About the Facility
- CMS Certification Number (CCN)
- 15T089
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
2401 University Ave
Cardinal Health System
- Phone Number
- (765) 747-4228
Facility Medical Condition Statistics
- All other conditions
- 77
- Brain disease or condition (non-traumatic)
- 30
- Brain injury (traumatic)
- 14
- Hip or femur fracture
- -
- Hip or knee replacement, amputation or other bone or joint condition
- 17
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 17
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 89
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
- 137
- Predicted number of infections (B)
- 0.353
- 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
- 251
- Denominator
- 253
- Facility rate
- 99.2
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.0
- Denominator
- 219
- Average observed change score
- 11.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.6
- Denominator
- 220
- Average observed change score
- 29.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 147
- Denominator
- 220
- Facility rate
- 66.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 144
- Denominator
- 220
- Facility rate
- 65.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 253
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.483
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,325
- Predicted number of infections (B)
- 2.021
- 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
- 816
- Number of health care workers
- 915
- Rate of flu vaccination
- 89.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 22
- Number of eligible stays
- 238
- Unadjusted potentially preventable readmission rate
- 9.24
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.67
- Lower limit of the 95% confidence interval on the RSRR
- 6.79
- Upper limit of the 95% confidence interval on the RSRR
- 10.85
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 17
- Number of eligible stays
- 262
- Unadjusted potentially preventable readmission rate
- 6.49
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.48
- Lower limit of the 95% confidence interval on the RSRR
- 3.92
- Upper limit of the 95% confidence interval on the RSRR
- 7.49
- 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)
- 131
- Number of eligible stays
- 204
- Observed discharge to community rate
- 64.22
- Risk-standardized discharge to community rate
- 65.26
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.36
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.45
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 231
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 250
- Denominator
- 253
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 253
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 519
- Number of health care workers
- 565
- Rate of COVID-19 vaccination
- 91.9