Cleveland Clinic Rehabilitation Hospitals Llc


About the Facility

CMS Certification Number (CCN)
363038
Ownership Type
For Profit
CMS Region
Chicago
Certification Date
Address
33355 Health Campus Blvd
Avon, Ohio 44011
Phone Number
(440) 937-9088

Facility Medical Condition Statistics

All other conditions
680
Brain disease or condition (non-traumatic)
254
Brain injury (traumatic)
144
Hip or femur fracture
251
Hip or knee replacement, amputation or other bone or joint condition
457
Nervous system disorder (excluding stroke)
444
Spinal cord disease or condition (non-traumatic)
286
Spinal cord injury (traumatic)
44
Stroke
700

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.889
SIR 95% confidence interval - upper limit
2.789
Comparative performance category
No Different than the National Benchmark
Catheter days
4,123
Predicted number of infections (B)
7.316
Number of infections reported (A)
12
SIR (A/B)
1.640
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
3,139
Denominator
3,147
Facility rate
99.7
Change in patients ability to care for themselves
Average risk-adjusted change score
12.0
Denominator
2,612
Average observed change score
13.1
Change in patients ability to move around
Average risk-adjusted change score
31.5
Denominator
2,612
Average observed change score
33.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
1,479
Denominator
2,612
Facility rate
56.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
1,574
Denominator
2,612
Facility rate
60.3
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
4
Denominator
3,147
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.361
SIR 95% confidence interval - upper limit
1.002
Comparative performance category
No Different than the National Benchmark
Patient days
59,052
Predicted number of infections (B)
24.145
Number of infections reported (A)
15
SIR (A/B)
0.621
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
805
Number of health care workers
1,075
Rate of flu vaccination
74.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
235
Number of eligible stays
2,567
Unadjusted potentially preventable readmission rate
9.15
Risk-standardized potentially preventable readmission rate (RSRR)
8.18
Lower limit of the 95% confidence interval on the RSRR
7.35
Upper limit of the 95% confidence interval on the RSRR
9.17
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
190
Number of eligible stays
2,926
Unadjusted potentially preventable readmission rate
6.49
Risk-standardized potentially preventable readmission rate (RSRR)
5.35
Lower limit of the 95% confidence interval on the RSRR
4.62
Upper limit of the 95% confidence interval on the RSRR
6.05
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)
1,489
Number of eligible stays
2,383
Observed discharge to community rate
62.48
Risk-standardized discharge to community rate
67.08
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
65.19
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.26
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.04
Number of eligible episodes
2,712
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
3,136
Denominator
3,147
Facility rate
99.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
18
Denominator
3,138
Facility observed rate
0.6
Facility risk-adjusted rate
0.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
980
Number of health care workers
1,129
Rate of COVID-19 vaccination
86.8