About the Facility
- CMS Certification Number (CCN)
- 36T234
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
3300 Mercy Health Blvd
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 64
- Brain disease or condition (non-traumatic)
- 35
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 35
- Hip or knee replacement, amputation or other bone or joint condition
- 42
- Nervous system disorder (excluding stroke)
- 17
- Spinal cord disease or condition (non-traumatic)
- 11
- Spinal cord injury (traumatic)
- -
- Stroke
- 79
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
- 253
- Predicted number of infections (B)
- 0.425
- 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
- 286
- Denominator
- 287
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.7
- Denominator
- 272
- Average observed change score
- 13.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.0
- Denominator
- 272
- Average observed change score
- 33.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 175
- Denominator
- 272
- Facility rate
- 64.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 184
- Denominator
- 272
- Facility rate
- 67.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 287
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.034
- SIR 95% confidence interval - upper limit
- 3.309
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,580
- Predicted number of infections (B)
- 1.490
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.671
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 169
- Number of health care workers
- 260
- Rate of flu vaccination
- 65.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 24
- Number of eligible stays
- 332
- Unadjusted potentially preventable readmission rate
- 7.23
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.27
- Lower limit of the 95% confidence interval on the RSRR
- 6.56
- Upper limit of the 95% confidence interval on the RSRR
- 10.13
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 15
- Number of eligible stays
- 352
- Unadjusted potentially preventable readmission rate
- 4.26
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.07
- Lower limit of the 95% confidence interval on the RSRR
- 3.53
- Upper limit of the 95% confidence interval on the RSRR
- 7.05
- 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)
- 225
- Number of eligible stays
- 303
- Observed discharge to community rate
- 74.26
- Risk-standardized discharge to community rate
- 70.17
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.52
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.07
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.88
- Number of eligible episodes
- 301
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 279
- Denominator
- 287
- Facility rate
- 97.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 286
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 199
- Number of health care workers
- 221
- Rate of COVID-19 vaccination
- 90.0