About the Facility
- CMS Certification Number (CCN)
- 23T141
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
401 South Ballenger Highway
- Phone Number
- (810) 342-5201
Facility Medical Condition Statistics
- All other conditions
- 91
- Brain disease or condition (non-traumatic)
- 21
- Brain injury (traumatic)
- 21
- Hip or femur fracture
- 14
- Hip or knee replacement, amputation or other bone or joint condition
- 37
- Nervous system disorder (excluding stroke)
- 31
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 117
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
- 346
- Predicted number of infections (B)
- 0.825
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 340
- Denominator
- 340
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.3
- Denominator
- 283
- Average observed change score
- 12.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 24.5
- Denominator
- 283
- Average observed change score
- 28.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 178
- Denominator
- 283
- Facility rate
- 62.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 108
- Denominator
- 283
- Facility rate
- 38.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 340
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.027
- SIR 95% confidence interval - upper limit
- 2.618
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,324
- Predicted number of infections (B)
- 1.884
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.531
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 30
- Number of health care workers
- 41
- Rate of flu vaccination
- 73.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 26
- Number of eligible stays
- 249
- Unadjusted potentially preventable readmission rate
- 10.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.47
- Lower limit of the 95% confidence interval on the RSRR
- 7.40
- Upper limit of the 95% confidence interval on the RSRR
- 11.88
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 18
- Number of eligible stays
- 290
- Unadjusted potentially preventable readmission rate
- 6.21
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.84
- Lower limit of the 95% confidence interval on the RSRR
- 4.17
- Upper limit of the 95% confidence interval on the RSRR
- 7.83
- 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)
- 145
- Number of eligible stays
- 223
- Observed discharge to community rate
- 65.02
- Risk-standardized discharge to community rate
- 64.41
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.13
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.60
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.90
- Number of eligible episodes
- 243
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 340
- Denominator
- 340
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 337
- 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
- 37
- Rate of COVID-19 vaccination
- 73.0