About the Facility
- CMS Certification Number (CCN)
- 52T088
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
430 E Division St
- Phone Number
- (920) 926-4762
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- -
- 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
- Data not available for this reporting period.
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- -
- Spinal cord injury (traumatic)
- -
- Stroke
- 25
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
- 34
- Predicted number of infections (B)
- 0.065
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 43
- Denominator
- 44
- Facility rate
- 97.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.3
- Denominator
- 36
- Average observed change score
- 10.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.7
- Denominator
- 36
- Average observed change score
- 27.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 14
- Denominator
- 36
- Facility rate
- 38.9
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 16
- Denominator
- 36
- Facility rate
- 44.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 44
- 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
- 721
- Predicted number of infections (B)
- 0.329
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 32
- Number of health care workers
- 33
- Rate of flu vaccination
- 97.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 1
- Number of eligible stays
- 40
- Unadjusted potentially preventable readmission rate
- 2.50
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.34
- Lower limit of the 95% confidence interval on the RSRR
- 6.12
- Upper limit of the 95% confidence interval on the RSRR
- 11.12
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 0
- Number of eligible stays
- 40
- Unadjusted potentially preventable readmission rate
- 0.00
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.52
- Lower limit of the 95% confidence interval on the RSRR
- 2.74
- Upper limit of the 95% confidence interval on the RSRR
- 7.23
- 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)
- 17
- Number of eligible stays
- 32
- Observed discharge to community rate
- 53.13
- Risk-standardized discharge to community rate
- 61.53
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 51.92
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.21
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.87
- Number of eligible episodes
- 37
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 43
- Denominator
- 44
- Facility rate
- 97.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 44
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 5
- Number of health care workers
- 8
- Rate of COVID-19 vaccination
- 62.5