About the Facility
- CMS Certification Number (CCN)
- 23T117
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
1521 Gull Rd
- Phone Number
- (269) 226-6618
Facility Medical Condition Statistics
- All other conditions
- 54
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- 17
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 57
- Nervous system disorder (excluding stroke)
- 17
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 76
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
- 135
- Predicted number of infections (B)
- 0.300
- 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
- 248
- Denominator
- 250
- Facility rate
- 99.2
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.7
- Denominator
- 223
- Average observed change score
- 11.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.8
- Denominator
- 223
- Average observed change score
- 33.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 113
- Denominator
- 223
- Facility rate
- 50.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 144
- Denominator
- 223
- Facility rate
- 64.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 249
- 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
- 1.532
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,080
- Predicted number of infections (B)
- 1.956
- 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
- 52
- Number of health care workers
- 58
- Rate of flu vaccination
- 89.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 14
- Number of eligible stays
- 172
- Unadjusted potentially preventable readmission rate
- 8.14
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.07
- Lower limit of the 95% confidence interval on the RSRR
- 7.12
- Upper limit of the 95% confidence interval on the RSRR
- 11.67
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 194
- Unadjusted potentially preventable readmission rate
- 3.61
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.79
- Lower limit of the 95% confidence interval on the RSRR
- 3.07
- Upper limit of the 95% confidence interval on the RSRR
- 6.51
- 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)
- 104
- Number of eligible stays
- 155
- Observed discharge to community rate
- 67.10
- Risk-standardized discharge to community rate
- 65.86
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.94
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.84
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 148
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 249
- Denominator
- 250
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 250
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 2.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 43
- Number of health care workers
- 46
- Rate of COVID-19 vaccination
- 93.5