Mary Free Bed at Covenant


About the Facility

CMS Certification Number (CCN)
23T070
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
515 Michigan Avenue
Phone Number
(989) 583-2817

Facility Medical Condition Statistics

All other conditions
299
Brain disease or condition (non-traumatic)
63
Brain injury (traumatic)
63
Hip or femur fracture
34
Hip or knee replacement, amputation or other bone or joint condition
104
Nervous system disorder (excluding stroke)
93
Spinal cord disease or condition (non-traumatic)
34
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
179

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.215
SIR 95% confidence interval - upper limit
4.244
Comparative performance category
No Different than the National Benchmark
Catheter days
752
Predicted number of infections (B)
1.557
Number of infections reported (A)
2
SIR (A/B)
1.285
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
863
Denominator
863
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.6
Denominator
749
Average observed change score
15.5
Change in patients ability to move around
Average risk-adjusted change score
28.4
Denominator
749
Average observed change score
31.4
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
423
Denominator
749
Facility rate
56.5
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
380
Denominator
749
Facility rate
50.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
863
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.100
SIR 95% confidence interval - upper limit
1.069
Comparative performance category
No Different than the National Benchmark
Patient days
14,921
Predicted number of infections (B)
7.636
Number of infections reported (A)
3
SIR (A/B)
0.393
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
84
Number of health care workers
589
Rate of flu vaccination
14.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
91
Number of eligible stays
718
Unadjusted potentially preventable readmission rate
12.67
Risk-standardized potentially preventable readmission rate (RSRR)
9.80
Lower limit of the 95% confidence interval on the RSRR
8.38
Upper limit of the 95% confidence interval on the RSRR
11.42
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
67
Number of eligible stays
851
Unadjusted potentially preventable readmission rate
7.87
Risk-standardized potentially preventable readmission rate (RSRR)
6.10
Lower limit of the 95% confidence interval on the RSRR
5.04
Upper limit of the 95% confidence interval on the RSRR
7.30
Comparative performance category
Worse than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
405
Number of eligible stays
683
Observed discharge to community rate
59.30
Risk-standardized discharge to community rate
65.10
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.18
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.87
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
684
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
846
Denominator
863
Facility rate
98.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
5
Denominator
858
Facility observed rate
0.6
Facility risk-adjusted rate
0.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
341
Number of health care workers
544
Rate of COVID-19 vaccination
62.7