About the Facility
- CMS Certification Number (CCN)
- 23T066
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
1700 Clinton Street
- Phone Number
- (231) 728-4007
Facility Medical Condition Statistics
- All other conditions
- 112
- Brain disease or condition (non-traumatic)
- 14
- Brain injury (traumatic)
- 28
- Hip or femur fracture
- 28
- Hip or knee replacement, amputation or other bone or joint condition
- 48
- Nervous system disorder (excluding stroke)
- 14
- Spinal cord disease or condition (non-traumatic)
- 32
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 116
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
- 228
- Predicted number of infections (B)
- 0.620
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 392
- Denominator
- 392
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.6
- Denominator
- 296
- Average observed change score
- 14.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.3
- Denominator
- 296
- Average observed change score
- 36.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 178
- Denominator
- 296
- Facility rate
- 60.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 192
- Denominator
- 296
- Facility rate
- 64.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 392
- 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
- 2.880
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,492
- Predicted number of infections (B)
- 3.350
- Number of infections reported (A)
- 4
- SIR (A/B)
- 1.194
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 66
- Number of health care workers
- 163
- Rate of flu vaccination
- 40.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 16
- Number of eligible stays
- 218
- Unadjusted potentially preventable readmission rate
- 7.34
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.00
- Lower limit of the 95% confidence interval on the RSRR
- 6.27
- Upper limit of the 95% confidence interval on the RSRR
- 9.89
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 11
- Number of eligible stays
- 230
- Unadjusted potentially preventable readmission rate
- 4.78
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.63
- Lower limit of the 95% confidence interval on the RSRR
- 3.19
- Upper limit of the 95% confidence interval on the RSRR
- 6.01
- 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)
- 151
- Number of eligible stays
- 198
- Observed discharge to community rate
- 76.26
- Risk-standardized discharge to community rate
- 76.12
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.61
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 81.00
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 197
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 390
- Denominator
- 392
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 392
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 130
- Number of health care workers
- 154
- Rate of COVID-19 vaccination
- 84.4