About the Facility
- CMS Certification Number (CCN)
- 523029
- Ownership Type
- For Profit
- CMS Region
- Chicago
- Certification Date
- Address
3200 S 103rd St
- Phone Number
- (414) 441-0500
Facility Medical Condition Statistics
- All other conditions
- 73
- Brain disease or condition (non-traumatic)
- 36
- Brain injury (traumatic)
- 19
- Hip or femur fracture
- 30
- Hip or knee replacement, amputation or other bone or joint condition
- 90
- Nervous system disorder (excluding stroke)
- 108
- Spinal cord disease or condition (non-traumatic)
- 38
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 98
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
- 531
- Predicted number of infections (B)
- 0.776
- 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
- 441
- Denominator
- 446
- Facility rate
- 98.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.5
- Denominator
- 369
- Average observed change score
- 13.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.2
- Denominator
- 369
- Average observed change score
- 27.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 221
- Denominator
- 369
- Facility rate
- 59.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 186
- Denominator
- 369
- Facility rate
- 50.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 445
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.021
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,412
- Predicted number of infections (B)
- 2.933
- 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
- 155
- Number of health care workers
- 155
- Rate of flu vaccination
- 100.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 9
- Number of eligible stays
- 83
- Unadjusted potentially preventable readmission rate
- 10.84
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.75
- Lower limit of the 95% confidence interval on the RSRR
- 6.68
- Upper limit of the 95% confidence interval on the RSRR
- 11.33
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 9
- Number of eligible stays
- 100
- Unadjusted potentially preventable readmission rate
- 9.00
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.49
- Lower limit of the 95% confidence interval on the RSRR
- 3.64
- Upper limit of the 95% confidence interval on the RSRR
- 8.33
- 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)
- 51
- Number of eligible stays
- 91
- Observed discharge to community rate
- 56.04
- Risk-standardized discharge to community rate
- 63.32
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 54.68
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.41
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 93
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 436
- Denominator
- 446
- Facility rate
- 97.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 437
- Facility observed rate
- 2.3
- Facility risk-adjusted rate
- 2.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 166
- Number of health care workers
- 177
- Rate of COVID-19 vaccination
- 93.8