About the Facility
- CMS Certification Number (CCN)
- 52T177
- Ownership Type
- Non-profit
- CMS Region
- Chicago
- Certification Date
- Address
10000 West Bluemound Rd
- Phone Number
- (414) 454-8097
Facility Medical Condition Statistics
- All other conditions
- 42
- Brain disease or condition (non-traumatic)
- 35
- Brain injury (traumatic)
- 20
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 48
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 31
- Spinal cord injury (traumatic)
- 19
- Stroke
- 90
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
- 332
- Predicted number of infections (B)
- 0.906
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 295
- Denominator
- 295
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.5
- Denominator
- 244
- Average observed change score
- 10.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 20.4
- Denominator
- 244
- Average observed change score
- 22.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 75
- Denominator
- 244
- Facility rate
- 30.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 48
- Denominator
- 244
- Facility rate
- 19.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 295
- 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
- 2.103
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,113
- Predicted number of infections (B)
- 1.424
- 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
- 248
- Number of health care workers
- 254
- Rate of flu vaccination
- 97.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 17
- Number of eligible stays
- 235
- Unadjusted potentially preventable readmission rate
- 7.23
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.25
- Lower limit of the 95% confidence interval on the RSRR
- 6.52
- Upper limit of the 95% confidence interval on the RSRR
- 10.61
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 12
- Number of eligible stays
- 263
- Unadjusted potentially preventable readmission rate
- 4.56
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.60
- Lower limit of the 95% confidence interval on the RSRR
- 3.16
- 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)
- 133
- Number of eligible stays
- 201
- Observed discharge to community rate
- 66.17
- Risk-standardized discharge to community rate
- 66.81
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.76
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.88
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 220
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 274
- Denominator
- 295
- Facility rate
- 92.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 295
- Facility observed rate
- 3.4
- Facility risk-adjusted rate
- 3.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 241
- Number of health care workers
- 245
- Rate of COVID-19 vaccination
- 98.4