About the Facility
- CMS Certification Number (CCN)
- 06T020
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
400 W. 16th St.
- Phone Number
- (719) 595-7020
Facility Medical Condition Statistics
- All other conditions
- 22
- Brain disease or condition (non-traumatic)
- 12
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 44
- Hip or knee replacement, amputation or other bone or joint condition
- 40
- Nervous system disorder (excluding stroke)
- 15
- Spinal cord disease or condition (non-traumatic)
- 17
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 61
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
- 376
- Predicted number of infections (B)
- 0.777
- 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
- 221
- Denominator
- 221
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.5
- Denominator
- 201
- Average observed change score
- 11.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.7
- Denominator
- 201
- Average observed change score
- 33.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 108
- Denominator
- 201
- Facility rate
- 53.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 130
- Denominator
- 201
- Facility rate
- 64.7
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 221
- 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
- 0.939
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 6,482
- Predicted number of infections (B)
- 3.191
- 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
- 96
- Number of health care workers
- 98
- Rate of flu vaccination
- 98.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 10
- Number of eligible stays
- 195
- Unadjusted potentially preventable readmission rate
- 5.13
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.40
- Lower limit of the 95% confidence interval on the RSRR
- 6.51
- Upper limit of the 95% confidence interval on the RSRR
- 10.94
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 5
- Number of eligible stays
- 207
- Unadjusted potentially preventable readmission rate
- 2.42
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.50
- Lower limit of the 95% confidence interval on the RSRR
- 2.98
- Upper limit of the 95% confidence interval on the RSRR
- 5.92
- 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
- 163
- Observed discharge to community rate
- 76.07
- Risk-standardized discharge to community rate
- 68.96
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.81
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.48
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.84
- Number of eligible episodes
- 189
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 221
- Denominator
- 221
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 220
- Facility observed rate
- 2.3
- Facility risk-adjusted rate
- 2.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 126
- Number of health care workers
- 129
- Rate of COVID-19 vaccination
- 97.7