About the Facility
- CMS Certification Number (CCN)
- 523027
- Ownership Type
- For Profit
- CMS Region
- Chicago
- Certification Date
- Address
1625 Cold Water Creek Drive
- Phone Number
- (262) 521-8800
Facility Medical Condition Statistics
- All other conditions
- 194
- Brain disease or condition (non-traumatic)
- 57
- Brain injury (traumatic)
- 57
- Hip or femur fracture
- 108
- Hip or knee replacement, amputation or other bone or joint condition
- 168
- Nervous system disorder (excluding stroke)
- 144
- Spinal cord disease or condition (non-traumatic)
- 15
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 150
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.753
- SIR 95% confidence interval - upper limit
- 8.052
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 939
- Predicted number of infections (B)
- 1.014
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.959
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 874
- Denominator
- 874
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 795
- Average observed change score
- 16.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.3
- Denominator
- 795
- Average observed change score
- 37.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 581
- Denominator
- 795
- Facility rate
- 73.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 586
- Denominator
- 795
- Facility rate
- 73.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 874
- 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
- 0.766
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 12,069
- Predicted number of infections (B)
- 3.912
- 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
- 446
- Number of health care workers
- 468
- Rate of flu vaccination
- 95.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 82
- Number of eligible stays
- 845
- Unadjusted potentially preventable readmission rate
- 9.70
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.06
- Lower limit of the 95% confidence interval on the RSRR
- 7.71
- Upper limit of the 95% confidence interval on the RSRR
- 10.64
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 31
- Number of eligible stays
- 916
- Unadjusted potentially preventable readmission rate
- 3.38
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.88
- Lower limit of the 95% confidence interval on the RSRR
- 3.05
- Upper limit of the 95% confidence interval on the RSRR
- 5.08
- 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)
- 517
- Number of eligible stays
- 726
- Observed discharge to community rate
- 71.21
- Risk-standardized discharge to community rate
- 72.07
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.85
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.03
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 897
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 871
- Denominator
- 874
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 873
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 357
- Number of health care workers
- 385
- Rate of COVID-19 vaccination
- 92.7