About the Facility
- CMS Certification Number (CCN)
- 063037
- Ownership Type
- For Profit
- CMS Region
- Denver
- Certification Date
- Address
6500 W 104th Ave
- Phone Number
- (720) 653-3440
Facility Medical Condition Statistics
- All other conditions
- 62
- Brain disease or condition (non-traumatic)
- 86
- Brain injury (traumatic)
- 34
- Hip or femur fracture
- 45
- Hip or knee replacement, amputation or other bone or joint condition
- 68
- Nervous system disorder (excluding stroke)
- 252
- Spinal cord disease or condition (non-traumatic)
- 28
- Spinal cord injury (traumatic)
- 13
- Stroke
- 104
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.021
- SIR 95% confidence interval - upper limit
- 2.052
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,669
- Predicted number of infections (B)
- 2.404
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.416
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 675
- Denominator
- 675
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 10.0
- Denominator
- 571
- Average observed change score
- 12.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 25.4
- Denominator
- 571
- Average observed change score
- 27.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 230
- Denominator
- 571
- Facility rate
- 40.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 217
- Denominator
- 571
- Facility rate
- 38.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 675
- Facility rate
- 0.1
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 0.760
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 9,256
- Predicted number of infections (B)
- 3.943
- 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
- 119
- Number of health care workers
- 194
- Rate of flu vaccination
- 61.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 13
- Number of eligible stays
- 185
- Unadjusted potentially preventable readmission rate
- 7.03
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.17
- Lower limit of the 95% confidence interval on the RSRR
- 6.44
- Upper limit of the 95% confidence interval on the RSRR
- 10.22
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 12
- Number of eligible stays
- 208
- Unadjusted potentially preventable readmission rate
- 5.77
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.05
- Lower limit of the 95% confidence interval on the RSRR
- 3.57
- Upper limit of the 95% confidence interval on the RSRR
- 6.94
- 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)
- 114
- Number of eligible stays
- 190
- Observed discharge to community rate
- 60.00
- Risk-standardized discharge to community rate
- 63.01
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.13
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.64
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.05
- Number of eligible episodes
- 222
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 671
- Denominator
- 675
- Facility rate
- 99.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 673
- Facility observed rate
- 0.9
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 142
- Number of health care workers
- 158
- Rate of COVID-19 vaccination
- 89.9