Encompass Health Rehabilitation Hospital of Co Spg


About the Facility

CMS Certification Number (CCN)
063030
Ownership Type
For Profit
CMS Region
Denver
Certification Date
Address
325 S Parkside Dr
Phone Number
(719) 630-8000

Facility Medical Condition Statistics

All other conditions
101
Brain disease or condition (non-traumatic)
38
Brain injury (traumatic)
30
Hip or femur fracture
56
Hip or knee replacement, amputation or other bone or joint condition
160
Nervous system disorder (excluding stroke)
151
Spinal cord disease or condition (non-traumatic)
26
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
125

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
1.973
Comparative performance category
No Different than the National Benchmark
Catheter days
1,270
Predicted number of infections (B)
1.518
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
684
Denominator
687
Facility rate
99.6
Change in patients ability to care for themselves
Average risk-adjusted change score
12.8
Denominator
593
Average observed change score
12.3
Change in patients ability to move around
Average risk-adjusted change score
33.4
Denominator
595
Average observed change score
30.8
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
396
Denominator
595
Facility rate
66.6
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
412
Denominator
595
Facility rate
69.2
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
687
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.062
SIR 95% confidence interval - upper limit
1.218
Comparative performance category
No Different than the National Benchmark
Patient days
13,674
Predicted number of infections (B)
5.427
Number of infections reported (A)
2
SIR (A/B)
0.369
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
187
Number of health care workers
237
Rate of flu vaccination
78.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
39
Number of eligible stays
553
Unadjusted potentially preventable readmission rate
7.05
Risk-standardized potentially preventable readmission rate (RSRR)
8.50
Lower limit of the 95% confidence interval on the RSRR
6.83
Upper limit of the 95% confidence interval on the RSRR
10.31
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
29
Number of eligible stays
611
Unadjusted potentially preventable readmission rate
4.75
Risk-standardized potentially preventable readmission rate (RSRR)
5.45
Lower limit of the 95% confidence interval on the RSRR
4.00
Upper limit of the 95% confidence interval on the RSRR
7.01
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)
337
Number of eligible stays
492
Observed discharge to community rate
68.50
Risk-standardized discharge to community rate
65.75
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
62.23
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.22
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.96
Number of eligible episodes
727
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
684
Denominator
687
Facility rate
99.6
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
686
Facility observed rate
0.4
Facility risk-adjusted rate
0.5
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
164
Number of health care workers
181
Rate of COVID-19 vaccination
90.6