About the Facility
- CMS Certification Number (CCN)
- 23T195
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
11800 E. 12 Mile
- Phone Number
- (586) 573-5958
Facility Medical Condition Statistics
- All other conditions
- 123
- Brain disease or condition (non-traumatic)
- 41
- Brain injury (traumatic)
- 24
- Hip or femur fracture
- 13
- Hip or knee replacement, amputation or other bone or joint condition
- 16
- Nervous system disorder (excluding stroke)
- 96
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- -
- 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
- 397
- Predicted number of infections (B)
- 0.661
- 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
- 382
- Denominator
- 382
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.5
- Denominator
- 340
- Average observed change score
- 12.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.1
- Denominator
- 340
- Average observed change score
- 30.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 180
- Denominator
- 340
- Facility rate
- 52.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 160
- Denominator
- 340
- Facility rate
- 47.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 382
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.025
- SIR 95% confidence interval - upper limit
- 2.460
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,835
- Predicted number of infections (B)
- 2.005
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.499
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 42
- Number of health care workers
- 48
- Rate of flu vaccination
- 87.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 42
- Number of eligible stays
- 310
- Unadjusted potentially preventable readmission rate
- 13.55
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.23
- Lower limit of the 95% confidence interval on the RSRR
- 7.57
- Upper limit of the 95% confidence interval on the RSRR
- 11.23
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 21
- Number of eligible stays
- 360
- Unadjusted potentially preventable readmission rate
- 5.83
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.93
- Lower limit of the 95% confidence interval on the RSRR
- 3.51
- Upper limit of the 95% confidence interval on the RSRR
- 6.46
- 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)
- 182
- Number of eligible stays
- 286
- Observed discharge to community rate
- 63.64
- Risk-standardized discharge to community rate
- 67.27
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.87
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.38
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 284
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 382
- Denominator
- 382
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 382
- Facility observed rate
- 1.8
- Facility risk-adjusted rate
- 2.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 42
- Number of health care workers
- 44
- Rate of COVID-19 vaccination
- 95.5