About the Facility
- CMS Certification Number (CCN)
- 06T006
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
800 S 3rd St
- Phone Number
- (970) 249-2211
Facility Medical Condition Statistics
- All other conditions
- 18
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 40
- Hip or knee replacement, amputation or other bone or joint condition
- 20
- Nervous system disorder (excluding stroke)
- 15
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 31
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
- 104
- Predicted number of infections (B)
- 0.150
- 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
- 145
- Denominator
- 145
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.3
- Denominator
- 137
- Average observed change score
- 11.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.8
- Denominator
- 137
- Average observed change score
- 32.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 73
- Denominator
- 137
- Facility rate
- 53.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 76
- Denominator
- 137
- Facility rate
- 55.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 145
- 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
- 2.881
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 2,390
- Predicted number of infections (B)
- 1.040
- 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
- 23
- Number of health care workers
- 24
- Rate of flu vaccination
- 95.8
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 7
- Number of eligible stays
- 160
- Unadjusted potentially preventable readmission rate
- 4.38
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.30
- Lower limit of the 95% confidence interval on the RSRR
- 6.35
- Upper limit of the 95% confidence interval on the RSRR
- 10.72
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 4
- Number of eligible stays
- 166
- Unadjusted potentially preventable readmission rate
- 2.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.58
- Lower limit of the 95% confidence interval on the RSRR
- 2.90
- Upper limit of the 95% confidence interval on the RSRR
- 6.83
- 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)
- 95
- Number of eligible stays
- 129
- Observed discharge to community rate
- 73.64
- Risk-standardized discharge to community rate
- 66.47
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.05
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.27
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 169
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 142
- Denominator
- 145
- Facility rate
- 97.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 3
- Denominator
- 145
- Facility observed rate
- 2.1
- Facility risk-adjusted rate
- 2.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 15
- Number of health care workers
- 21
- Rate of COVID-19 vaccination
- 71.4