About the Facility
- CMS Certification Number (CCN)
- 36T059
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
2500 Metrohealth Drive
- Phone Number
- (216) 957-3336
Facility Medical Condition Statistics
- All other conditions
- 20
- Brain disease or condition (non-traumatic)
- 33
- Brain injury (traumatic)
- 50
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 39
- Nervous system disorder (excluding stroke)
- 19
- Spinal cord disease or condition (non-traumatic)
- 30
- Spinal cord injury (traumatic)
- 28
- Stroke
- 91
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
- 385
- Predicted number of infections (B)
- 0.841
- 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
- 309
- Denominator
- 311
- Facility rate
- 99.4
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.7
- Denominator
- 236
- Average observed change score
- 11.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.4
- Denominator
- 236
- Average observed change score
- 27.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 98
- Denominator
- 236
- Facility rate
- 41.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 100
- Denominator
- 236
- Facility rate
- 42.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 311
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.009
- SIR 95% confidence interval - upper limit
- 0.910
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 13,303
- Predicted number of infections (B)
- 5.419
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.185
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 625
- Number of health care workers
- 644
- Rate of flu vaccination
- 97.0
- 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
- 249
- Unadjusted potentially preventable readmission rate
- 9.24
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.10
- Lower limit of the 95% confidence interval on the RSRR
- 7.20
- Upper limit of the 95% confidence interval on the RSRR
- 11.42
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 11
- Number of eligible stays
- 272
- Unadjusted potentially preventable readmission rate
- 4.04
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.32
- Lower limit of the 95% confidence interval on the RSRR
- 3.17
- Upper limit of the 95% confidence interval on the RSRR
- 5.65
- 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)
- 116
- Number of eligible stays
- 211
- Observed discharge to community rate
- 54.98
- Risk-standardized discharge to community rate
- 61.17
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 54.23
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.39
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 215
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 299
- Denominator
- 311
- Facility rate
- 96.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 7
- Denominator
- 310
- Facility observed rate
- 2.3
- Facility risk-adjusted rate
- 1.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 385
- Number of health care workers
- 411
- Rate of COVID-19 vaccination
- 93.7