St. Elizabeth Health Center


About the Facility

CMS Certification Number (CCN)
36T064
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
1044 Belmont Avenue
Phone Number
(330) 480-3999

Facility Medical Condition Statistics

All other conditions
Data not available for this reporting period.
Brain disease or condition (non-traumatic)
Data not available for this reporting period.
Brain injury (traumatic)
33
Hip or femur fracture
24
Hip or knee replacement, amputation or other bone or joint condition
43
Nervous system disorder (excluding stroke)
Data not available for this reporting period.
Spinal cord disease or condition (non-traumatic)
22
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
126

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.215
SIR 95% confidence interval - upper limit
4.247
Comparative performance category
No Different than the National Benchmark
Catheter days
571
Predicted number of infections (B)
1.556
Number of infections reported (A)
2
SIR (A/B)
1.285
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
265
Denominator
265
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.0
Denominator
244
Average observed change score
14.2
Change in patients ability to move around
Average risk-adjusted change score
27.8
Denominator
245
Average observed change score
31.2
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
133
Denominator
245
Facility rate
54.3
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
119
Denominator
245
Facility rate
48.6
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
265
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
1.294
Comparative performance category
No Different than the National Benchmark
Patient days
6,009
Predicted number of infections (B)
2.315
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
189
Number of health care workers
287
Rate of flu vaccination
65.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
14
Number of eligible stays
211
Unadjusted potentially preventable readmission rate
6.64
Risk-standardized potentially preventable readmission rate (RSRR)
8.75
Lower limit of the 95% confidence interval on the RSRR
6.79
Upper limit of the 95% confidence interval on the RSRR
11.23
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
8
Number of eligible stays
230
Unadjusted potentially preventable readmission rate
3.48
Risk-standardized potentially preventable readmission rate (RSRR)
4.58
Lower limit of the 95% confidence interval on the RSRR
3.15
Upper limit of the 95% confidence interval on the RSRR
7.15
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)
138
Number of eligible stays
185
Observed discharge to community rate
74.59
Risk-standardized discharge to community rate
72.73
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
67.14
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
77.85
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.01
Number of eligible episodes
204
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
264
Denominator
265
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
2
Denominator
265
Facility observed rate
0.8
Facility risk-adjusted rate
1.0
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
267
Number of health care workers
280
Rate of COVID-19 vaccination
95.4