About the Facility
- CMS Certification Number (CCN)
- 23T130
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
3601 W 13 Mile Rd.
- Phone Number
- (248) 898-7319
Facility Medical Condition Statistics
- All other conditions
- 226
- Brain disease or condition (non-traumatic)
- 170
- Brain injury (traumatic)
- 59
- Hip or femur fracture
- 81
- Hip or knee replacement, amputation or other bone or joint condition
- 165
- Nervous system disorder (excluding stroke)
- 416
- Spinal cord disease or condition (non-traumatic)
- 73
- Spinal cord injury (traumatic)
- 20
- Stroke
- 166
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 2.771
- SIR 95% confidence interval - upper limit
- 10.427
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 1,013
- Predicted number of infections (B)
- 1.584
- Number of infections reported (A)
- 9
- SIR (A/B)
- 5.682
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 1,325
- Denominator
- 1,326
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.8
- Denominator
- 1,076
- Average observed change score
- 12.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.6
- Denominator
- 1,076
- Average observed change score
- 34.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 603
- Denominator
- 1,076
- Facility rate
- 56.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 647
- Denominator
- 1,076
- Facility rate
- 60.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,325
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.882
- SIR 95% confidence interval - upper limit
- 2.767
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 17,808
- Predicted number of infections (B)
- 7.372
- Number of infections reported (A)
- 12
- SIR (A/B)
- 1.628
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 157
- Number of health care workers
- 182
- Rate of flu vaccination
- 86.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 147
- Number of eligible stays
- 1,338
- Unadjusted potentially preventable readmission rate
- 10.99
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.95
- Lower limit of the 95% confidence interval on the RSRR
- 7.79
- Upper limit of the 95% confidence interval on the RSRR
- 10.27
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 92
- Number of eligible stays
- 1,562
- Unadjusted potentially preventable readmission rate
- 5.89
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.94
- Lower limit of the 95% confidence interval on the RSRR
- 4.08
- Upper limit of the 95% confidence interval on the RSRR
- 6.10
- 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)
- 808
- Number of eligible stays
- 1,231
- Observed discharge to community rate
- 65.64
- Risk-standardized discharge to community rate
- 70.02
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.43
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.53
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 1,337
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,316
- Denominator
- 1,326
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 1,325
- 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
- 95
- Number of health care workers
- 123
- Rate of COVID-19 vaccination
- 77.2