About the Facility
- CMS Certification Number (CCN)
- 23T054
- Ownership Type
- Government
- CMS Region
- Chicago
- Certification Date
- Address
850 W Baraga Ave
- Phone Number
- (906) 449-3800
Facility Medical Condition Statistics
- All other conditions
- 73
- Brain disease or condition (non-traumatic)
- 27
- Brain injury (traumatic)
- 28
- Hip or femur fracture
- 19
- Hip or knee replacement, amputation or other bone or joint condition
- 38
- Nervous system disorder (excluding stroke)
- 33
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 44
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
- 286
- Predicted number of infections (B)
- 0.592
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 269
- Denominator
- 269
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 246
- Average observed change score
- 14.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.7
- Denominator
- 246
- Average observed change score
- 38.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 186
- Denominator
- 246
- Facility rate
- 75.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 173
- Denominator
- 246
- Facility rate
- 70.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 269
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.379
- SIR 95% confidence interval - upper limit
- 4.052
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,297
- Predicted number of infections (B)
- 2.015
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.489
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 53
- Number of health care workers
- 83
- Rate of flu vaccination
- 63.9
- 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
- 257
- Unadjusted potentially preventable readmission rate
- 7.39
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.47
- Lower limit of the 95% confidence interval on the RSRR
- 6.76
- Upper limit of the 95% confidence interval on the RSRR
- 10.54
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 6
- Number of eligible stays
- 272
- Unadjusted potentially preventable readmission rate
- 2.21
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.76
- Lower limit of the 95% confidence interval on the RSRR
- 2.47
- Upper limit of the 95% confidence interval on the RSRR
- 5.59
- 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)
- 165
- Number of eligible stays
- 228
- Observed discharge to community rate
- 72.37
- Risk-standardized discharge to community rate
- 71.25
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.19
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.87
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 252
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 267
- Denominator
- 269
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 268
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 38
- Number of health care workers
- 44
- Rate of COVID-19 vaccination
- 86.4