About the Facility
- CMS Certification Number (CCN)
- 273025
- Ownership Type
- For Profit
- CMS Region
- Denver
- Certification Date
- Address
3572 Hesper Road
- Phone Number
- (406) 413-6200
Facility Medical Condition Statistics
- All other conditions
- 66
- Brain disease or condition (non-traumatic)
- 29
- Brain injury (traumatic)
- 36
- Hip or femur fracture
- 76
- Hip or knee replacement, amputation or other bone or joint condition
- 91
- Nervous system disorder (excluding stroke)
- 35
- Spinal cord disease or condition (non-traumatic)
- 30
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 131
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 1.120
- SIR 95% confidence interval - upper limit
- 8.501
- Comparative performance category
- Worse than the National Benchmark
- Catheter days
- 934
- Predicted number of infections (B)
- 1.135
- Number of infections reported (A)
- 4
- SIR (A/B)
- 3.524
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 500
- Denominator
- 500
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 15.0
- Denominator
- 460
- Average observed change score
- 16.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.4
- Denominator
- 460
- Average observed change score
- 35.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 394
- Denominator
- 460
- Facility rate
- 85.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 370
- Denominator
- 460
- Facility rate
- 80.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 500
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.090
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,533
- Predicted number of infections (B)
- 2.748
- 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
- 99
- Number of health care workers
- 141
- Rate of flu vaccination
- 70.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 42
- Number of eligible stays
- 654
- Unadjusted potentially preventable readmission rate
- 6.42
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.39
- Lower limit of the 95% confidence interval on the RSRR
- 6.85
- Upper limit of the 95% confidence interval on the RSRR
- 10.29
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 28
- Number of eligible stays
- 708
- Unadjusted potentially preventable readmission rate
- 3.95
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.75
- Lower limit of the 95% confidence interval on the RSRR
- 3.48
- 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)
- 440
- Number of eligible stays
- 601
- Observed discharge to community rate
- 73.21
- Risk-standardized discharge to community rate
- 69.40
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 65.88
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.24
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.92
- Number of eligible episodes
- 654
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 484
- Denominator
- 500
- Facility rate
- 96.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 9
- Denominator
- 500
- Facility observed rate
- 1.8
- Facility risk-adjusted rate
- 1.9
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 77
- Number of health care workers
- 97
- Rate of COVID-19 vaccination
- 79.4