About the Facility
- CMS Certification Number (CCN)
- 363045
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
7810 Bethany Road
- Phone Number
- (513) 805-0300
Facility Medical Condition Statistics
- All other conditions
- 80
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- 13
- Hip or femur fracture
- 19
- Hip or knee replacement, amputation or other bone or joint condition
- 61
- Nervous system disorder (excluding stroke)
- 38
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 34
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
- 314
- Predicted number of infections (B)
- 0.339
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 271
- Denominator
- 272
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.0
- Denominator
- 232
- Average observed change score
- 10.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.3
- Denominator
- 231
- Average observed change score
- 27.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 115
- Denominator
- 232
- Facility rate
- 49.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 114
- Denominator
- 232
- Facility rate
- 49.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 272
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 2.355
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,244
- Predicted number of infections (B)
- 1.272
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 60
- Number of health care workers
- 88
- Rate of flu vaccination
- 68.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- Not Available
- Number of eligible stays
- Not Available
- Unadjusted potentially preventable readmission rate
- Not Available
- Risk-standardized potentially preventable readmission rate (RSRR)
- Not Available
- Lower limit of the 95% confidence interval on the RSRR
- Not Available
- Upper limit of the 95% confidence interval on the RSRR
- Not Available
- Comparative performance category
- Not Available
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- Not Available
- Number of eligible stays
- Not Available
- Unadjusted potentially preventable readmission rate
- Not Available
- Risk-standardized potentially preventable readmission rate (RSRR)
- Not Available
- Lower limit of the 95% confidence interval on the RSRR
- Not Available
- Upper limit of the 95% confidence interval on the RSRR
- Not Available
- Comparative performance category
- Not Available
- Rate of successful return to home or community from an IRF
- Observed number of discharges to community (DTC)
- Not Available
- Number of eligible stays
- Not Available
- Observed discharge to community rate
- Not Available
- Risk-standardized discharge to community rate
- Not Available
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- Not Available
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- Not Available
- Comparative performance category
- Not Available
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- Not Available
- Number of eligible episodes
- Not Available
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 261
- Denominator
- 272
- Facility rate
- 96.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 270
- Facility observed rate
- 1.9
- Facility risk-adjusted rate
- 2.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 130
- Number of health care workers
- 136
- Rate of COVID-19 vaccination
- 95.6