About the Facility
- CMS Certification Number (CCN)
- 463025
- Ownership Type
- For Profit
- CMS Region
- Denver
- Certification Date
- Address
8074 South 1300 East
- Phone Number
- (801) 561-3400
Facility Medical Condition Statistics
- All other conditions
- 210
- Brain disease or condition (non-traumatic)
- 71
- Brain injury (traumatic)
- 24
- Hip or femur fracture
- 78
- Hip or knee replacement, amputation or other bone or joint condition
- 154
- Nervous system disorder (excluding stroke)
- 67
- Spinal cord disease or condition (non-traumatic)
- 15
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 110
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
- 2.261
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,226
- Predicted number of infections (B)
- 1.325
- Number of infections reported (A)
- 0
- SIR (A/B)
- 0.000
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 730
- Denominator
- 730
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.0
- Denominator
- 616
- Average observed change score
- 13.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.7
- Denominator
- 616
- Average observed change score
- 33.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 481
- Denominator
- 616
- Facility rate
- 78.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 477
- Denominator
- 616
- Facility rate
- 77.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 730
- Facility rate
- 0.3
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.013
- SIR 95% confidence interval - upper limit
- 1.288
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 12,546
- Predicted number of infections (B)
- 3.829
- Number of infections reported (A)
- 1
- SIR (A/B)
- 0.261
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 298
- Number of health care workers
- 335
- Rate of flu vaccination
- 89.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 41
- Number of eligible stays
- 659
- Unadjusted potentially preventable readmission rate
- 6.22
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.25
- Lower limit of the 95% confidence interval on the RSRR
- 5.92
- Upper limit of the 95% confidence interval on the RSRR
- 8.83
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 44
- Number of eligible stays
- 738
- Unadjusted potentially preventable readmission rate
- 5.96
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.78
- Lower limit of the 95% confidence interval on the RSRR
- 4.45
- Upper limit of the 95% confidence interval on the RSRR
- 7.27
- 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)
- 348
- Number of eligible stays
- 538
- Observed discharge to community rate
- 64.68
- Risk-standardized discharge to community rate
- 64.75
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 60.88
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 68.16
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.06
- Number of eligible episodes
- 786
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 724
- Denominator
- 730
- Facility rate
- 99.2
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 22
- Denominator
- 730
- Facility observed rate
- 3.0
- Facility risk-adjusted rate
- 2.8
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 181
- Number of health care workers
- 229
- Rate of COVID-19 vaccination
- 79.0