Encompass Health Rehab Hospital of Littleton


About the Facility

CMS Certification Number (CCN)
063034
Ownership Type
For Profit
CMS Region
Denver
Certification Date
Address
1001 W Mineral Ave
Phone Number
(303) 334-1100

Facility Medical Condition Statistics

All other conditions
98
Brain disease or condition (non-traumatic)
61
Brain injury (traumatic)
58
Hip or femur fracture
71
Hip or knee replacement, amputation or other bone or joint condition
168
Nervous system disorder (excluding stroke)
193
Spinal cord disease or condition (non-traumatic)
35
Spinal cord injury (traumatic)
Data not available for this reporting period.
Stroke
123

Facility Quality of Patient Care Measures

Catheter-associated urinary tract infections (CAUTI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.511
SIR 95% confidence interval - upper limit
5.469
Comparative performance category
No Different than the National Benchmark
Catheter days
1,027
Predicted number of infections (B)
1.493
Number of infections reported (A)
3
SIR (A/B)
2.009
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
791
Denominator
791
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
12.6
Denominator
687
Average observed change score
12.6
Change in patients ability to move around
Average risk-adjusted change score
34.8
Denominator
687
Average observed change score
34.7
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
461
Denominator
687
Facility rate
67.1
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
514
Denominator
687
Facility rate
74.8
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
1
Denominator
791
Facility rate
0.1
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.065
SIR 95% confidence interval - upper limit
1.283
Comparative performance category
No Different than the National Benchmark
Patient days
14,820
Predicted number of infections (B)
5.151
Number of infections reported (A)
2
SIR (A/B)
0.388
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
281
Number of health care workers
293
Rate of flu vaccination
95.9
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
50
Number of eligible stays
905
Unadjusted potentially preventable readmission rate
5.52
Risk-standardized potentially preventable readmission rate (RSRR)
7.55
Lower limit of the 95% confidence interval on the RSRR
6.25
Upper limit of the 95% confidence interval on the RSRR
9.12
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
71
Number of eligible stays
1,012
Unadjusted potentially preventable readmission rate
7.02
Risk-standardized potentially preventable readmission rate (RSRR)
7.56
Lower limit of the 95% confidence interval on the RSRR
6.07
Upper limit of the 95% confidence interval on the RSRR
9.12
Comparative performance category
Worse than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
578
Number of eligible stays
824
Observed discharge to community rate
70.15
Risk-standardized discharge to community rate
66.57
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
63.82
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.37
Comparative performance category
No Different than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
0.97
Number of eligible episodes
991
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
745
Denominator
791
Facility rate
94.2
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
3
Denominator
791
Facility observed rate
0.4
Facility risk-adjusted rate
0.4
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
228
Number of health care workers
238
Rate of COVID-19 vaccination
95.8