Northwest Community Healthcare


About the Facility

CMS Certification Number (CCN)
14T252
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
800 West Central Road
Phone Number
(502) 596-6346

Facility Medical Condition Statistics

All other conditions
220
Brain disease or condition (non-traumatic)
68
Brain injury (traumatic)
52
Hip or femur fracture
23
Hip or knee replacement, amputation or other bone or joint condition
47
Nervous system disorder (excluding stroke)
84
Spinal cord disease or condition (non-traumatic)
14
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
166

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.321
SIR 95% confidence interval - upper limit
6.335
Comparative performance category
No Different than the National Benchmark
Catheter days
549
Predicted number of infections (B)
1.043
Number of infections reported (A)
2
SIR (A/B)
1.918
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
659
Denominator
659
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.1
Denominator
583
Average observed change score
12.0
Change in patients ability to move around
Average risk-adjusted change score
32.8
Denominator
583
Average observed change score
33.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
375
Denominator
583
Facility rate
64.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
424
Denominator
583
Facility rate
72.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
659
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.461
SIR 95% confidence interval - upper limit
3.503
Comparative performance category
No Different than the National Benchmark
Patient days
8,436
Predicted number of infections (B)
2.754
Number of infections reported (A)
4
SIR (A/B)
1.452
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
96
Number of health care workers
99
Rate of flu vaccination
97.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
81
Number of eligible stays
813
Unadjusted potentially preventable readmission rate
9.96
Risk-standardized potentially preventable readmission rate (RSRR)
9.63
Lower limit of the 95% confidence interval on the RSRR
8.12
Upper limit of the 95% confidence interval on the RSRR
11.32
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
29
Number of eligible stays
872
Unadjusted potentially preventable readmission rate
3.33
Risk-standardized potentially preventable readmission rate (RSRR)
4.23
Lower limit of the 95% confidence interval on the RSRR
3.16
Upper limit of the 95% confidence interval on the RSRR
5.77
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)
485
Number of eligible stays
726
Observed discharge to community rate
66.80
Risk-standardized discharge to community rate
65.21
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.85
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.31
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.93
Number of eligible episodes
771
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
653
Denominator
659
Facility rate
99.1
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
6
Denominator
659
Facility observed rate
0.9
Facility risk-adjusted rate
1.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
53
Number of health care workers
53
Rate of COVID-19 vaccination
100.0