About the Facility
- CMS Certification Number (CCN)
- 52T049
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
744 S Webster Ave
- Phone Number
- (920) 433-3655
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- 11
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 15
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 22
- 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
- 0.044
- SIR 95% confidence interval - upper limit
- 4.289
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 422
- Predicted number of infections (B)
- 1.150
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.870
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 154
- Denominator
- 154
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.9
- Denominator
- 142
- Average observed change score
- 9.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.0
- Denominator
- 142
- Average observed change score
- 27.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 60
- Denominator
- 142
- Facility rate
- 42.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 62
- Denominator
- 142
- Facility rate
- 43.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 154
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 3,075
- Predicted number of infections (B)
- 0.952
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 28
- Number of health care workers
- 28
- 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
- 6
- Number of eligible stays
- 136
- Unadjusted potentially preventable readmission rate
- 4.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.24
- Lower limit of the 95% confidence interval on the RSRR
- 6.36
- Upper limit of the 95% confidence interval on the RSRR
- 10.72
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 145
- Unadjusted potentially preventable readmission rate
- 3.45
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.78
- Lower limit of the 95% confidence interval on the RSRR
- 2.70
- Upper limit of the 95% confidence interval on the RSRR
- 6.60
- 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)
- 82
- Number of eligible stays
- 114
- Observed discharge to community rate
- 71.93
- Risk-standardized discharge to community rate
- 67.78
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.46
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.62
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.83
- Number of eligible episodes
- 142
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 152
- Denominator
- 154
- Facility rate
- 98.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 154
- Facility observed rate
- 0.6
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 35
- Number of health care workers
- 38
- Rate of COVID-19 vaccination
- 92.1