About the Facility
- CMS Certification Number (CCN)
- 24T057
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
800 E 28th St
- Phone Number
- (612) 863-0881
Facility Medical Condition Statistics
- All other conditions
- 45
- Brain disease or condition (non-traumatic)
- 30
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 11
- Nervous system disorder (excluding stroke)
- 23
- Spinal cord disease or condition (non-traumatic)
- 60
- Spinal cord injury (traumatic)
- 13
- Stroke
- 136
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.455
- SIR 95% confidence interval - upper limit
- 8.803
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 462
- Predicted number of infections (B)
- 1.259
- Number of infections reported (A)
- 5
- SIR (A/B)
- 3.971
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 329
- Denominator
- 331
- Facility rate
- 99.4
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.6
- Denominator
- 279
- Average observed change score
- 13.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.9
- Denominator
- 279
- Average observed change score
- 29.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 146
- Denominator
- 279
- Facility rate
- 52.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 140
- Denominator
- 279
- Facility rate
- 50.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 331
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.181
- SIR 95% confidence interval - upper limit
- 1.935
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 10,952
- Predicted number of infections (B)
- 4.220
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.711
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 166
- Number of health care workers
- 186
- Rate of flu vaccination
- 89.2
- 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
- 297
- Unadjusted potentially preventable readmission rate
- 4.38
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.20
- Lower limit of the 95% confidence interval on the RSRR
- 5.68
- Upper limit of the 95% confidence interval on the RSRR
- 9.19
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 15
- Number of eligible stays
- 330
- Unadjusted potentially preventable readmission rate
- 4.55
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.23
- Lower limit of the 95% confidence interval on the RSRR
- 2.82
- 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)
- 141
- Number of eligible stays
- 246
- Observed discharge to community rate
- 57.32
- Risk-standardized discharge to community rate
- 63.35
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.51
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.91
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.10
- Number of eligible episodes
- 258
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 316
- Denominator
- 331
- Facility rate
- 95.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 331
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 161
- Number of health care workers
- 169
- Rate of COVID-19 vaccination
- 95.3