Trihealth Rehabilitation Hospital Llc


About the Facility

CMS Certification Number (CCN)
363041
Ownership Type
For Profit
CMS Region
Chicago
Certification Date
Address
2155 Dana Avenue
Phone Number
(513) 601-0600

Facility Medical Condition Statistics

All other conditions
184
Brain disease or condition (non-traumatic)
61
Brain injury (traumatic)
34
Hip or femur fracture
62
Hip or knee replacement, amputation or other bone or joint condition
84
Nervous system disorder (excluding stroke)
92
Spinal cord disease or condition (non-traumatic)
48
Spinal cord injury (traumatic)
25
Stroke
202

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.238
SIR 95% confidence interval - upper limit
4.700
Comparative performance category
No Different than the National Benchmark
Catheter days
852
Predicted number of infections (B)
1.406
Number of infections reported (A)
2
SIR (A/B)
1.422
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
785
Denominator
785
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.6
Denominator
675
Average observed change score
14.3
Change in patients ability to move around
Average risk-adjusted change score
30.9
Denominator
675
Average observed change score
33.5
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
392
Denominator
675
Facility rate
58.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
376
Denominator
675
Facility rate
55.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
785
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.066
SIR 95% confidence interval - upper limit
1.294
Comparative performance category
No Different than the National Benchmark
Patient days
16,495
Predicted number of infections (B)
5.106
Number of infections reported (A)
2
SIR (A/B)
0.392
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
362
Number of health care workers
378
Rate of flu vaccination
95.8
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
63
Number of eligible stays
827
Unadjusted potentially preventable readmission rate
7.62
Risk-standardized potentially preventable readmission rate (RSRR)
8.39
Lower limit of the 95% confidence interval on the RSRR
6.95
Upper limit of the 95% confidence interval on the RSRR
9.93
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
41
Number of eligible stays
923
Unadjusted potentially preventable readmission rate
4.44
Risk-standardized potentially preventable readmission rate (RSRR)
4.70
Lower limit of the 95% confidence interval on the RSRR
3.60
Upper limit of the 95% confidence interval on the RSRR
5.77
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)
493
Number of eligible stays
728
Observed discharge to community rate
67.72
Risk-standardized discharge to community rate
68.09
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.72
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
71.11
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.07
Number of eligible episodes
780
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
777
Denominator
785
Facility rate
99.0
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
9
Denominator
781
Facility observed rate
1.2
Facility risk-adjusted rate
1.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
251
Number of health care workers
269
Rate of COVID-19 vaccination
93.3