About the Facility
- CMS Certification Number (CCN)
- 52T075
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
835 S. Van Buren Street
P.o. Box 13508
- Phone Number
- (920) 433-8294
Facility Medical Condition Statistics
- All other conditions
- 13
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- 17
- 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)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 120
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.190
- SIR 95% confidence interval - upper limit
- 3.735
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 650
- Predicted number of infections (B)
- 1.769
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.131
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 204
- Denominator
- 204
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.6
- Denominator
- 185
- Average observed change score
- 9.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 22.4
- Denominator
- 185
- Average observed change score
- 21.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 62
- Denominator
- 185
- Facility rate
- 33.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 51
- Denominator
- 185
- Facility rate
- 27.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 204
- 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
- 1.674
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,645
- Predicted number of infections (B)
- 1.790
- 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
- 26
- Number of health care workers
- 31
- Rate of flu vaccination
- 83.9
- 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
- 188
- Unadjusted potentially preventable readmission rate
- 4.79
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.08
- Lower limit of the 95% confidence interval on the RSRR
- 5.98
- Upper limit of the 95% confidence interval on the RSRR
- 10.22
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 206
- Unadjusted potentially preventable readmission rate
- 3.40
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.67
- Lower limit of the 95% confidence interval on the RSRR
- 2.77
- Upper limit of the 95% confidence interval on the RSRR
- 6.77
- 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)
- 120
- Number of eligible stays
- 171
- Observed discharge to community rate
- 70.18
- Risk-standardized discharge to community rate
- 66.75
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.01
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.11
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.89
- Number of eligible episodes
- 187
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 204
- Denominator
- 204
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 203
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 28
- Number of health care workers
- 34
- Rate of COVID-19 vaccination
- 82.4