About the Facility
- CMS Certification Number (CCN)
- 523028
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
5115 N Biltmore Ln
- Phone Number
- (608) 592-8100
Facility Medical Condition Statistics
- All other conditions
- 162
- Brain disease or condition (non-traumatic)
- 83
- Brain injury (traumatic)
- 45
- Hip or femur fracture
- 97
- Hip or knee replacement, amputation or other bone or joint condition
- 201
- Nervous system disorder (excluding stroke)
- 29
- Spinal cord disease or condition (non-traumatic)
- 43
- Spinal cord injury (traumatic)
- 19
- Stroke
- 252
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.866
- SIR 95% confidence interval - upper limit
- 6.573
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 835
- Predicted number of infections (B)
- 1.468
- Number of infections reported (A)
- 4
- SIR (A/B)
- 2.725
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 913
- Denominator
- 913
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.2
- Denominator
- 835
- Average observed change score
- 17.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.8
- Denominator
- 835
- Average observed change score
- 38.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 708
- Denominator
- 835
- Facility rate
- 84.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 670
- Denominator
- 835
- Facility rate
- 80.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 913
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.317
- SIR 95% confidence interval - upper limit
- 1.917
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 16,487
- Predicted number of infections (B)
- 5.782
- Number of infections reported (A)
- 5
- SIR (A/B)
- 0.865
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 281
- Number of health care workers
- 313
- Rate of flu vaccination
- 89.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 51
- Number of eligible stays
- 902
- Unadjusted potentially preventable readmission rate
- 5.65
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.51
- Lower limit of the 95% confidence interval on the RSRR
- 6.18
- Upper limit of the 95% confidence interval on the RSRR
- 9.17
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 44
- Number of eligible stays
- 974
- Unadjusted potentially preventable readmission rate
- 4.52
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.98
- Lower limit of the 95% confidence interval on the RSRR
- 3.83
- Upper limit of the 95% confidence interval on the RSRR
- 6.42
- 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)
- 615
- Number of eligible stays
- 809
- Observed discharge to community rate
- 76.02
- Risk-standardized discharge to community rate
- 76.44
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.58
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 79.16
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 884
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 908
- Denominator
- 913
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 12
- Denominator
- 913
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 235
- Number of health care workers
- 247
- Rate of COVID-19 vaccination
- 95.1