About the Facility
- CMS Certification Number (CCN)
- 15T088
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
2015 Jackson Street
- Phone Number
- (765) 608-2661
Facility Medical Condition Statistics
- All other conditions
- 30
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 19
- Hip or knee replacement, amputation or other bone or joint condition
- 17
- Nervous system disorder (excluding stroke)
- 19
- 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
- 60
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
- 184
- Predicted number of infections (B)
- 0.502
- 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
- 158
- Denominator
- 158
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.6
- Denominator
- 143
- Average observed change score
- 15.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.1
- Denominator
- 143
- Average observed change score
- 34.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 115
- Denominator
- 143
- Facility rate
- 80.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 88
- Denominator
- 143
- Facility rate
- 61.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 158
- 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
- 2.888
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 2,501
- Predicted number of infections (B)
- 1.037
- 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
- Not Available
- Number of health care workers
- Not Available
- Rate of flu vaccination
- Not Available
- 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
- 126
- Unadjusted potentially preventable readmission rate
- 8.73
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.79
- Lower limit of the 95% confidence interval on the RSRR
- 6.91
- Upper limit of the 95% confidence interval on the RSRR
- 11.15
- 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
- 141
- Unadjusted potentially preventable readmission rate
- 7.09
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.01
- Lower limit of the 95% confidence interval on the RSRR
- 4.25
- Upper limit of the 95% confidence interval on the RSRR
- 8.90
- 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)
- 69
- Number of eligible stays
- 110
- Observed discharge to community rate
- 62.73
- Risk-standardized discharge to community rate
- 61.71
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 55.11
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.32
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.82
- Number of eligible episodes
- 122
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 156
- Denominator
- 158
- Facility rate
- 98.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 157
- 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
- 1,081
- Number of health care workers
- 1,122
- Rate of COVID-19 vaccination
- 96.3