About the Facility
- CMS Certification Number (CCN)
- 27T023
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
2827 Fort Missoula Road
- Phone Number
- (406) 327-4321
Facility Medical Condition Statistics
- All other conditions
- 37
- Brain disease or condition (non-traumatic)
- 13
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 11
- 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
- 68
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
- 134
- Predicted number of infections (B)
- 0.256
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 181
- Denominator
- 182
- Facility rate
- 99.5
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.2
- Denominator
- 167
- Average observed change score
- 13.8
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.4
- Denominator
- 167
- Average observed change score
- 39.2
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 112
- Denominator
- 167
- Facility rate
- 67.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 122
- Denominator
- 167
- Facility rate
- 73.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 182
- 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
- Not Available
- Comparative performance category
- Not Available
- Patient days
- 2,720
- Predicted number of infections (B)
- 0.888
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 13
- Number of health care workers
- 17
- Rate of flu vaccination
- 76.5
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 12
- Number of eligible stays
- 226
- Unadjusted potentially preventable readmission rate
- 5.31
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.08
- Lower limit of the 95% confidence interval on the RSRR
- 6.25
- Upper limit of the 95% confidence interval on the RSRR
- 10.33
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 7
- Number of eligible stays
- 240
- Unadjusted potentially preventable readmission rate
- 2.92
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.43
- Lower limit of the 95% confidence interval on the RSRR
- 3.11
- Upper limit of the 95% confidence interval on the RSRR
- 6.87
- 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)
- 150
- Number of eligible stays
- 191
- Observed discharge to community rate
- 78.53
- Risk-standardized discharge to community rate
- 72.85
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 67.70
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 77.17
- Comparative performance category
- Better than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.87
- Number of eligible episodes
- 230
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 182
- Denominator
- 182
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 0
- Denominator
- 182
- 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
- 16
- Number of health care workers
- 16
- Rate of COVID-19 vaccination
- 100.0