About the Facility
- CMS Certification Number (CCN)
- 36R325
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
269 Portland Way South
- Phone Number
- (419) 468-0885
Facility Medical Condition Statistics
- All other conditions
- 11
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- -
- Hip or femur fracture
- 15
- Hip or knee replacement, amputation or other bone or joint condition
- 32
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 19
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
- 48
- Predicted number of infections (B)
- 0.106
- 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
- 87
- Denominator
- 87
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.3
- Denominator
- 80
- Average observed change score
- 9.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.4
- Denominator
- 80
- Average observed change score
- 34.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 22
- Denominator
- 80
- Facility rate
- 27.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 47
- Denominator
- 80
- Facility rate
- 58.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 87
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 1,025
- Predicted number of infections (B)
- 0.352
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 633
- Number of health care workers
- 728
- Rate of flu vaccination
- 87.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 6
- Number of eligible stays
- 82
- Unadjusted potentially preventable readmission rate
- 7.32
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.04
- Lower limit of the 95% confidence interval on the RSRR
- 6.80
- Upper limit of the 95% confidence interval on the RSRR
- 11.95
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 2
- Number of eligible stays
- 88
- Unadjusted potentially preventable readmission rate
- 2.27
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.79
- Lower limit of the 95% confidence interval on the RSRR
- 2.80
- Upper limit of the 95% confidence interval on the RSRR
- 7.52
- 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)
- 46
- Number of eligible stays
- 71
- Observed discharge to community rate
- 64.79
- Risk-standardized discharge to community rate
- 62.02
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 54.92
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.99
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.02
- Number of eligible episodes
- 109
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 86
- Denominator
- 87
- Facility rate
- 98.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 87
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 431
- Number of health care workers
- 546
- Rate of COVID-19 vaccination
- 78.9