About the Facility
- CMS Certification Number (CCN)
- 23T047
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
15855 Nineteen Mile Road
- Phone Number
- (586) 263-2489
Facility Medical Condition Statistics
- All other conditions
- 139
- Brain disease or condition (non-traumatic)
- 118
- Brain injury (traumatic)
- 30
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 36
- Nervous system disorder (excluding stroke)
- 98
- Spinal cord disease or condition (non-traumatic)
- 26
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 118
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
- 1.599
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,065
- Predicted number of infections (B)
- 1.873
- 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
- 568
- Denominator
- 568
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.9
- Denominator
- 455
- Average observed change score
- 12.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.8
- Denominator
- 455
- Average observed change score
- 29.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 246
- Denominator
- 455
- Facility rate
- 54.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 215
- Denominator
- 455
- Facility rate
- 47.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 568
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.053
- SIR 95% confidence interval - upper limit
- 1.052
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 10,847
- Predicted number of infections (B)
- 6.280
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.318
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 133
- Number of health care workers
- 151
- Rate of flu vaccination
- 88.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 52
- Number of eligible stays
- 425
- Unadjusted potentially preventable readmission rate
- 12.24
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.97
- Lower limit of the 95% confidence interval on the RSRR
- 7.49
- Upper limit of the 95% confidence interval on the RSRR
- 10.70
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 40
- Number of eligible stays
- 497
- Unadjusted potentially preventable readmission rate
- 8.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.84
- Lower limit of the 95% confidence interval on the RSRR
- 4.64
- Upper limit of the 95% confidence interval on the RSRR
- 7.39
- 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)
- 242
- Number of eligible stays
- 388
- Observed discharge to community rate
- 62.37
- Risk-standardized discharge to community rate
- 68.13
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.44
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.56
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 410
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 568
- Denominator
- 568
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 565
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 103
- Number of health care workers
- 112
- Rate of COVID-19 vaccination
- 92.0