About the Facility
- CMS Certification Number (CCN)
- 23T165
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
22101 Moross
- Phone Number
- (313) 343-4546
Facility Medical Condition Statistics
- All other conditions
- 77
- Brain disease or condition (non-traumatic)
- 15
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 18
- Hip or knee replacement, amputation or other bone or joint condition
- 30
- Nervous system disorder (excluding stroke)
- 80
- Spinal cord disease or condition (non-traumatic)
- 28
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 138
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
- 352
- Predicted number of infections (B)
- 0.960
- 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
- 362
- Denominator
- 362
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.7
- Denominator
- 308
- Average observed change score
- 9.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.1
- Denominator
- 309
- Average observed change score
- 26.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 115
- Denominator
- 309
- Facility rate
- 37.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 115
- Denominator
- 309
- Facility rate
- 37.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 362
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.001
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,797
- Predicted number of infections (B)
- 2.991
- 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
- 44
- Number of health care workers
- 55
- Rate of flu vaccination
- 80.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 31
- Number of eligible stays
- 216
- Unadjusted potentially preventable readmission rate
- 14.35
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.38
- Lower limit of the 95% confidence interval on the RSRR
- 8.09
- Upper limit of the 95% confidence interval on the RSRR
- 13.05
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 15
- Number of eligible stays
- 251
- Unadjusted potentially preventable readmission rate
- 5.98
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.96
- Lower limit of the 95% confidence interval on the RSRR
- 3.62
- Upper limit of the 95% confidence interval on the RSRR
- 6.88
- 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)
- 133
- Number of eligible stays
- 208
- Observed discharge to community rate
- 63.94
- Risk-standardized discharge to community rate
- 67.38
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.47
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.97
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 207
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 356
- Denominator
- 362
- Facility rate
- 98.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 361
- Facility observed rate
- 1.9
- Facility risk-adjusted rate
- 2.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 45
- Number of health care workers
- 49
- Rate of COVID-19 vaccination
- 91.8