About the Facility
- CMS Certification Number (CCN)
- 06T022
- Ownership Type
- Government
- CMS Region
- Denver
- Certification Date
- Address
Memorial Hospital Central
1400 E. Boulder
- Phone Number
- (719) 365-2702
Facility Medical Condition Statistics
- All other conditions
- 55
- Brain disease or condition (non-traumatic)
- 24
- Brain injury (traumatic)
- 14
- Hip or femur fracture
- 37
- Hip or knee replacement, amputation or other bone or joint condition
- 65
- Nervous system disorder (excluding stroke)
- 11
- Spinal cord disease or condition (non-traumatic)
- 16
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 90
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
- 97
- Predicted number of infections (B)
- 0.221
- 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
- 317
- Denominator
- 318
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.3
- Denominator
- 300
- Average observed change score
- 16.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.4
- Denominator
- 300
- Average observed change score
- 38.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 202
- Denominator
- 300
- Facility rate
- 67.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 205
- Denominator
- 300
- Facility rate
- 68.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 318
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.020
- SIR 95% confidence interval - upper limit
- 1.967
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,524
- Predicted number of infections (B)
- 2.508
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.399
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 37
- Number of health care workers
- 37
- Rate of flu vaccination
- 100.0
- 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
- 396
- Unadjusted potentially preventable readmission rate
- 3.28
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.01
- Lower limit of the 95% confidence interval on the RSRR
- 5.45
- Upper limit of the 95% confidence interval on the RSRR
- 8.93
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 419
- Unadjusted potentially preventable readmission rate
- 2.39
- Risk-standardized potentially preventable readmission rate (RSRR)
- 3.85
- Lower limit of the 95% confidence interval on the RSRR
- 2.86
- Upper limit of the 95% confidence interval on the RSRR
- 5.72
- 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)
- 256
- Number of eligible stays
- 350
- Observed discharge to community rate
- 73.14
- Risk-standardized discharge to community rate
- 70.44
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 66.25
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.13
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 404
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 315
- Denominator
- 318
- Facility rate
- 99.1
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 318
- 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
- 1,062
- Number of health care workers
- 1,076
- Rate of COVID-19 vaccination
- 98.7