About the Facility
- CMS Certification Number (CCN)
- 06T010
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
1024 S Lemay Ave
- Phone Number
- (970) 237-7453
Facility Medical Condition Statistics
- All other conditions
- 41
- Brain disease or condition (non-traumatic)
- 20
- Brain injury (traumatic)
- 21
- Hip or femur fracture
- 26
- Hip or knee replacement, amputation or other bone or joint condition
- 55
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 60
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
- 152
- Predicted number of infections (B)
- 0.272
- 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
- 243
- Denominator
- 243
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.3
- Denominator
- 232
- Average observed change score
- 14.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.9
- Denominator
- 232
- Average observed change score
- 35.5
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 169
- Denominator
- 232
- Facility rate
- 72.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 152
- Denominator
- 232
- Facility rate
- 65.5
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 243
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.023
- SIR 95% confidence interval - upper limit
- 2.306
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,424
- Predicted number of infections (B)
- 2.138
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.468
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 1,572
- Number of health care workers
- 1,581
- Rate of flu vaccination
- 99.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 9
- Number of eligible stays
- 259
- Unadjusted potentially preventable readmission rate
- 3.47
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.77
- Lower limit of the 95% confidence interval on the RSRR
- 6.02
- Upper limit of the 95% confidence interval on the RSRR
- 10.11
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 6
- Number of eligible stays
- 269
- Unadjusted potentially preventable readmission rate
- 2.23
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.33
- Lower limit of the 95% confidence interval on the RSRR
- 2.99
- Upper limit of the 95% confidence interval on the RSRR
- 6.22
- 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)
- 161
- Number of eligible stays
- 213
- Observed discharge to community rate
- 75.59
- Risk-standardized discharge to community rate
- 68.13
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.43
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.24
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.86
- Number of eligible episodes
- 241
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 241
- Denominator
- 243
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 243
- Facility observed rate
- 0.0
- Facility risk-adjusted rate
- 0.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 886
- Number of health care workers
- 903
- Rate of COVID-19 vaccination
- 98.1