Mary Free Bed at Munson


About the Facility

CMS Certification Number (CCN)
23T097
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1105 6th St.
Phone Number
-

Facility Medical Condition Statistics

All other conditions
30
Brain disease or condition (non-traumatic)
27
Brain injury (traumatic)
23
Hip or femur fracture
15
Hip or knee replacement, amputation or other bone or joint condition
62
Nervous system disorder (excluding stroke)
33
Spinal cord disease or condition (non-traumatic)
29
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
124

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
345
Predicted number of infections (B)
0.940
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
348
Denominator
350
Facility rate
99.4
Change in patients ability to care for themselves
Average risk-adjusted change score
10.5
Denominator
307
Average observed change score
11.5
Change in patients ability to move around
Average risk-adjusted change score
26.6
Denominator
307
Average observed change score
29.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
132
Denominator
307
Facility rate
43.0
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
129
Denominator
307
Facility rate
42.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
350
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
Not Available
SIR 95% confidence interval - upper limit
0.820
Comparative performance category
Better than the National Benchmark
Patient days
7,077
Predicted number of infections (B)
3.652
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
57
Number of health care workers
58
Rate of flu vaccination
98.3
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
12
Number of eligible stays
290
Unadjusted potentially preventable readmission rate
4.14
Risk-standardized potentially preventable readmission rate (RSRR)
7.36
Lower limit of the 95% confidence interval on the RSRR
5.78
Upper limit of the 95% confidence interval on the RSRR
9.42
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
6
Number of eligible stays
312
Unadjusted potentially preventable readmission rate
1.92
Risk-standardized potentially preventable readmission rate (RSRR)
3.64
Lower limit of the 95% confidence interval on the RSRR
2.33
Upper limit of the 95% confidence interval on the RSRR
5.06
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)
184
Number of eligible stays
253
Observed discharge to community rate
72.73
Risk-standardized discharge to community rate
71.33
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
66.41
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
75.58
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.91
Number of eligible episodes
261
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
346
Denominator
350
Facility rate
98.9
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
350
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
27
Number of health care workers
46
Rate of COVID-19 vaccination
58.7