Spalding Rehabilitation Hospital


About the Facility

CMS Certification Number (CCN)
063027
Ownership Type
For Profit
CMS Region
Denver
Certification Date
Address
900 Potomac St
Phone Number
(303) 367-1166

Facility Medical Condition Statistics

All other conditions
128
Brain disease or condition (non-traumatic)
42
Brain injury (traumatic)
28
Hip or femur fracture
63
Hip or knee replacement, amputation or other bone or joint condition
172
Nervous system disorder (excluding stroke)
74
Spinal cord disease or condition (non-traumatic)
40
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
103

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.048
SIR 95% confidence interval - upper limit
4.688
Comparative performance category
No Different than the National Benchmark
Catheter days
575
Predicted number of infections (B)
1.052
Number of infections reported (A)
1
SIR (A/B)
0.951
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
576
Denominator
577
Facility rate
99.8
Change in patients ability to care for themselves
Average risk-adjusted change score
13.0
Denominator
511
Average observed change score
14.3
Change in patients ability to move around
Average risk-adjusted change score
33.9
Denominator
511
Average observed change score
36.9
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
361
Denominator
511
Facility rate
70.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
373
Denominator
511
Facility rate
73.0
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
577
Facility rate
0.2
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.057
SIR 95% confidence interval - upper limit
1.130
Comparative performance category
No Different than the National Benchmark
Patient days
13,248
Predicted number of infections (B)
5.850
Number of infections reported (A)
2
SIR (A/B)
0.342
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
918
Number of health care workers
1,159
Rate of flu vaccination
79.2
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
32
Number of eligible stays
542
Unadjusted potentially preventable readmission rate
5.90
Risk-standardized potentially preventable readmission rate (RSRR)
8.30
Lower limit of the 95% confidence interval on the RSRR
6.72
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
21
Number of eligible stays
588
Unadjusted potentially preventable readmission rate
3.57
Risk-standardized potentially preventable readmission rate (RSRR)
4.66
Lower limit of the 95% confidence interval on the RSRR
3.60
Upper limit of the 95% confidence interval on the RSRR
6.51
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)
335
Number of eligible stays
478
Observed discharge to community rate
70.08
Risk-standardized discharge to community rate
65.47
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
61.75
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
68.44
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.94
Number of eligible episodes
527
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
573
Denominator
577
Facility rate
99.3
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
10
Denominator
576
Facility observed rate
1.7
Facility risk-adjusted rate
2.2
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
1,098
Number of health care workers
1,210
Rate of COVID-19 vaccination
90.7