About the Facility
- CMS Certification Number (CCN)
- 23T197
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
One Genesys Parkway
- Phone Number
- (810) 606-6543
Facility Medical Condition Statistics
- All other conditions
- 97
- Brain disease or condition (non-traumatic)
- 32
- Brain injury (traumatic)
- 19
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 26
- Nervous system disorder (excluding stroke)
- 32
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 96
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.557
- SIR 95% confidence interval - upper limit
- 5.960
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 535
- Predicted number of infections (B)
- 1.370
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.190
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 320
- Denominator
- 320
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.8
- Denominator
- 276
- Average observed change score
- 10.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.5
- Denominator
- 276
- Average observed change score
- 27.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 129
- Denominator
- 276
- Facility rate
- 46.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 118
- Denominator
- 276
- Facility rate
- 42.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 320
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.019
- SIR 95% confidence interval - upper limit
- 1.875
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,289
- Predicted number of infections (B)
- 2.630
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.380
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 47
- Number of health care workers
- 52
- Rate of flu vaccination
- 90.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 21
- Number of eligible stays
- 273
- Unadjusted potentially preventable readmission rate
- 7.69
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.93
- Lower limit of the 95% confidence interval on the RSRR
- 6.30
- Upper limit of the 95% confidence interval on the RSRR
- 9.80
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 22
- Number of eligible stays
- 315
- Unadjusted potentially preventable readmission rate
- 6.98
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.46
- Lower limit of the 95% confidence interval on the RSRR
- 4.12
- Upper limit of the 95% confidence interval on the RSRR
- 8.10
- 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)
- 184
- Number of eligible stays
- 252
- Observed discharge to community rate
- 73.02
- Risk-standardized discharge to community rate
- 74.64
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.05
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 79.28
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.03
- Number of eligible episodes
- 239
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 320
- Denominator
- 320
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 319
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 51
- Number of health care workers
- 56
- Rate of COVID-19 vaccination
- 91.1