About the Facility
- CMS Certification Number (CCN)
- 06T023
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
2635 7th St
Box 1628
- Phone Number
- (970) 298-7646
Facility Medical Condition Statistics
- All other conditions
- 95
- Brain disease or condition (non-traumatic)
- 47
- Brain injury (traumatic)
- 41
- Hip or femur fracture
- 44
- Hip or knee replacement, amputation or other bone or joint condition
- 46
- Nervous system disorder (excluding stroke)
- 36
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 104
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.037
- SIR 95% confidence interval - upper limit
- 3.637
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 655
- Predicted number of infections (B)
- 1.356
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.737
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 430
- Denominator
- 430
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.2
- Denominator
- 376
- Average observed change score
- 13.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 32.7
- Denominator
- 376
- Average observed change score
- 36.1
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 223
- Denominator
- 376
- Facility rate
- 59.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 237
- Denominator
- 376
- Facility rate
- 63.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 430
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.016
- SIR 95% confidence interval - upper limit
- 1.545
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 6,808
- Predicted number of infections (B)
- 3.193
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.313
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 93
- Number of health care workers
- 137
- Rate of flu vaccination
- 67.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 29
- Number of eligible stays
- 391
- Unadjusted potentially preventable readmission rate
- 7.42
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.80
- Lower limit of the 95% confidence interval on the RSRR
- 6.97
- Upper limit of the 95% confidence interval on the RSRR
- 11.01
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 24
- Number of eligible stays
- 430
- Unadjusted potentially preventable readmission rate
- 5.58
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.48
- Lower limit of the 95% confidence interval on the RSRR
- 3.93
- Upper limit of the 95% confidence interval on the RSRR
- 7.04
- 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)
- 235
- Number of eligible stays
- 342
- Observed discharge to community rate
- 68.71
- Risk-standardized discharge to community rate
- 67.14
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.82
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 71.19
- 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
- 393
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 417
- Denominator
- 430
- Facility rate
- 97.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 430
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 51
- Number of health care workers
- 68
- Rate of COVID-19 vaccination
- 75.0