About the Facility
- CMS Certification Number (CCN)
- 433027
- Ownership Type
- For Profit
- CMS Region
- Denver
- Certification Date
- Address
4700 W 69th Street
- Phone Number
- (605) 305-5600
Facility Medical Condition Statistics
- All other conditions
- 97
- Brain disease or condition (non-traumatic)
- 39
- Brain injury (traumatic)
- 19
- Hip or femur fracture
- 50
- Hip or knee replacement, amputation or other bone or joint condition
- 157
- Nervous system disorder (excluding stroke)
- 172
- Spinal cord disease or condition (non-traumatic)
- 13
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 101
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.654
- SIR 95% confidence interval - upper limit
- 6.996
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,080
- Predicted number of infections (B)
- 1.167
- Number of infections reported (A)
- 3
- SIR (A/B)
- 2.571
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 625
- Denominator
- 626
- Facility rate
- 99.8
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.1
- Denominator
- 549
- Average observed change score
- 14.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.8
- Denominator
- 549
- Average observed change score
- 34.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 430
- Denominator
- 549
- Facility rate
- 78.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 440
- Denominator
- 549
- Facility rate
- 80.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 626
- 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
- 0.696
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 11,580
- Predicted number of infections (B)
- 4.303
- 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
- 129
- Number of health care workers
- 165
- Rate of flu vaccination
- 78.2
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 54
- Number of eligible stays
- 689
- Unadjusted potentially preventable readmission rate
- 7.84
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.12
- Lower limit of the 95% confidence interval on the RSRR
- 6.77
- Upper limit of the 95% confidence interval on the RSRR
- 9.74
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 36
- Number of eligible stays
- 767
- Unadjusted potentially preventable readmission rate
- 4.69
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.05
- Lower limit of the 95% confidence interval on the RSRR
- 3.87
- Upper limit of the 95% confidence interval on the RSRR
- 6.52
- 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)
- 420
- Number of eligible stays
- 629
- Observed discharge to community rate
- 66.77
- Risk-standardized discharge to community rate
- 66.47
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.91
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.61
- 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
- 794
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 622
- Denominator
- 626
- Facility rate
- 99.4
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 625
- Facility observed rate
- 0.3
- Facility risk-adjusted rate
- 0.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 129
- Number of health care workers
- 145
- Rate of COVID-19 vaccination
- 89.0