About the Facility
- CMS Certification Number (CCN)
- 06T129
- Ownership Type
- For Profit
- CMS Region
- Denver
- Certification Date
- Address
11820 Destination Drive
- Phone Number
- (303) 460-6000
Facility Medical Condition Statistics
- All other conditions
- 47
- Brain disease or condition (non-traumatic)
- 32
- Brain injury (traumatic)
- 30
- Hip or femur fracture
- 33
- Hip or knee replacement, amputation or other bone or joint condition
- 81
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- Spinal cord disease or condition (non-traumatic)
- 25
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 74
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
- 185
- Predicted number of infections (B)
- 0.444
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 321
- Denominator
- 321
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.2
- Denominator
- 275
- Average observed change score
- 14.1
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.1
- Denominator
- 275
- Average observed change score
- 37.3
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 194
- Denominator
- 275
- Facility rate
- 70.5
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 204
- Denominator
- 275
- Facility rate
- 74.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 321
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.022
- SIR 95% confidence interval - upper limit
- 2.200
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,285
- Predicted number of infections (B)
- 2.242
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.446
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 392
- Number of health care workers
- 392
- 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
- 11
- Number of eligible stays
- 289
- Unadjusted potentially preventable readmission rate
- 3.81
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.94
- Lower limit of the 95% confidence interval on the RSRR
- 6.13
- Upper limit of the 95% confidence interval on the RSRR
- 10.26
- 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
- 314
- Unadjusted potentially preventable readmission rate
- 1.59
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.03
- Lower limit of the 95% confidence interval on the RSRR
- 2.67
- Upper limit of the 95% confidence interval on the RSRR
- 5.94
- 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)
- 189
- Number of eligible stays
- 259
- Observed discharge to community rate
- 72.97
- Risk-standardized discharge to community rate
- 65.98
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.37
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.91
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 287
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 311
- Denominator
- 321
- Facility rate
- 96.9
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 321
- 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
- 454
- Number of health care workers
- 454
- Rate of COVID-19 vaccination
- 100.0