About the Facility
- CMS Certification Number (CCN)
- 35T006
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
407 3rd St. Se
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 65
- Brain disease or condition (non-traumatic)
- 17
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 63
- Hip or knee replacement, amputation or other bone or joint condition
- 46
- Nervous system disorder (excluding stroke)
- 33
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 41
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
- 84
- Predicted number of infections (B)
- 0.123
- 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
- 237
- Denominator
- 237
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.2
- Denominator
- 200
- Average observed change score
- 12.6
- Change in patients ability to move around
- Average risk-adjusted change score
- 31.0
- Denominator
- 204
- Average observed change score
- 30.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 149
- Denominator
- 205
- Facility rate
- 72.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 129
- Denominator
- 205
- Facility rate
- 62.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 237
- Facility rate
- 0.8
- 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
- 2,538
- Predicted number of infections (B)
- 0.887
- Number of infections reported (A)
- 0
- SIR (A/B)
- Not Available
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 5
- Number of health care workers
- 8
- Rate of flu vaccination
- 62.5
- 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
- 236
- Unadjusted potentially preventable readmission rate
- 7.63
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.97
- Lower limit of the 95% confidence interval on the RSRR
- 6.85
- Upper limit of the 95% confidence interval on the RSRR
- 11.44
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 14
- Number of eligible stays
- 259
- Unadjusted potentially preventable readmission rate
- 5.41
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.97
- Lower limit of the 95% confidence interval on the RSRR
- 3.95
- Upper limit of the 95% confidence interval on the RSRR
- 8.58
- 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)
- 117
- Number of eligible stays
- 215
- Observed discharge to community rate
- 54.42
- Risk-standardized discharge to community rate
- 52.82
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 47.97
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.80
- Comparative performance category
- Worse than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.80
- Number of eligible episodes
- 236
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 236
- Denominator
- 237
- Facility rate
- 99.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 6
- Denominator
- 231
- Facility observed rate
- 2.6
- Facility risk-adjusted rate
- 3.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 8
- Number of health care workers
- 12
- Rate of COVID-19 vaccination
- 66.7