About the Facility
- CMS Certification Number (CCN)
- 23T132
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
One Hurley Plaza
- Phone Number
- (810) 262-6200
Facility Medical Condition Statistics
- All other conditions
- 58
- Brain disease or condition (non-traumatic)
- 12
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 23
- Hip or knee replacement, amputation or other bone or joint condition
- 32
- Nervous system disorder (excluding stroke)
- 21
- Spinal cord disease or condition (non-traumatic)
- 19
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 59
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
- 232
- Predicted number of infections (B)
- 0.481
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 230
- Denominator
- 231
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.7
- Denominator
- 207
- Average observed change score
- 12.5
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.3
- Denominator
- 207
- Average observed change score
- 28.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 105
- Denominator
- 207
- Facility rate
- 50.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 108
- Denominator
- 207
- Facility rate
- 52.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 230
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.020
- SIR 95% confidence interval - upper limit
- 1.984
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,959
- Predicted number of infections (B)
- 2.486
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.402
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 38
- Number of health care workers
- 42
- Rate of flu vaccination
- 90.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 20
- Number of eligible stays
- 149
- Unadjusted potentially preventable readmission rate
- 13.42
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.43
- Lower limit of the 95% confidence interval on the RSRR
- 7.51
- Upper limit of the 95% confidence interval on the RSRR
- 11.87
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 9
- Number of eligible stays
- 172
- Unadjusted potentially preventable readmission rate
- 5.23
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.68
- Lower limit of the 95% confidence interval on the RSRR
- 3.22
- Upper limit of the 95% confidence interval on the RSRR
- 6.69
- 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)
- 90
- Number of eligible stays
- 138
- Observed discharge to community rate
- 65.22
- Risk-standardized discharge to community rate
- 69.49
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.86
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.80
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 127
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 224
- Denominator
- 231
- Facility rate
- 97.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 230
- Facility observed rate
- 3.5
- Facility risk-adjusted rate
- 4.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 57
- Number of health care workers
- 61
- Rate of COVID-19 vaccination
- 93.4