About the Facility
- CMS Certification Number (CCN)
- 36T056
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
3000 Mack Road
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 66
- Brain disease or condition (non-traumatic)
- 18
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 41
- Hip or knee replacement, amputation or other bone or joint condition
- 39
- Nervous system disorder (excluding stroke)
- 22
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 63
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
- 287
- Predicted number of infections (B)
- 0.463
- 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
- 269
- Denominator
- 269
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.9
- Denominator
- 235
- Average observed change score
- 12.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.9
- Denominator
- 235
- Average observed change score
- 34.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 139
- Denominator
- 235
- Facility rate
- 59.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 161
- Denominator
- 235
- Facility rate
- 68.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 269
- 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
- 1.924
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,103
- Predicted number of infections (B)
- 1.557
- 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
- 162
- Number of health care workers
- 228
- Rate of flu vaccination
- 71.1
- 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
- 270
- Unadjusted potentially preventable readmission rate
- 8.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.49
- Lower limit of the 95% confidence interval on the RSRR
- 6.61
- Upper limit of the 95% confidence interval on the RSRR
- 10.49
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 16
- Number of eligible stays
- 305
- Unadjusted potentially preventable readmission rate
- 5.25
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.36
- Lower limit of the 95% confidence interval on the RSRR
- 3.85
- Upper limit of the 95% confidence interval on the RSRR
- 6.81
- 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)
- 158
- Number of eligible stays
- 245
- Observed discharge to community rate
- 64.49
- Risk-standardized discharge to community rate
- 62.86
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.67
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.72
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 267
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 264
- Denominator
- 269
- Facility rate
- 98.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 268
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.1
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 228
- Number of health care workers
- 243
- Rate of COVID-19 vaccination
- 93.8