About the Facility
- CMS Certification Number (CCN)
- 23T244
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
6245 N Inkster Rd
- Phone Number
- (810) 406-7937
Facility Medical Condition Statistics
- All other conditions
- 85
- Brain disease or condition (non-traumatic)
- 68
- Brain injury (traumatic)
- 12
- Hip or femur fracture
- 35
- Hip or knee replacement, amputation or other bone or joint condition
- 14
- Nervous system disorder (excluding stroke)
- 85
- Spinal cord disease or condition (non-traumatic)
- 22
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 51
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
- 153
- Predicted number of infections (B)
- 0.316
- 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
- 375
- Denominator
- 375
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.3
- Denominator
- 304
- Average observed change score
- 11.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 23.7
- Denominator
- 304
- Average observed change score
- 25.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 137
- Denominator
- 304
- Facility rate
- 45.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 101
- Denominator
- 304
- Facility rate
- 33.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 375
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.017
- SIR 95% confidence interval - upper limit
- 1.645
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,773
- Predicted number of infections (B)
- 2.998
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.334
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 108
- Number of health care workers
- 134
- Rate of flu vaccination
- 80.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 53
- Number of eligible stays
- 341
- Unadjusted potentially preventable readmission rate
- 15.54
- Risk-standardized potentially preventable readmission rate (RSRR)
- 10.08
- Lower limit of the 95% confidence interval on the RSRR
- 8.44
- Upper limit of the 95% confidence interval on the RSRR
- 12.07
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 16
- Number of eligible stays
- 383
- Unadjusted potentially preventable readmission rate
- 4.18
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.09
- Lower limit of the 95% confidence interval on the RSRR
- 3.15
- Upper limit of the 95% confidence interval on the RSRR
- 5.68
- 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)
- 174
- Number of eligible stays
- 310
- Observed discharge to community rate
- 56.13
- Risk-standardized discharge to community rate
- 61.17
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 55.89
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.31
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 288
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 145
- Denominator
- 375
- Facility rate
- 38.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 375
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 39
- Number of health care workers
- 41
- Rate of COVID-19 vaccination
- 95.1