About the Facility
- CMS Certification Number (CCN)
- 46T001
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
1034 North 500 West
- Phone Number
- (801) 357-7765
Facility Medical Condition Statistics
- All other conditions
- Data not available for this reporting period.
- Brain disease or condition (non-traumatic)
- 18
- Brain injury (traumatic)
- 29
- Hip or femur fracture
- 11
- Hip or knee replacement, amputation or other bone or joint condition
- 35
- Nervous system disorder (excluding stroke)
- 19
- Spinal cord disease or condition (non-traumatic)
- 33
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 108
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
- 43
- Predicted number of infections (B)
- 0.118
- 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
- 252
- Denominator
- 253
- Facility rate
- 99.6
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.0
- Denominator
- 238
- Average observed change score
- 12.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.8
- Denominator
- 238
- Average observed change score
- 36.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 155
- Denominator
- 238
- Facility rate
- 65.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 183
- Denominator
- 238
- Facility rate
- 76.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 252
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.295
- SIR 95% confidence interval - upper limit
- 3.153
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 5,018
- Predicted number of infections (B)
- 2.589
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.159
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 105
- Number of health care workers
- 111
- Rate of flu vaccination
- 94.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 7
- Number of eligible stays
- 221
- Unadjusted potentially preventable readmission rate
- 3.17
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.70
- Lower limit of the 95% confidence interval on the RSRR
- 6.00
- Upper limit of the 95% confidence interval on the RSRR
- 10.06
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 11
- Number of eligible stays
- 238
- Unadjusted potentially preventable readmission rate
- 4.62
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.19
- Lower limit of the 95% confidence interval on the RSRR
- 3.82
- Upper limit of the 95% confidence interval on the RSRR
- 7.07
- 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)
- 134
- Number of eligible stays
- 183
- Observed discharge to community rate
- 73.22
- Risk-standardized discharge to community rate
- 69.47
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.05
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 74.40
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.95
- Number of eligible episodes
- 184
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 250
- Denominator
- 253
- Facility rate
- 98.8
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 253
- Facility observed rate
- 0.8
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 95
- Number of health care workers
- 99
- Rate of COVID-19 vaccination
- 96.0