About the Facility
- CMS Certification Number (CCN)
- 24T010
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
1216 2 St. Sw
200 First Street Sw
- Phone Number
- (507) 538-4168
Facility Medical Condition Statistics
- All other conditions
- 43
- Brain disease or condition (non-traumatic)
- 45
- Brain injury (traumatic)
- 19
- Hip or femur fracture
- -
- Hip or knee replacement, amputation or other bone or joint condition
- 35
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 53
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 117
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
- 358
- Predicted number of infections (B)
- 0.923
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 332
- Denominator
- 335
- Facility rate
- 99.1
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.1
- Denominator
- 274
- Average observed change score
- 9.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 23.8
- Denominator
- 274
- Average observed change score
- 25.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 84
- Denominator
- 274
- Facility rate
- 30.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 87
- Denominator
- 274
- Facility rate
- 31.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 335
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.499
- SIR 95% confidence interval - upper limit
- 2.561
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,937
- Predicted number of infections (B)
- 4.873
- Number of infections reported (A)
- 6
- SIR (A/B)
- 1.231
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 209
- Number of health care workers
- 247
- Rate of flu vaccination
- 84.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 25
- Number of eligible stays
- 362
- Unadjusted potentially preventable readmission rate
- 6.91
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.81
- Lower limit of the 95% confidence interval on the RSRR
- 7.02
- Upper limit of the 95% confidence interval on the RSRR
- 10.78
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 385
- Unadjusted potentially preventable readmission rate
- 2.60
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.00
- Lower limit of the 95% confidence interval on the RSRR
- 2.84
- Upper limit of the 95% confidence interval on the RSRR
- 5.67
- 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)
- 228
- Number of eligible stays
- 306
- Observed discharge to community rate
- 74.51
- Risk-standardized discharge to community rate
- 70.70
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.11
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.24
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 322
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 331
- Denominator
- 335
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 335
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 215
- Number of health care workers
- 220
- Rate of COVID-19 vaccination
- 97.7