About the Facility
- CMS Certification Number (CCN)
- 23T041
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
3190 E. Midland Road
- Phone Number
- (989) 667-6898
Facility Medical Condition Statistics
- All other conditions
- 80
- Brain disease or condition (non-traumatic)
- 35
- Brain injury (traumatic)
- 21
- Hip or femur fracture
- 30
- Hip or knee replacement, amputation or other bone or joint condition
- 30
- Nervous system disorder (excluding stroke)
- 41
- Spinal cord disease or condition (non-traumatic)
- 19
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 53
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.035
- SIR 95% confidence interval - upper limit
- 3.471
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 580
- Predicted number of infections (B)
- 1.421
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.704
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 305
- Denominator
- 306
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.8
- Denominator
- 241
- Average observed change score
- 16.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.2
- Denominator
- 241
- Average observed change score
- 28.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 176
- Denominator
- 241
- Facility rate
- 73.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 103
- Denominator
- 241
- Facility rate
- 42.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 306
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.019
- SIR 95% confidence interval - upper limit
- 1.869
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,589
- Predicted number of infections (B)
- 2.639
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.379
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 40
- Number of health care workers
- 49
- Rate of flu vaccination
- 81.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 18
- Number of eligible stays
- 289
- Unadjusted potentially preventable readmission rate
- 6.23
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.74
- Lower limit of the 95% confidence interval on the RSRR
- 6.08
- Upper limit of the 95% confidence interval on the RSRR
- 9.77
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 24
- Number of eligible stays
- 342
- Unadjusted potentially preventable readmission rate
- 7.02
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.85
- Lower limit of the 95% confidence interval on the RSRR
- 4.23
- Upper limit of the 95% confidence interval on the RSRR
- 7.72
- 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)
- 181
- Number of eligible stays
- 280
- Observed discharge to community rate
- 64.64
- Risk-standardized discharge to community rate
- 66.87
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.55
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.98
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 277
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 304
- Denominator
- 306
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 303
- 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
- 33
- Number of health care workers
- 40
- Rate of COVID-19 vaccination
- 82.5