About the Facility
- CMS Certification Number (CCN)
- 27T012
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
500 15th Ave So.
- Phone Number
- (406) 455-5000
Facility Medical Condition Statistics
- All other conditions
- 36
- Brain disease or condition (non-traumatic)
- 14
- Brain injury (traumatic)
- 25
- Hip or femur fracture
- 78
- Hip or knee replacement, amputation or other bone or joint condition
- 29
- Nervous system disorder (excluding stroke)
- Data not available for this reporting period.
- 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
- 75
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
- 69
- Predicted number of infections (B)
- 0.172
- 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
- 272
- Denominator
- 272
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 12.3
- Denominator
- 222
- Average observed change score
- 13.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 29.3
- Denominator
- 222
- Average observed change score
- 32.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 127
- Denominator
- 222
- Facility rate
- 57.2
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 118
- Denominator
- 222
- Facility rate
- 53.2
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 272
- 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
- 0.652
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 10,510
- Predicted number of infections (B)
- 4.595
- 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
- 22
- Number of health care workers
- 51
- Rate of flu vaccination
- 43.1
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 18
- Number of eligible stays
- 360
- Unadjusted potentially preventable readmission rate
- 5.00
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.16
- Lower limit of the 95% confidence interval on the RSRR
- 6.39
- Upper limit of the 95% confidence interval on the RSRR
- 10.40
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 13
- Number of eligible stays
- 388
- Unadjusted potentially preventable readmission rate
- 3.35
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.69
- Lower limit of the 95% confidence interval on the RSRR
- 3.35
- Upper limit of the 95% confidence interval on the RSRR
- 6.74
- 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
- 306
- Observed discharge to community rate
- 61.76
- Risk-standardized discharge to community rate
- 60.18
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 55.87
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.61
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.94
- Number of eligible episodes
- 330
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 272
- Denominator
- 272
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 270
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 64
- Number of health care workers
- 70
- Rate of COVID-19 vaccination
- 91.4