About the Facility
- CMS Certification Number (CCN)
- 15T162
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
8111 S Emerson Ave
- Phone Number
- (317) 528-6038
Facility Medical Condition Statistics
- All other conditions
- 83
- Brain disease or condition (non-traumatic)
- 26
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 38
- Hip or knee replacement, amputation or other bone or joint condition
- 51
- Nervous system disorder (excluding stroke)
- 11
- Spinal cord disease or condition (non-traumatic)
- 22
- Spinal cord injury (traumatic)
- -
- Stroke
- 96
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
- 404
- Predicted number of infections (B)
- 0.903
- 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
- 335
- Denominator
- 335
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.8
- Denominator
- 299
- Average observed change score
- 11.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 23.4
- Denominator
- 299
- Average observed change score
- 26.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 151
- Denominator
- 299
- Facility rate
- 50.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 110
- Denominator
- 299
- Facility rate
- 36.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 3
- Denominator
- 335
- Facility rate
- 0.9
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.129
- SIR 95% confidence interval - upper limit
- 2.547
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,441
- Predicted number of infections (B)
- 2.594
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.771
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 65
- Number of health care workers
- 65
- Rate of flu vaccination
- 100.0
- 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
- 327
- Unadjusted potentially preventable readmission rate
- 8.56
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.84
- Lower limit of the 95% confidence interval on the RSRR
- 7.12
- Upper limit of the 95% confidence interval on the RSRR
- 10.89
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 15
- Number of eligible stays
- 363
- Unadjusted potentially preventable readmission rate
- 4.13
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.79
- Lower limit of the 95% confidence interval on the RSRR
- 3.48
- Upper limit of the 95% confidence interval on the RSRR
- 6.20
- 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)
- 206
- Number of eligible stays
- 311
- Observed discharge to community rate
- 66.24
- Risk-standardized discharge to community rate
- 64.65
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.16
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.86
- 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
- 338
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 327
- Denominator
- 335
- Facility rate
- 97.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 334
- 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
- 60
- Number of health care workers
- 65
- Rate of COVID-19 vaccination
- 92.3