About the Facility
- CMS Certification Number (CCN)
- 52T096
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
3801 Spring Street
- Phone Number
- (262) 687-5205
Facility Medical Condition Statistics
- All other conditions
- 41
- Brain disease or condition (non-traumatic)
- 23
- Brain injury (traumatic)
- 13
- Hip or femur fracture
- 18
- Hip or knee replacement, amputation or other bone or joint condition
- 29
- Nervous system disorder (excluding stroke)
- 29
- Spinal cord disease or condition (non-traumatic)
- 15
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 71
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
- 241
- Predicted number of infections (B)
- 0.505
- 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
- 233
- Denominator
- 233
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 204
- Average observed change score
- 14.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.5
- Denominator
- 204
- Average observed change score
- 34.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 144
- Denominator
- 204
- Facility rate
- 70.6
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 142
- Denominator
- 204
- Facility rate
- 69.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 233
- 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
- 1.808
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,638
- Predicted number of infections (B)
- 1.657
- 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
- 25
- Number of health care workers
- 25
- 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
- 18
- Number of eligible stays
- 262
- Unadjusted potentially preventable readmission rate
- 6.87
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.21
- Lower limit of the 95% confidence interval on the RSRR
- 6.54
- Upper limit of the 95% confidence interval on the RSRR
- 10.36
- 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
- 283
- Unadjusted potentially preventable readmission rate
- 2.47
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.02
- Lower limit of the 95% confidence interval on the RSRR
- 2.88
- Upper limit of the 95% confidence interval on the RSRR
- 5.82
- 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)
- 166
- Number of eligible stays
- 220
- Observed discharge to community rate
- 75.45
- Risk-standardized discharge to community rate
- 73.68
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.43
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 78.45
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 261
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 229
- Denominator
- 233
- Facility rate
- 98.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 8
- Denominator
- 233
- Facility observed rate
- 3.4
- Facility risk-adjusted rate
- 3.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 23
- Number of health care workers
- 24
- Rate of COVID-19 vaccination
- 95.8