Community Health Network Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
153043
Ownership Type
For Profit
CMS Region
Chicago
Certification Date
Address
7343 Clearvista Drive
Phone Number
(317) 585-5400

Facility Medical Condition Statistics

All other conditions
333
Brain disease or condition (non-traumatic)
182
Brain injury (traumatic)
25
Hip or femur fracture
71
Hip or knee replacement, amputation or other bone or joint condition
185
Nervous system disorder (excluding stroke)
98
Spinal cord disease or condition (non-traumatic)
44
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
232

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
871
Predicted number of infections (B)
0.941
Number of infections reported (A)
0
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,171
Denominator
1,171
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.3
Denominator
1,013
Average observed change score
15.6
Change in patients ability to move around
Average risk-adjusted change score
35.6
Denominator
1,013
Average observed change score
36.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
859
Denominator
1,013
Facility rate
84.8
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
857
Denominator
1,013
Facility rate
84.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
3
Denominator
1,171
Facility rate
0.3
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.043
SIR 95% confidence interval - upper limit
0.851
Comparative performance category
Better than the National Benchmark
Patient days
18,152
Predicted number of infections (B)
7.761
Number of infections reported (A)
2
SIR (A/B)
0.258
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
279
Number of health care workers
291
Rate of flu vaccination
95.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
109
Number of eligible stays
1,198
Unadjusted potentially preventable readmission rate
9.10
Risk-standardized potentially preventable readmission rate (RSRR)
8.51
Lower limit of the 95% confidence interval on the RSRR
7.35
Upper limit of the 95% confidence interval on the RSRR
9.78
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
67
Number of eligible stays
1,312
Unadjusted potentially preventable readmission rate
5.11
Risk-standardized potentially preventable readmission rate (RSRR)
4.90
Lower limit of the 95% confidence interval on the RSRR
4.01
Upper limit of the 95% confidence interval on the RSRR
6.02
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)
709
Number of eligible stays
1,050
Observed discharge to community rate
67.52
Risk-standardized discharge to community rate
69.83
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.06
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.57
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
1,189
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,168
Denominator
1,171
Facility rate
99.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
4
Denominator
1,169
Facility observed rate
0.3
Facility risk-adjusted rate
0.3
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
230
Number of health care workers
241
Rate of COVID-19 vaccination
95.4