Mercy Health Anderson Hospital - Rehab Unit


About the Facility

CMS Certification Number (CCN)
36T001
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
7500 State Road
Phone Number
(502) 596-7486

Facility Medical Condition Statistics

All other conditions
102
Brain disease or condition (non-traumatic)
29
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
22
Hip or knee replacement, amputation or other bone or joint condition
38
Nervous system disorder (excluding stroke)
27
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
81

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
539
Predicted number of infections (B)
0.927
Number of infections reported (A)
3
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
317
Denominator
317
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
13.2
Denominator
271
Average observed change score
14.4
Change in patients ability to move around
Average risk-adjusted change score
29.0
Denominator
271
Average observed change score
29.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
176
Denominator
271
Facility rate
64.9
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
148
Denominator
271
Facility rate
54.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
317
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
1.592
Comparative performance category
No Different than the National Benchmark
Patient days
5,182
Predicted number of infections (B)
1.882
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
170
Number of health care workers
243
Rate of flu vaccination
70.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
41
Number of eligible stays
308
Unadjusted potentially preventable readmission rate
13.31
Risk-standardized potentially preventable readmission rate (RSRR)
9.94
Lower limit of the 95% confidence interval on the RSRR
8.18
Upper limit of the 95% confidence interval on the RSRR
12.09
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
17
Number of eligible stays
348
Unadjusted potentially preventable readmission rate
4.89
Risk-standardized potentially preventable readmission rate (RSRR)
4.72
Lower limit of the 95% confidence interval on the RSRR
3.43
Upper limit of the 95% confidence interval on the RSRR
6.50
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)
171
Number of eligible stays
292
Observed discharge to community rate
58.56
Risk-standardized discharge to community rate
59.97
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
54.87
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
64.84
Comparative performance category
Worse than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
277
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
316
Denominator
317
Facility rate
99.7
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
11
Denominator
317
Facility observed rate
3.5
Facility risk-adjusted rate
3.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
329
Number of health care workers
341
Rate of COVID-19 vaccination
96.5