About the Facility
- CMS Certification Number (CCN)
- 23T029
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
44405 Woodward Ave.
- Phone Number
- (248) 858-6311
Facility Medical Condition Statistics
- All other conditions
- 109
- Brain disease or condition (non-traumatic)
- 41
- Brain injury (traumatic)
- 19
- Hip or femur fracture
- -
- Hip or knee replacement, amputation or other bone or joint condition
- Data not available for this reporting period.
- Nervous system disorder (excluding stroke)
- 36
- Spinal cord disease or condition (non-traumatic)
- 27
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 71
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
- 2.892
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 456
- Predicted number of infections (B)
- 1.036
- 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
- 312
- Denominator
- 313
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.9
- Denominator
- 268
- Average observed change score
- 10.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.8
- Denominator
- 268
- Average observed change score
- 24.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 95
- Denominator
- 268
- Facility rate
- 35.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 73
- Denominator
- 268
- Facility rate
- 27.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 313
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.013
- SIR 95% confidence interval - upper limit
- 1.306
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,570
- Predicted number of infections (B)
- 3.775
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.265
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 18
- Number of health care workers
- 156
- Rate of flu vaccination
- 11.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 41
- Number of eligible stays
- 399
- Unadjusted potentially preventable readmission rate
- 10.28
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.74
- Lower limit of the 95% confidence interval on the RSRR
- 7.09
- Upper limit of the 95% confidence interval on the RSRR
- 10.56
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 19
- Number of eligible stays
- 436
- Unadjusted potentially preventable readmission rate
- 4.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.49
- Lower limit of the 95% confidence interval on the RSRR
- 3.42
- Upper limit of the 95% confidence interval on the RSRR
- 6.08
- 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)
- 243
- Number of eligible stays
- 356
- Observed discharge to community rate
- 68.26
- Risk-standardized discharge to community rate
- 68.46
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.21
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.65
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 354
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 93
- Denominator
- 313
- Facility rate
- 29.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 309
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 73
- Number of health care workers
- 83
- Rate of COVID-19 vaccination
- 88.0