About the Facility
- CMS Certification Number (CCN)
- 36T155
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
18697 Bagley Rd
One South, Acute Rehab Unit
- Phone Number
- (440) 816-4075
Facility Medical Condition Statistics
- All other conditions
- 28
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- 13
- Hip or femur fracture
- 14
- Hip or knee replacement, amputation or other bone or joint condition
- 16
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- 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
- 77
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
- 259
- Predicted number of infections (B)
- 0.575
- 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
- 162
- Denominator
- 162
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.9
- Denominator
- 150
- Average observed change score
- 11.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.5
- Denominator
- 150
- Average observed change score
- 34.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 79
- Denominator
- 150
- Facility rate
- 52.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 88
- Denominator
- 150
- Facility rate
- 58.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 162
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 876
- Predicted number of infections (B)
- 0.286
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 11
- Number of health care workers
- 28
- Rate of flu vaccination
- 39.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 9
- Number of eligible stays
- 168
- Unadjusted potentially preventable readmission rate
- 5.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.55
- Lower limit of the 95% confidence interval on the RSRR
- 6.65
- Upper limit of the 95% confidence interval on the RSRR
- 10.94
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 6
- Number of eligible stays
- 183
- Unadjusted potentially preventable readmission rate
- 3.28
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.93
- Lower limit of the 95% confidence interval on the RSRR
- 3.24
- Upper limit of the 95% confidence interval on the RSRR
- 7.29
- 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)
- 103
- Number of eligible stays
- 148
- Observed discharge to community rate
- 69.59
- Risk-standardized discharge to community rate
- 64.30
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 59.11
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.29
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 159
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 154
- Denominator
- 162
- Facility rate
- 95.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 161
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 12
- Number of health care workers
- 13
- Rate of COVID-19 vaccination
- 92.3