About the Facility
- CMS Certification Number (CCN)
- 15T059
- Ownership Type
- Government
- CMS Region
- Chicago
- Certification Date
- Address
395 Westfield Road
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 80
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 41
- Hip or knee replacement, amputation or other bone or joint condition
- 55
- Nervous system disorder (excluding stroke)
- 33
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 46
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
- 402
- Predicted number of infections (B)
- 0.581
- 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
- 289
- Denominator
- 289
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 268
- Average observed change score
- 13.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.9
- Denominator
- 268
- Average observed change score
- 35.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 199
- Denominator
- 268
- Facility rate
- 74.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 190
- Denominator
- 268
- Facility rate
- 70.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 289
- 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
- 1.865
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,043
- Predicted number of infections (B)
- 1.606
- 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
- 197
- Number of health care workers
- 222
- Rate of flu vaccination
- 88.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 28
- Number of eligible stays
- 316
- Unadjusted potentially preventable readmission rate
- 8.86
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.64
- Lower limit of the 95% confidence interval on the RSRR
- 6.94
- Upper limit of the 95% confidence interval on the RSRR
- 10.80
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 334
- Unadjusted potentially preventable readmission rate
- 2.99
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.14
- Lower limit of the 95% confidence interval on the RSRR
- 2.80
- Upper limit of the 95% confidence interval on the RSRR
- 6.15
- 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)
- 174
- Number of eligible stays
- 263
- Observed discharge to community rate
- 66.16
- Risk-standardized discharge to community rate
- 63.90
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 58.75
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.36
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.01
- Number of eligible episodes
- 327
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 285
- Denominator
- 289
- Facility rate
- 98.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 289
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 206
- Number of health care workers
- 216
- Rate of COVID-19 vaccination
- 95.4