About the Facility
- CMS Certification Number (CCN)
- 36T174
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
3130 N 25a
- Phone Number
- (937) 440-4855
Facility Medical Condition Statistics
- All other conditions
- 11
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 16
- Hip or knee replacement, amputation or other bone or joint condition
- 39
- 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
- 41
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
- 2
- Predicted number of infections (B)
- 0.004
- 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
- 132
- Denominator
- 132
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 8.8
- Denominator
- 119
- Average observed change score
- 9.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.4
- Denominator
- 119
- Average observed change score
- 27.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 38
- Denominator
- 119
- Facility rate
- 31.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 44
- Denominator
- 119
- Facility rate
- 37.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 132
- 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
- 1,708
- Predicted number of infections (B)
- 0.670
- 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
- 1,516
- Number of health care workers
- 1,790
- Rate of flu vaccination
- 84.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 4
- Number of eligible stays
- 133
- Unadjusted potentially preventable readmission rate
- 3.01
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.01
- Lower limit of the 95% confidence interval on the RSRR
- 5.93
- Upper limit of the 95% confidence interval on the RSRR
- 10.47
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 2
- Number of eligible stays
- 139
- Unadjusted potentially preventable readmission rate
- 1.44
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.28
- Lower limit of the 95% confidence interval on the RSRR
- 2.50
- Upper limit of the 95% confidence interval on the RSRR
- 6.28
- 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)
- 85
- Number of eligible stays
- 115
- Observed discharge to community rate
- 73.91
- Risk-standardized discharge to community rate
- 69.64
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.81
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.71
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.97
- Number of eligible episodes
- 120
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 86
- Denominator
- 132
- Facility rate
- 65.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 131
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 1,024
- Number of health care workers
- 1,282
- Rate of COVID-19 vaccination
- 79.9