Mary Free Bed Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
233026
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
235 Wealthy Se
Phone Number
(616) 840-8000

Facility Medical Condition Statistics

All other conditions
343
Brain disease or condition (non-traumatic)
106
Brain injury (traumatic)
131
Hip or femur fracture
59
Hip or knee replacement, amputation or other bone or joint condition
201
Nervous system disorder (excluding stroke)
82
Spinal cord disease or condition (non-traumatic)
69
Spinal cord injury (traumatic)
39
Stroke
384

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
0.580
Comparative performance category
Better than the National Benchmark
Catheter days
3,336
Predicted number of infections (B)
5.166
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
1,400
Denominator
1,400
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.6
Denominator
1,219
Average observed change score
12.9
Change in patients ability to move around
Average risk-adjusted change score
29.3
Denominator
1,219
Average observed change score
31.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
670
Denominator
1,219
Facility rate
55.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
664
Denominator
1,219
Facility rate
54.5
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
1,400
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.003
SIR 95% confidence interval - upper limit
0.338
Comparative performance category
Better than the National Benchmark
Patient days
38,738
Predicted number of infections (B)
14.596
Number of infections reported (A)
1
SIR (A/B)
0.069
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
2,433
Number of health care workers
2,590
Rate of flu vaccination
93.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
42
Number of eligible stays
709
Unadjusted potentially preventable readmission rate
5.92
Risk-standardized potentially preventable readmission rate (RSRR)
7.39
Lower limit of the 95% confidence interval on the RSRR
6.07
Upper limit of the 95% confidence interval on the RSRR
9.02
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
34
Number of eligible stays
783
Unadjusted potentially preventable readmission rate
4.34
Risk-standardized potentially preventable readmission rate (RSRR)
4.49
Lower limit of the 95% confidence interval on the RSRR
3.10
Upper limit of the 95% confidence interval on the RSRR
5.86
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)
426
Number of eligible stays
576
Observed discharge to community rate
73.96
Risk-standardized discharge to community rate
73.74
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
70.29
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.78
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.98
Number of eligible episodes
665
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
1,385
Denominator
1,400
Facility rate
98.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
1,399
Facility observed rate
0.2
Facility risk-adjusted rate
0.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
2,275
Number of health care workers
2,388
Rate of COVID-19 vaccination
95.3