About the Facility
- CMS Certification Number (CCN)
- 06T031
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
6001 E Woodmen R
6th Floor
- Phone Number
- (719) 571-6630
Facility Medical Condition Statistics
- All other conditions
- 83
- Brain disease or condition (non-traumatic)
- 21
- Brain injury (traumatic)
- 31
- Hip or femur fracture
- 30
- Hip or knee replacement, amputation or other bone or joint condition
- 77
- Nervous system disorder (excluding stroke)
- 12
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 103
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
- 2.585
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 677
- Predicted number of infections (B)
- 1.159
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 364
- Denominator
- 365
- Facility rate
- 99.7
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.5
- Denominator
- 332
- Average observed change score
- 12.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.1
- Denominator
- 332
- Average observed change score
- 30.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 171
- Denominator
- 332
- Facility rate
- 51.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 163
- Denominator
- 332
- Facility rate
- 49.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 365
- 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
- 0.558
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 11,994
- Predicted number of infections (B)
- 5.365
- 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
- 370
- Number of health care workers
- 389
- Rate of flu vaccination
- 95.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 20
- Number of eligible stays
- 435
- Unadjusted potentially preventable readmission rate
- 4.60
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.84
- Lower limit of the 95% confidence interval on the RSRR
- 6.11
- Upper limit of the 95% confidence interval on the RSRR
- 9.98
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 11
- Number of eligible stays
- 454
- Unadjusted potentially preventable readmission rate
- 2.42
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.14
- Lower limit of the 95% confidence interval on the RSRR
- 2.90
- Upper limit of the 95% confidence interval on the RSRR
- 6.15
- 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)
- 290
- Number of eligible stays
- 377
- Observed discharge to community rate
- 76.92
- Risk-standardized discharge to community rate
- 69.52
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.68
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.71
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 413
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 361
- Denominator
- 365
- Facility rate
- 98.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 365
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 4,089
- Number of health care workers
- 4,091
- Rate of COVID-19 vaccination
- 100.0