Van Matre Encompass Health Rehabilitation Institut


About the Facility

CMS Certification Number (CCN)
143028
Ownership Type
For Profit
CMS Region
Chicago
Certification Date
Address
950 S Mulford Rd
Phone Number
(815) 381-8548

Facility Medical Condition Statistics

All other conditions
322
Brain disease or condition (non-traumatic)
100
Brain injury (traumatic)
52
Hip or femur fracture
81
Hip or knee replacement, amputation or other bone or joint condition
173
Nervous system disorder (excluding stroke)
127
Spinal cord disease or condition (non-traumatic)
31
Spinal cord injury (traumatic)
13
Stroke
273

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.159
SIR 95% confidence interval - upper limit
3.138
Comparative performance category
No Different than the National Benchmark
Catheter days
1,481
Predicted number of infections (B)
2.106
Number of infections reported (A)
2
SIR (A/B)
0.950
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,135
Denominator
1,135
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.7
Denominator
982
Average observed change score
15.0
Change in patients ability to move around
Average risk-adjusted change score
34.5
Denominator
983
Average observed change score
34.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
780
Denominator
983
Facility rate
79.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
704
Denominator
983
Facility rate
71.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
1,135
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.405
SIR 95% confidence interval - upper limit
2.080
Comparative performance category
No Different than the National Benchmark
Patient days
20,352
Predicted number of infections (B)
5.998
Number of infections reported (A)
6
SIR (A/B)
1.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
490
Number of health care workers
538
Rate of flu vaccination
91.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
102
Number of eligible stays
1,085
Unadjusted potentially preventable readmission rate
9.40
Risk-standardized potentially preventable readmission rate (RSRR)
9.26
Lower limit of the 95% confidence interval on the RSRR
7.93
Upper limit of the 95% confidence interval on the RSRR
10.81
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
91
Number of eligible stays
1,231
Unadjusted potentially preventable readmission rate
7.39
Risk-standardized potentially preventable readmission rate (RSRR)
7.23
Lower limit of the 95% confidence interval on the RSRR
6.00
Upper limit of the 95% confidence interval on the RSRR
8.68
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)
642
Number of eligible stays
979
Observed discharge to community rate
65.58
Risk-standardized discharge to community rate
65.70
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.86
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.41
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.97
Number of eligible episodes
1,136
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,130
Denominator
1,135
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
10
Denominator
1,133
Facility observed rate
0.9
Facility risk-adjusted rate
0.9
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
303
Number of health care workers
331
Rate of COVID-19 vaccination
91.5