About the Facility
- CMS Certification Number (CCN)
- 06T015
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
11600 W 2nd Place
- Phone Number
- (720) 321-7321
Facility Medical Condition Statistics
- All other conditions
- 62
- Brain disease or condition (non-traumatic)
- 22
- Brain injury (traumatic)
- 34
- Hip or femur fracture
- 31
- Hip or knee replacement, amputation or other bone or joint condition
- 68
- Nervous system disorder (excluding stroke)
- 29
- Spinal cord disease or condition (non-traumatic)
- 19
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 84
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.154
- SIR 95% confidence interval - upper limit
- 3.028
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 980
- Predicted number of infections (B)
- 2.182
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.917
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 348
- Denominator
- 348
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.6
- Denominator
- 296
- Average observed change score
- 12.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.3
- Denominator
- 296
- Average observed change score
- 34.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 158
- Denominator
- 296
- Facility rate
- 53.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 197
- Denominator
- 296
- Facility rate
- 66.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 348
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.254
- SIR 95% confidence interval - upper limit
- 2.717
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,102
- Predicted number of infections (B)
- 3.005
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.998
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 3,239
- Number of health care workers
- 3,468
- Rate of flu vaccination
- 93.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 16
- Number of eligible stays
- 300
- Unadjusted potentially preventable readmission rate
- 5.33
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.24
- Lower limit of the 95% confidence interval on the RSRR
- 6.44
- Upper limit of the 95% confidence interval on the RSRR
- 10.37
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 15
- Number of eligible stays
- 326
- Unadjusted potentially preventable readmission rate
- 4.60
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.14
- Lower limit of the 95% confidence interval on the RSRR
- 3.74
- Upper limit of the 95% confidence interval on the RSRR
- 6.70
- 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)
- 180
- Number of eligible stays
- 271
- Observed discharge to community rate
- 66.42
- Risk-standardized discharge to community rate
- 64.77
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.16
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.25
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 273
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 347
- Denominator
- 348
- Facility rate
- 99.7
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 348
- Facility observed rate
- 1.4
- Facility risk-adjusted rate
- 1.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 2,671
- Number of health care workers
- 2,672
- Rate of COVID-19 vaccination
- 100.0