About the Facility
- CMS Certification Number (CCN)
- 23T275
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
3340 Hospital Rd
- Phone Number
- (989) 790-7812
Facility Medical Condition Statistics
- All other conditions
- 24
- Brain disease or condition (non-traumatic)
- 15
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 13
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- -
- Stroke
- 39
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
- 75
- Predicted number of infections (B)
- 0.204
- 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
- 124
- Denominator
- 124
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.6
- Denominator
- 104
- Average observed change score
- 12.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.9
- Denominator
- 104
- Average observed change score
- 29.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 54
- Denominator
- 104
- Facility rate
- 51.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 47
- Denominator
- 104
- Facility rate
- 45.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 124
- Facility rate
- 0.8
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.729
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,496
- Predicted number of infections (B)
- 1.732
- 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
- 38
- Number of health care workers
- 64
- Rate of flu vaccination
- 59.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 13
- Number of eligible stays
- 166
- Unadjusted potentially preventable readmission rate
- 7.83
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.74
- Lower limit of the 95% confidence interval on the RSRR
- 6.63
- Upper limit of the 95% confidence interval on the RSRR
- 10.98
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 179
- Unadjusted potentially preventable readmission rate
- 3.91
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.92
- Lower limit of the 95% confidence interval on the RSRR
- 3.48
- Upper limit of the 95% confidence interval on the RSRR
- 6.74
- 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)
- 89
- Number of eligible stays
- 151
- Observed discharge to community rate
- 58.94
- Risk-standardized discharge to community rate
- 60.03
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 53.61
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.89
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 157
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 119
- Denominator
- 124
- Facility rate
- 96.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 124
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 24
- Number of health care workers
- 27
- Rate of COVID-19 vaccination
- 88.9