About the Facility
- CMS Certification Number (CCN)
- 24T036
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
1406 6th Avenue North
- Phone Number
- (320) 251-2700
Facility Medical Condition Statistics
- All other conditions
- 60
- Brain disease or condition (non-traumatic)
- 17
- Brain injury (traumatic)
- 16
- Hip or femur fracture
- 18
- Hip or knee replacement, amputation or other bone or joint condition
- 38
- Nervous system disorder (excluding stroke)
- 11
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 108
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
- 288
- Predicted number of infections (B)
- 0.785
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 283
- Denominator
- 283
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.1
- Denominator
- 234
- Average observed change score
- 11.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.1
- Denominator
- 234
- Average observed change score
- 31.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 88
- Denominator
- 234
- Facility rate
- 37.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 133
- Denominator
- 234
- Facility rate
- 56.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 283
- Facility rate
- 0.4
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.124
- SIR 95% confidence interval - upper limit
- 2.437
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,255
- Predicted number of infections (B)
- 2.712
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.738
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 181
- Number of health care workers
- 363
- Rate of flu vaccination
- 49.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 15
- Number of eligible stays
- 210
- Unadjusted potentially preventable readmission rate
- 7.14
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.43
- Lower limit of the 95% confidence interval on the RSRR
- 6.63
- Upper limit of the 95% confidence interval on the RSRR
- 10.90
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 12
- Number of eligible stays
- 238
- Unadjusted potentially preventable readmission rate
- 5.04
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.98
- Lower limit of the 95% confidence interval on the RSRR
- 3.54
- Upper limit of the 95% confidence interval on the RSRR
- 6.83
- 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)
- 112
- Number of eligible stays
- 190
- Observed discharge to community rate
- 58.95
- Risk-standardized discharge to community rate
- 61.79
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 55.85
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.71
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.99
- Number of eligible episodes
- 196
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 276
- Denominator
- 283
- Facility rate
- 97.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 283
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 46
- Number of health care workers
- 50
- Rate of COVID-19 vaccination
- 92.0