About the Facility
- CMS Certification Number (CCN)
- 15T035
- Ownership Type
- For Profit
- CMS Region
- Chicago
- Certification Date
- Address
3630 Willowcreek Rd
- Phone Number
- (219) 263-7115
Facility Medical Condition Statistics
- All other conditions
- 118
- Brain disease or condition (non-traumatic)
- 20
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 29
- Hip or knee replacement, amputation or other bone or joint condition
- 18
- Nervous system disorder (excluding stroke)
- 47
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 63
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
- 476
- Predicted number of infections (B)
- 0.985
- 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
- 315
- Denominator
- 315
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.8
- Denominator
- 266
- Average observed change score
- 10.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.9
- Denominator
- 266
- Average observed change score
- 31.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 138
- Denominator
- 266
- Facility rate
- 51.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 135
- Denominator
- 266
- Facility rate
- 50.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 315
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.563
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,086
- Predicted number of infections (B)
- 1.916
- 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
- 9
- Number of health care workers
- 18
- Rate of flu vaccination
- 50.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 40
- Number of eligible stays
- 377
- Unadjusted potentially preventable readmission rate
- 10.61
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.15
- Lower limit of the 95% confidence interval on the RSRR
- 7.56
- Upper limit of the 95% confidence interval on the RSRR
- 11.21
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 31
- Number of eligible stays
- 423
- Unadjusted potentially preventable readmission rate
- 7.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.48
- Lower limit of the 95% confidence interval on the RSRR
- 4.86
- Upper limit of the 95% confidence interval on the RSRR
- 8.06
- 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)
- 221
- Number of eligible stays
- 351
- Observed discharge to community rate
- 62.96
- Risk-standardized discharge to community rate
- 62.13
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.48
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.42
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 371
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 312
- Denominator
- 315
- Facility rate
- 99.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 314
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 19
- Number of health care workers
- 22
- Rate of COVID-19 vaccination
- 86.4