About the Facility
- CMS Certification Number (CCN)
- 43T016
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
1000 E 23rd St 5th Floor
- Phone Number
- (605) 322-2170
Facility Medical Condition Statistics
- All other conditions
- 55
- Brain disease or condition (non-traumatic)
- 21
- Brain injury (traumatic)
- 19
- Hip or femur fracture
- 38
- Hip or knee replacement, amputation or other bone or joint condition
- 53
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 48
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 106
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.046
- SIR 95% confidence interval - upper limit
- 4.558
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 397
- Predicted number of infections (B)
- 1.082
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.924
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 350
- Denominator
- 350
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.3
- Denominator
- 308
- Average observed change score
- 11.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 27.7
- Denominator
- 308
- Average observed change score
- 27.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 172
- Denominator
- 308
- Facility rate
- 55.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 162
- Denominator
- 308
- Facility rate
- 52.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 350
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.091
- SIR 95% confidence interval - upper limit
- 1.785
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 7,716
- Predicted number of infections (B)
- 3.703
- Number of infections reported (A)
- 2
- SIR (A/B)
- 0.540
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 325
- Number of health care workers
- 350
- Rate of flu vaccination
- 92.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 17
- Number of eligible stays
- 395
- Unadjusted potentially preventable readmission rate
- 4.30
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.51
- Lower limit of the 95% confidence interval on the RSRR
- 5.96
- Upper limit of the 95% confidence interval on the RSRR
- 9.53
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 426
- Unadjusted potentially preventable readmission rate
- 2.35
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.34
- Lower limit of the 95% confidence interval on the RSRR
- 3.11
- Upper limit of the 95% confidence interval on the RSRR
- 6.41
- 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)
- 267
- Number of eligible stays
- 359
- Observed discharge to community rate
- 74.37
- Risk-standardized discharge to community rate
- 67.47
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.67
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.57
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.83
- Number of eligible episodes
- 375
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 350
- Denominator
- 350
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 350
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 97
- Number of health care workers
- 107
- Rate of COVID-19 vaccination
- 90.7