Community Health Network Rehabilitation Hosp So


About the Facility

CMS Certification Number (CCN)
153044
Ownership Type
For Profit
CMS Region
Chicago
Certification Date
Address
607 South Greenwood Springs Drive
Phone Number
(317) 215-3808

Facility Medical Condition Statistics

All other conditions
264
Brain disease or condition (non-traumatic)
84
Brain injury (traumatic)
37
Hip or femur fracture
60
Hip or knee replacement, amputation or other bone or joint condition
134
Nervous system disorder (excluding stroke)
69
Spinal cord disease or condition (non-traumatic)
33
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
146

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
583
Predicted number of infections (B)
0.773
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
801
Denominator
801
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
14.2
Denominator
690
Average observed change score
15.8
Change in patients ability to move around
Average risk-adjusted change score
36.3
Denominator
690
Average observed change score
38.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
564
Denominator
690
Facility rate
81.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
558
Denominator
690
Facility rate
80.9
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
2
Denominator
801
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.753
Comparative performance category
Better than the National Benchmark
Patient days
11,448
Predicted number of infections (B)
3.981
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
180
Number of health care workers
189
Rate of flu vaccination
95.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
72
Number of eligible stays
714
Unadjusted potentially preventable readmission rate
10.08
Risk-standardized potentially preventable readmission rate (RSRR)
8.99
Lower limit of the 95% confidence interval on the RSRR
7.59
Upper limit of the 95% confidence interval on the RSRR
10.67
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
54
Number of eligible stays
809
Unadjusted potentially preventable readmission rate
6.67
Risk-standardized potentially preventable readmission rate (RSRR)
5.93
Lower limit of the 95% confidence interval on the RSRR
4.48
Upper limit of the 95% confidence interval on the RSRR
7.29
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)
403
Number of eligible stays
657
Observed discharge to community rate
61.34
Risk-standardized discharge to community rate
64.30
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.51
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.99
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.04
Number of eligible episodes
707
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
798
Denominator
801
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
7
Denominator
801
Facility observed rate
0.9
Facility risk-adjusted rate
0.8
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
171
Number of health care workers
180
Rate of COVID-19 vaccination
95.0