St. Elizabeth Inpatient Rehabilitation Center


About the Facility

CMS Certification Number (CCN)
15T109
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1501 Hartford St.
Phone Number
(765) 446-4829

Facility Medical Condition Statistics

All other conditions
39
Brain disease or condition (non-traumatic)
13
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
14
Hip or knee replacement, amputation or other bone or joint condition
30
Nervous system disorder (excluding stroke)
13
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
37

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
226
Predicted number of infections (B)
0.480
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
155
Denominator
155
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.1
Denominator
143
Average observed change score
12.7
Change in patients ability to move around
Average risk-adjusted change score
25.6
Denominator
143
Average observed change score
27.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
82
Denominator
143
Facility rate
57.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
62
Denominator
143
Facility rate
43.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
155
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
2.599
Comparative performance category
No Different than the National Benchmark
Patient days
2,516
Predicted number of infections (B)
1.153
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
992
Number of health care workers
1,003
Rate of flu vaccination
98.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
24
Number of eligible stays
178
Unadjusted potentially preventable readmission rate
13.48
Risk-standardized potentially preventable readmission rate (RSRR)
10.16
Lower limit of the 95% confidence interval on the RSRR
8.21
Upper limit of the 95% confidence interval on the RSRR
12.68
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
1
Number of eligible stays
183
Unadjusted potentially preventable readmission rate
0.55
Risk-standardized potentially preventable readmission rate (RSRR)
3.55
Lower limit of the 95% confidence interval on the RSRR
2.36
Upper limit of the 95% confidence interval on the RSRR
5.43
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)
104
Number of eligible stays
149
Observed discharge to community rate
69.80
Risk-standardized discharge to community rate
67.76
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.17
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.37
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.92
Number of eligible episodes
166
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
153
Denominator
155
Facility rate
98.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
155
Facility observed rate
0.6
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
16
Number of health care workers
21
Rate of COVID-19 vaccination
76.2