About the Facility
- CMS Certification Number (CCN)
- 463027
- Ownership Type
- For Profit
- CMS Region
- Denver
- Certification Date
- Address
5825 Harrison Boulevard
- Phone Number
- (801) 475-5254
Facility Medical Condition Statistics
- All other conditions
- 120
- Brain disease or condition (non-traumatic)
- 35
- Brain injury (traumatic)
- 15
- Hip or femur fracture
- 46
- Hip or knee replacement, amputation or other bone or joint condition
- 91
- Nervous system disorder (excluding stroke)
- 57
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 62
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
- 548
- Predicted number of infections (B)
- 0.591
- 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
- 308
- Denominator
- 308
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 17.6
- Denominator
- 268
- Average observed change score
- 19.4
- Change in patients ability to move around
- Average risk-adjusted change score
- 44.5
- Denominator
- 268
- Average observed change score
- 44.6
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 230
- Denominator
- 268
- Facility rate
- 85.8
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 229
- Denominator
- 268
- Facility rate
- 85.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 308
- Facility rate
- 0.6
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.678
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,862
- Predicted number of infections (B)
- 1.785
- 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
- 125
- Number of health care workers
- 149
- Rate of flu vaccination
- 83.9
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 28
- Number of eligible stays
- 360
- Unadjusted potentially preventable readmission rate
- 7.78
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.06
- Lower limit of the 95% confidence interval on the RSRR
- 6.63
- Upper limit of the 95% confidence interval on the RSRR
- 9.82
- 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
- 384
- Unadjusted potentially preventable readmission rate
- 3.65
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.13
- Lower limit of the 95% confidence interval on the RSRR
- 2.85
- Upper limit of the 95% confidence interval on the RSRR
- 5.93
- 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)
- 192
- Number of eligible stays
- 292
- Observed discharge to community rate
- 65.75
- Risk-standardized discharge to community rate
- 68.35
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.88
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 73.02
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.14
- Number of eligible episodes
- 382
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 205
- Denominator
- 308
- Facility rate
- 66.6
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 5
- Denominator
- 307
- Facility observed rate
- 1.6
- Facility risk-adjusted rate
- 1.2
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 128
- Number of health care workers
- 131
- Rate of COVID-19 vaccination
- 97.7