Memorial Regional Rehab Center


About the Facility

CMS Certification Number (CCN)
15T058
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
615 N Michigan St
Phone Number
(574) 647-3083

Facility Medical Condition Statistics

All other conditions
45
Brain disease or condition (non-traumatic)
16
Brain injury (traumatic)
17
Hip or femur fracture
Data not available for this reporting period.
Hip or knee replacement, amputation or other bone or joint condition
25
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
Data not available for this reporting period.
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
82

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
239
Predicted number of infections (B)
0.651
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
206
Denominator
206
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
10.8
Denominator
188
Average observed change score
11.3
Change in patients ability to move around
Average risk-adjusted change score
24.2
Denominator
188
Average observed change score
25.3
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
87
Denominator
188
Facility rate
46.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
74
Denominator
188
Facility rate
39.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
206
Facility rate
0.5
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
1.601
Comparative performance category
No Different than the National Benchmark
Patient days
4,856
Predicted number of infections (B)
1.871
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
67
Number of health care workers
74
Rate of flu vaccination
90.5
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
11
Number of eligible stays
207
Unadjusted potentially preventable readmission rate
5.31
Risk-standardized potentially preventable readmission rate (RSRR)
8.19
Lower limit of the 95% confidence interval on the RSRR
6.46
Upper limit of the 95% confidence interval on the RSRR
10.21
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
6
Number of eligible stays
225
Unadjusted potentially preventable readmission rate
2.67
Risk-standardized potentially preventable readmission rate (RSRR)
4.25
Lower limit of the 95% confidence interval on the RSRR
2.97
Upper limit of the 95% confidence interval on the RSRR
6.40
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)
121
Number of eligible stays
172
Observed discharge to community rate
70.35
Risk-standardized discharge to community rate
67.47
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.04
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
72.77
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.85
Number of eligible episodes
188
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
173
Denominator
206
Facility rate
84.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
0
Denominator
206
Facility observed rate
0.0
Facility risk-adjusted rate
0.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
28
Number of health care workers
32
Rate of COVID-19 vaccination
87.5