Centegra Hospital - Mchenry


About the Facility

CMS Certification Number (CCN)
14T116
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
4201 Medical Center Drive
Phone Number
(815) 759-4612

Facility Medical Condition Statistics

All other conditions
66
Brain disease or condition (non-traumatic)
22
Brain injury (traumatic)
18
Hip or femur fracture
43
Hip or knee replacement, amputation or other bone or joint condition
54
Nervous system disorder (excluding stroke)
36
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
79

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.035
SIR 95% confidence interval - upper limit
3.473
Comparative performance category
No Different than the National Benchmark
Catheter days
747
Predicted number of infections (B)
1.420
Number of infections reported (A)
1
SIR (A/B)
0.704
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
327
Denominator
327
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.6
Denominator
286
Average observed change score
11.1
Change in patients ability to move around
Average risk-adjusted change score
24.6
Denominator
286
Average observed change score
25.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
116
Denominator
286
Facility rate
40.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
101
Denominator
286
Facility rate
35.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
327
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.410
Comparative performance category
No Different than the National Benchmark
Patient days
7,340
Predicted number of infections (B)
2.125
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
52
Number of health care workers
54
Rate of flu vaccination
96.3
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
411
Unadjusted potentially preventable readmission rate
7.06
Risk-standardized potentially preventable readmission rate (RSRR)
8.51
Lower limit of the 95% confidence interval on the RSRR
6.80
Upper limit of the 95% confidence interval on the RSRR
10.66
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
18
Number of eligible stays
448
Unadjusted potentially preventable readmission rate
4.02
Risk-standardized potentially preventable readmission rate (RSRR)
4.78
Lower limit of the 95% confidence interval on the RSRR
3.36
Upper limit of the 95% confidence interval on the RSRR
6.78
Comparative performance category
No Different than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
244
Number of eligible stays
366
Observed discharge to community rate
66.67
Risk-standardized discharge to community rate
66.06
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.79
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.17
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.07
Number of eligible episodes
413
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
325
Denominator
327
Facility rate
99.4
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
8
Denominator
327
Facility observed rate
2.4
Facility risk-adjusted rate
2.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
50
Number of health care workers
52
Rate of COVID-19 vaccination
96.2