About the Facility
- CMS Certification Number (CCN)
- 063033
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
4401 Union St
- Phone Number
- (970) 619-3400
Facility Medical Condition Statistics
- All other conditions
- 145
- Brain disease or condition (non-traumatic)
- 38
- Brain injury (traumatic)
- 48
- Hip or femur fracture
- 55
- Hip or knee replacement, amputation or other bone or joint condition
- 145
- Nervous system disorder (excluding stroke)
- 76
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- 11
- Stroke
- 118
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
- 816
- Predicted number of infections (B)
- 0.883
- Number of infections reported (A)
- 3
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 622
- Denominator
- 622
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.5
- Denominator
- 547
- Average observed change score
- 18.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 41.8
- Denominator
- 547
- Average observed change score
- 45.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 414
- Denominator
- 547
- Facility rate
- 75.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 446
- Denominator
- 547
- Facility rate
- 81.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 622
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.485
- SIR 95% confidence interval - upper limit
- 2.489
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 13,365
- Predicted number of infections (B)
- 5.014
- Number of infections reported (A)
- 6
- SIR (A/B)
- 1.197
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 162
- Number of health care workers
- 186
- Rate of flu vaccination
- 87.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 48
- Number of eligible stays
- 627
- Unadjusted potentially preventable readmission rate
- 7.66
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.67
- Lower limit of the 95% confidence interval on the RSRR
- 7.07
- Upper limit of the 95% confidence interval on the RSRR
- 10.42
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 50
- Number of eligible stays
- 703
- Unadjusted potentially preventable readmission rate
- 7.11
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.20
- Lower limit of the 95% confidence interval on the RSRR
- 4.79
- Upper limit of the 95% confidence interval on the RSRR
- 7.96
- 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)
- 398
- Number of eligible stays
- 573
- Observed discharge to community rate
- 69.46
- Risk-standardized discharge to community rate
- 70.67
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.00
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.21
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 659
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 607
- Denominator
- 622
- Facility rate
- 97.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 10
- Denominator
- 621
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 1.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 212
- Number of health care workers
- 223
- Rate of COVID-19 vaccination
- 95.1