Adventist La Grange Memorial Hospital


About the Facility

CMS Certification Number (CCN)
14T065
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
5101 Willow Springs Rd
Phone Number
(708) 245-6521

Facility Medical Condition Statistics

All other conditions
85
Brain disease or condition (non-traumatic)
22
Brain injury (traumatic)
13
Hip or femur fracture
59
Hip or knee replacement, amputation or other bone or joint condition
56
Nervous system disorder (excluding stroke)
16
Spinal cord disease or condition (non-traumatic)
16
Spinal cord injury (traumatic)
-
Stroke
103

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
297
Predicted number of infections (B)
0.659
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
355
Denominator
355
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.9
Denominator
321
Average observed change score
16.0
Change in patients ability to move around
Average risk-adjusted change score
33.9
Denominator
321
Average observed change score
36.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
231
Denominator
321
Facility rate
72.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
219
Denominator
321
Facility rate
68.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
355
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.021
SIR 95% confidence interval - upper limit
2.038
Comparative performance category
No Different than the National Benchmark
Patient days
5,694
Predicted number of infections (B)
2.420
Number of infections reported (A)
1
SIR (A/B)
0.413
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
54
Number of health care workers
55
Rate of flu vaccination
98.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
29
Number of eligible stays
450
Unadjusted potentially preventable readmission rate
6.44
Risk-standardized potentially preventable readmission rate (RSRR)
8.09
Lower limit of the 95% confidence interval on the RSRR
6.52
Upper limit of the 95% confidence interval on the RSRR
10.16
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
14
Number of eligible stays
491
Unadjusted potentially preventable readmission rate
2.85
Risk-standardized potentially preventable readmission rate (RSRR)
3.73
Lower limit of the 95% confidence interval on the RSRR
2.78
Upper limit of the 95% confidence interval on the RSRR
4.87
Comparative performance category
Better than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
291
Number of eligible stays
391
Observed discharge to community rate
74.42
Risk-standardized discharge to community rate
77.69
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.65
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
81.72
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.02
Number of eligible episodes
432
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
355
Denominator
355
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
355
Facility observed rate
2.0
Facility risk-adjusted rate
1.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
107
Number of health care workers
111
Rate of COVID-19 vaccination
96.4