About the Facility
- CMS Certification Number (CCN)
- 36T025
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
Inpatient Rehabilitation
1111 Hayes Avenue
- Phone Number
- (419) 557-7243
Facility Medical Condition Statistics
- All other conditions
- 84
- Brain disease or condition (non-traumatic)
- 41
- Brain injury (traumatic)
- 12
- Hip or femur fracture
- 72
- Hip or knee replacement, amputation or other bone or joint condition
- 91
- Nervous system disorder (excluding stroke)
- 25
- 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
- 74
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
- 519
- Predicted number of infections (B)
- 0.814
- 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
- 403
- Denominator
- 403
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.5
- Denominator
- 363
- Average observed change score
- 10.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 20.9
- Denominator
- 363
- Average observed change score
- 22.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 113
- Denominator
- 363
- Facility rate
- 31.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 101
- Denominator
- 363
- Facility rate
- 27.8
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 403
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.452
- SIR 95% confidence interval - upper limit
- 3.433
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,200
- Predicted number of infections (B)
- 2.811
- Number of infections reported (A)
- 4
- SIR (A/B)
- 1.423
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 55
- Number of health care workers
- 56
- Rate of flu vaccination
- 98.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 23
- Number of eligible stays
- 397
- Unadjusted potentially preventable readmission rate
- 5.79
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.01
- Lower limit of the 95% confidence interval on the RSRR
- 6.28
- Upper limit of the 95% confidence interval on the RSRR
- 10.01
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 13
- Number of eligible stays
- 422
- Unadjusted potentially preventable readmission rate
- 3.08
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.42
- Lower limit of the 95% confidence interval on the RSRR
- 3.22
- Upper limit of the 95% confidence interval on the RSRR
- 5.91
- 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)
- 230
- Number of eligible stays
- 342
- Observed discharge to community rate
- 67.25
- Risk-standardized discharge to community rate
- 64.06
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.00
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.95
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.01
- Number of eligible episodes
- 426
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 402
- Denominator
- 403
- Facility rate
- 99.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 11
- Denominator
- 399
- Facility observed rate
- 2.8
- Facility risk-adjusted rate
- 3.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 40
- Number of health care workers
- 49
- Rate of COVID-19 vaccination
- 81.6