About the Facility
- CMS Certification Number (CCN)
- 353026
- Ownership Type
- For Profit
- CMS Region
- Denver
- Certification Date
- Address
4671 38th St S
- Phone Number
- (701) 404-5100
Facility Medical Condition Statistics
- All other conditions
- 147
- Brain disease or condition (non-traumatic)
- 85
- Brain injury (traumatic)
- 31
- Hip or femur fracture
- 91
- Hip or knee replacement, amputation or other bone or joint condition
- 188
- Nervous system disorder (excluding stroke)
- 481
- Spinal cord disease or condition (non-traumatic)
- 16
- 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
- Not Available
- Comparative performance category
- Not Available
- Catheter days
- 591
- Predicted number of infections (B)
- 0.639
- 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
- 1,118
- Denominator
- 1,119
- Facility rate
- 99.9
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.5
- Denominator
- 1,017
- Average observed change score
- 17.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 33.2
- Denominator
- 1,017
- Average observed change score
- 37.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 685
- Denominator
- 1,017
- Facility rate
- 67.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 671
- Denominator
- 1,017
- Facility rate
- 66.0
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 1,119
- Facility rate
- 0.2
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.009
- SIR 95% confidence interval - upper limit
- 0.852
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 14,644
- Predicted number of infections (B)
- 5.791
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.173
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 204
- Number of health care workers
- 236
- Rate of flu vaccination
- 86.4
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 102
- Number of eligible stays
- 1,074
- Unadjusted potentially preventable readmission rate
- 9.50
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.02
- Lower limit of the 95% confidence interval on the RSRR
- 7.71
- Upper limit of the 95% confidence interval on the RSRR
- 10.46
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 50
- Number of eligible stays
- 1,147
- Unadjusted potentially preventable readmission rate
- 4.36
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.70
- Lower limit of the 95% confidence interval on the RSRR
- 3.76
- Upper limit of the 95% confidence interval on the RSRR
- 5.82
- 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)
- 667
- Number of eligible stays
- 1,019
- Observed discharge to community rate
- 65.46
- Risk-standardized discharge to community rate
- 65.79
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.86
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.58
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.96
- Number of eligible episodes
- 1,164
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 1,115
- Denominator
- 1,119
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 12
- Denominator
- 1,118
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 214
- Number of health care workers
- 219
- Rate of COVID-19 vaccination
- 97.7