Marianjoy Rehabilitation Center


About the Facility

CMS Certification Number (CCN)
143027
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
26w171 Roosevelt Road
Phone Number
(630) 909-8000

Facility Medical Condition Statistics

All other conditions
426
Brain disease or condition (non-traumatic)
180
Brain injury (traumatic)
116
Hip or femur fracture
172
Hip or knee replacement, amputation or other bone or joint condition
275
Nervous system disorder (excluding stroke)
151
Spinal cord disease or condition (non-traumatic)
109
Spinal cord injury (traumatic)
30
Stroke
538

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.495
SIR 95% confidence interval - upper limit
3.756
Comparative performance category
No Different than the National Benchmark
Catheter days
1,461
Predicted number of infections (B)
2.569
Number of infections reported (A)
4
SIR (A/B)
1.557
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,982
Denominator
1,982
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.2
Denominator
1,621
Average observed change score
11.2
Change in patients ability to move around
Average risk-adjusted change score
30.4
Denominator
1,621
Average observed change score
31.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
657
Denominator
1,621
Facility rate
40.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
909
Denominator
1,621
Facility rate
56.1
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
1,982
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.102
SIR 95% confidence interval - upper limit
0.771
Comparative performance category
Better than the National Benchmark
Patient days
40,422
Predicted number of infections (B)
12.514
Number of infections reported (A)
4
SIR (A/B)
0.320
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
1,995
Number of health care workers
2,038
Rate of flu vaccination
97.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
155
Number of eligible stays
2,253
Unadjusted potentially preventable readmission rate
6.88
Risk-standardized potentially preventable readmission rate (RSRR)
7.89
Lower limit of the 95% confidence interval on the RSRR
6.92
Upper limit of the 95% confidence interval on the RSRR
9.03
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
175
Number of eligible stays
2,590
Unadjusted potentially preventable readmission rate
6.76
Risk-standardized potentially preventable readmission rate (RSRR)
6.91
Lower limit of the 95% confidence interval on the RSRR
5.82
Upper limit of the 95% confidence interval on the RSRR
7.91
Comparative performance category
Worse than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
1,309
Number of eligible stays
2,127
Observed discharge to community rate
61.54
Risk-standardized discharge to community rate
61.66
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
59.80
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.57
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
2,291
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,978
Denominator
1,982
Facility rate
99.8
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
15
Denominator
1,981
Facility observed rate
0.8
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
1,988
Number of health care workers
2,023
Rate of COVID-19 vaccination
98.3