The Trinity Rehabilitation Center


About the Facility

CMS Certification Number (CCN)
36T211
Ownership Type
Non-profit
CMS Region
Chicago
Certification Date
Address
380 Summit Ave
Phone Number
(740) 283-7809

Facility Medical Condition Statistics

All other conditions
26
Brain disease or condition (non-traumatic)
12
Brain injury (traumatic)
Data not available for this reporting period.
Hip or femur fracture
20
Hip or knee replacement, amputation or other bone or joint condition
28
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)
-
Stroke
54

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
37
Predicted number of infections (B)
0.056
Number of infections reported (A)
1
SIR (A/B)
Not Available
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
159
Denominator
159
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
11.3
Denominator
140
Average observed change score
9.7
Change in patients ability to move around
Average risk-adjusted change score
24.0
Denominator
140
Average observed change score
25.0
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
72
Denominator
140
Facility rate
51.4
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
44
Denominator
140
Facility rate
31.4
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
159
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
2.925
Comparative performance category
No Different than the National Benchmark
Patient days
2,515
Predicted number of infections (B)
1.024
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
7
Number of health care workers
11
Rate of flu vaccination
63.6
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
12
Number of eligible stays
151
Unadjusted potentially preventable readmission rate
7.95
Risk-standardized potentially preventable readmission rate (RSRR)
9.02
Lower limit of the 95% confidence interval on the RSRR
6.94
Upper limit of the 95% confidence interval on the RSRR
11.50
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
3
Number of eligible stays
163
Unadjusted potentially preventable readmission rate
1.84
Risk-standardized potentially preventable readmission rate (RSRR)
4.39
Lower limit of the 95% confidence interval on the RSRR
3.03
Upper limit of the 95% confidence interval on the RSRR
6.80
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)
109
Number of eligible stays
142
Observed discharge to community rate
76.76
Risk-standardized discharge to community rate
68.11
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.45
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
73.01
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.84
Number of eligible episodes
163
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
156
Denominator
159
Facility rate
98.1
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
1
Denominator
159
Facility observed rate
0.6
Facility risk-adjusted rate
0.7
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
22
Number of health care workers
30
Rate of COVID-19 vaccination
73.3