Encompass Health Deaconess Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
153025
Ownership Type
For Profit
CMS Region
Chicago
Certification Date
Address
9355 Warrick Trail
Phone Number
(812) 476-9983

Facility Medical Condition Statistics

All other conditions
334
Brain disease or condition (non-traumatic)
252
Brain injury (traumatic)
58
Hip or femur fracture
156
Hip or knee replacement, amputation or other bone or joint condition
306
Nervous system disorder (excluding stroke)
517
Spinal cord disease or condition (non-traumatic)
59
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
280

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.018
SIR 95% confidence interval - upper limit
1.770
Comparative performance category
No Different than the National Benchmark
Catheter days
2,543
Predicted number of infections (B)
2.786
Number of infections reported (A)
1
SIR (A/B)
0.359
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,924
Denominator
1,924
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.4
Denominator
1,665
Average observed change score
14.2
Change in patients ability to move around
Average risk-adjusted change score
33.5
Denominator
1,665
Average observed change score
35.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
1,230
Denominator
1,665
Facility rate
73.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
1,153
Denominator
1,665
Facility rate
69.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
1,924
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.325
SIR 95% confidence interval - upper limit
1.221
Comparative performance category
No Different than the National Benchmark
Patient days
31,625
Predicted number of infections (B)
13.522
Number of infections reported (A)
9
SIR (A/B)
0.666
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
438
Number of health care workers
486
Rate of flu vaccination
90.1
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
234
Number of eligible stays
2,001
Unadjusted potentially preventable readmission rate
11.69
Risk-standardized potentially preventable readmission rate (RSRR)
9.79
Lower limit of the 95% confidence interval on the RSRR
8.73
Upper limit of the 95% confidence interval on the RSRR
10.86
Comparative performance category
Worse than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
135
Number of eligible stays
2,235
Unadjusted potentially preventable readmission rate
6.04
Risk-standardized potentially preventable readmission rate (RSRR)
5.82
Lower limit of the 95% confidence interval on the RSRR
4.94
Upper limit of the 95% confidence interval on the RSRR
6.71
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)
1,109
Number of eligible stays
1,710
Observed discharge to community rate
64.85
Risk-standardized discharge to community rate
66.25
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.17
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.38
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
2,193
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,923
Denominator
1,924
Facility rate
99.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
10
Denominator
1,914
Facility observed rate
0.5
Facility risk-adjusted rate
0.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
753
Number of health care workers
846
Rate of COVID-19 vaccination
89.0