About the Facility
- CMS Certification Number (CCN)
- 52T138
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
2900 W Oklahoma Ave
- Phone Number
- (414) 649-5765
Facility Medical Condition Statistics
- All other conditions
- 210
- Brain disease or condition (non-traumatic)
- 57
- Brain injury (traumatic)
- 22
- Hip or femur fracture
- 21
- Hip or knee replacement, amputation or other bone or joint condition
- 62
- Nervous system disorder (excluding stroke)
- 54
- Spinal cord disease or condition (non-traumatic)
- 26
- Spinal cord injury (traumatic)
- -
- Stroke
- 228
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.265
- SIR 95% confidence interval - upper limit
- 5.219
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 638
- Predicted number of infections (B)
- 1.266
- Number of infections reported (A)
- 2
- SIR (A/B)
- 1.580
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 678
- Denominator
- 678
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.7
- Denominator
- 572
- Average observed change score
- 11.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.4
- Denominator
- 575
- Average observed change score
- 28.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 328
- Denominator
- 575
- Facility rate
- 57.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 297
- Denominator
- 575
- Facility rate
- 51.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 678
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.083
- SIR 95% confidence interval - upper limit
- 1.633
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 11,869
- Predicted number of infections (B)
- 4.045
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.494
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 77
- Number of health care workers
- 92
- Rate of flu vaccination
- 83.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 49
- Number of eligible stays
- 546
- Unadjusted potentially preventable readmission rate
- 8.97
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.29
- Lower limit of the 95% confidence interval on the RSRR
- 6.89
- Upper limit of the 95% confidence interval on the RSRR
- 9.91
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 15
- Number of eligible stays
- 597
- Unadjusted potentially preventable readmission rate
- 2.51
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.44
- Lower limit of the 95% confidence interval on the RSRR
- 2.51
- Upper limit of the 95% confidence interval on the RSRR
- 4.89
- 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)
- 350
- Number of eligible stays
- 493
- Observed discharge to community rate
- 70.99
- Risk-standardized discharge to community rate
- 70.97
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.27
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.29
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.86
- Number of eligible episodes
- 513
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 635
- Denominator
- 678
- Facility rate
- 93.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 12
- Denominator
- 678
- Facility observed rate
- 1.8
- Facility risk-adjusted rate
- 2.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 95
- Number of health care workers
- 100
- Rate of COVID-19 vaccination
- 95.0