About the Facility
- CMS Certification Number (CCN)
- 23T038
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
1840 Wealthy St Se
- Phone Number
- (616) 486-3080
Facility Medical Condition Statistics
- All other conditions
- 152
- Brain disease or condition (non-traumatic)
- 38
- Brain injury (traumatic)
- 18
- Hip or femur fracture
- 34
- Hip or knee replacement, amputation or other bone or joint condition
- 75
- Nervous system disorder (excluding stroke)
- 40
- Spinal cord disease or condition (non-traumatic)
- 30
- Spinal cord injury (traumatic)
- -
- Stroke
- 155
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
- 2.319
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 497
- Predicted number of infections (B)
- 1.292
- 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
- 540
- Denominator
- 540
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.1
- Denominator
- 468
- Average observed change score
- 11.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.1
- Denominator
- 468
- Average observed change score
- 29.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 244
- Denominator
- 468
- Facility rate
- 52.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 230
- Denominator
- 468
- Facility rate
- 49.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 540
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.308
- SIR 95% confidence interval - upper limit
- 2.342
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 10,618
- Predicted number of infections (B)
- 4.121
- Number of infections reported (A)
- 4
- SIR (A/B)
- 0.971
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 92
- Number of health care workers
- 96
- Rate of flu vaccination
- 95.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 27
- Number of eligible stays
- 343
- Unadjusted potentially preventable readmission rate
- 7.87
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.39
- Lower limit of the 95% confidence interval on the RSRR
- 6.74
- Upper limit of the 95% confidence interval on the RSRR
- 10.41
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 12
- Number of eligible stays
- 371
- Unadjusted potentially preventable readmission rate
- 3.23
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.13
- Lower limit of the 95% confidence interval on the RSRR
- 3.03
- Upper limit of the 95% confidence interval on the RSRR
- 5.49
- 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)
- 235
- Number of eligible stays
- 301
- Observed discharge to community rate
- 78.07
- Risk-standardized discharge to community rate
- 74.68
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.56
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.33
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.81
- Number of eligible episodes
- 320
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 533
- Denominator
- 540
- Facility rate
- 98.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 15
- Denominator
- 537
- Facility observed rate
- 2.8
- Facility risk-adjusted rate
- 3.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 93
- Number of health care workers
- 101
- Rate of COVID-19 vaccination
- 92.1