About the Facility
- CMS Certification Number (CCN)
- 063035
- Ownership Type
- For Profit
- CMS Region
- Denver
- Certification Date
- Address
8451 Pearl St
- Phone Number
- (303) 301-8700
Facility Medical Condition Statistics
- All other conditions
- 64
- Brain disease or condition (non-traumatic)
- 23
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 24
- Hip or knee replacement, amputation or other bone or joint condition
- 54
- Nervous system disorder (excluding stroke)
- 28
- Spinal cord disease or condition (non-traumatic)
- 18
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 35
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
- 560
- Predicted number of infections (B)
- 0.784
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 241
- Denominator
- 241
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.0
- Denominator
- 206
- Average observed change score
- 12.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.3
- Denominator
- 206
- Average observed change score
- 32.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 104
- Denominator
- 206
- Facility rate
- 50.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 113
- Denominator
- 206
- Facility rate
- 54.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 241
- 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
- 1.180
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 8,947
- Predicted number of infections (B)
- 2.538
- 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
- 188
- Number of health care workers
- 241
- Rate of flu vaccination
- 78.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 26
- Number of eligible stays
- 262
- Unadjusted potentially preventable readmission rate
- 9.92
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.82
- Lower limit of the 95% confidence interval on the RSRR
- 6.92
- Upper limit of the 95% confidence interval on the RSRR
- 11.20
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 287
- Unadjusted potentially preventable readmission rate
- 3.48
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.04
- Lower limit of the 95% confidence interval on the RSRR
- 2.76
- Upper limit of the 95% confidence interval on the RSRR
- 6.24
- 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)
- 124
- Number of eligible stays
- 219
- Observed discharge to community rate
- 56.62
- Risk-standardized discharge to community rate
- 60.53
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 54.46
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.87
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.08
- Number of eligible episodes
- 280
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 195
- Denominator
- 241
- Facility rate
- 80.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 240
- Facility observed rate
- 1.7
- Facility risk-adjusted rate
- 1.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 174
- Number of health care workers
- 178
- Rate of COVID-19 vaccination
- 97.8