About the Facility
- CMS Certification Number (CCN)
- 23T002
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
36475 Five Mile Road
- Phone Number
- (734) 655-2815
Facility Medical Condition Statistics
- All other conditions
- 40
- Brain disease or condition (non-traumatic)
- 15
- Brain injury (traumatic)
- 22
- Hip or femur fracture
- -
- Hip or knee replacement, amputation or other bone or joint condition
- 26
- Nervous system disorder (excluding stroke)
- 48
- 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
- 94
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
- 462
- Predicted number of infections (B)
- 0.879
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 257
- Denominator
- 257
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.4
- Denominator
- 214
- Average observed change score
- 11.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.5
- Denominator
- 214
- Average observed change score
- 31.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 109
- Denominator
- 214
- Facility rate
- 50.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 111
- Denominator
- 214
- Facility rate
- 51.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 257
- Facility rate
- 0.8
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.024
- SIR 95% confidence interval - upper limit
- 2.413
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,675
- Predicted number of infections (B)
- 2.044
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.489
- 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
- 19
- Number of eligible stays
- 218
- Unadjusted potentially preventable readmission rate
- 8.72
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.30
- Lower limit of the 95% confidence interval on the RSRR
- 6.57
- Upper limit of the 95% confidence interval on the RSRR
- 10.28
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 229
- Unadjusted potentially preventable readmission rate
- 2.18
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.90
- Lower limit of the 95% confidence interval on the RSRR
- 2.58
- Upper limit of the 95% confidence interval on the RSRR
- 6.18
- 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)
- 128
- Number of eligible stays
- 176
- Observed discharge to community rate
- 72.73
- Risk-standardized discharge to community rate
- 72.86
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.46
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.72
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 207
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 256
- Denominator
- 257
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 257
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 2.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 31
- Number of health care workers
- 41
- Rate of COVID-19 vaccination
- 75.6