Community Stroke and Rehabilitation Center, Inc


About the Facility

CMS Certification Number (CCN)
153045
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
10215 Broadway Avenue
Phone Number
(219) 661-6055

Facility Medical Condition Statistics

All other conditions
253
Brain disease or condition (non-traumatic)
90
Brain injury (traumatic)
45
Hip or femur fracture
39
Hip or knee replacement, amputation or other bone or joint condition
50
Nervous system disorder (excluding stroke)
92
Spinal cord disease or condition (non-traumatic)
43
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
167

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
3.404
Comparative performance category
No Different than the National Benchmark
Catheter days
975
Predicted number of infections (B)
1.449
Number of infections reported (A)
1
SIR (A/B)
0.690
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
749
Denominator
749
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
16.1
Denominator
631
Average observed change score
17.0
Change in patients ability to move around
Average risk-adjusted change score
35.4
Denominator
631
Average observed change score
32.6
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
595
Denominator
631
Facility rate
94.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
571
Denominator
631
Facility rate
90.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
749
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.172
SIR 95% confidence interval - upper limit
1.836
Comparative performance category
No Different than the National Benchmark
Patient days
9,472
Predicted number of infections (B)
4.448
Number of infections reported (A)
3
SIR (A/B)
0.675
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
342
Number of health care workers
354
Rate of flu vaccination
96.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
84
Number of eligible stays
774
Unadjusted potentially preventable readmission rate
10.85
Risk-standardized potentially preventable readmission rate (RSRR)
8.79
Lower limit of the 95% confidence interval on the RSRR
7.38
Upper limit of the 95% confidence interval on the RSRR
10.43
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
58
Number of eligible stays
886
Unadjusted potentially preventable readmission rate
6.55
Risk-standardized potentially preventable readmission rate (RSRR)
5.50
Lower limit of the 95% confidence interval on the RSRR
4.36
Upper limit of the 95% confidence interval on the RSRR
7.28
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)
453
Number of eligible stays
747
Observed discharge to community rate
60.64
Risk-standardized discharge to community rate
64.31
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
60.93
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.55
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
780
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
749
Denominator
749
Facility rate
100.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
749
Facility observed rate
0.3
Facility risk-adjusted rate
0.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
353
Number of health care workers
357
Rate of COVID-19 vaccination
98.9