 21.26
  • Period from 10/01/2022
• Potentially preventable hospital readmissions 30 days after discharge (risk-standardized) 16.5
  • National average 21.33 (computed here)
  • Period from 10/01/2022
• Successful return to home or community (observed) 22.71
  • National average 17.01
  • Period from 10/01/2022
• Successful return to home or community (risk-standardized) 26.02
  • National average 17.49 (computed here)
  • Period from 10/01/2022

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

• Dalan Brown

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1720541154
• Matthew L Driewer, MD

  • Internal Medicine Physician
  • Lincoln, NE
  • NPI 1720005549
• Roy L Maurer, PA - C

  • Surgical Physician Assistant
  • Lincoln, NE
  • NPI 1215961776
• Mary Elizabeth Tucker, PA-C

  • Physician Assistant
  • Lincoln, NE
  • NPI 1790163814
• Ashley L Watsek-Lundstrom, APRN-BC

  • Acute Care Nurse Practitioner
  • Lincoln, NE
  • NPI 1891117354

• 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.