About the Facility
- CMS Certification Number (CCN)
- 06T024
- Ownership Type
- Government
- CMS Region
- Denver
- Certification Date
- Address
12401 E 17th Ave Cms F-728
- Phone Number
- (720) 848-3800
Facility Medical Condition Statistics
- All other conditions
- 20
- Brain disease or condition (non-traumatic)
- 22
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 31
- Nervous system disorder (excluding stroke)
- 14
- Spinal cord disease or condition (non-traumatic)
- 29
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 34
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
- 350
- Predicted number of infections (B)
- 0.723
- Number of infections reported (A)
- 3
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 155
- Denominator
- 155
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.2
- Denominator
- 132
- Average observed change score
- 12.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 30.9
- Denominator
- 132
- Average observed change score
- 31.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 85
- Denominator
- 132
- Facility rate
- 64.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 83
- Denominator
- 132
- Facility rate
- 62.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 155
- Facility rate
- 0.6
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.025
- SIR 95% confidence interval - upper limit
- 2.512
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,186
- Predicted number of infections (B)
- 1.963
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.509
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 85
- Number of health care workers
- 85
- 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
- 7
- Number of eligible stays
- 151
- Unadjusted potentially preventable readmission rate
- 4.64
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.83
- Lower limit of the 95% confidence interval on the RSRR
- 6.06
- Upper limit of the 95% confidence interval on the RSRR
- 10.01
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 4
- Number of eligible stays
- 161
- Unadjusted potentially preventable readmission rate
- 2.48
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.25
- Lower limit of the 95% confidence interval on the RSRR
- 3.06
- 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)
- 102
- Number of eligible stays
- 136
- Observed discharge to community rate
- 75.00
- Risk-standardized discharge to community rate
- 70.09
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.68
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 75.36
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.85
- Number of eligible episodes
- 144
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 154
- Denominator
- 155
- Facility rate
- 99.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 155
- Facility observed rate
- 1.3
- Facility risk-adjusted rate
- 1.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 4,646
- Number of health care workers
- 4,652
- Rate of COVID-19 vaccination
- 99.9