About the Facility
- CMS Certification Number (CCN)
- 46T004
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
4401 Harrison Blvd
- Phone Number
- (801) 387-2263
Facility Medical Condition Statistics
- All other conditions
- 17
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- 18
- Hip or femur fracture
- 16
- Hip or knee replacement, amputation or other bone or joint condition
- 27
- Nervous system disorder (excluding stroke)
- 19
- 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
- 69
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
- 78
- Predicted number of infections (B)
- 0.212
- Number of infections reported (A)
- 2
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 184
- Denominator
- 184
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.3
- Denominator
- 168
- Average observed change score
- 12.9
- Change in patients ability to move around
- Average risk-adjusted change score
- 34.1
- Denominator
- 168
- Average observed change score
- 32.7
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 112
- Denominator
- 168
- Facility rate
- 66.7
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 120
- Denominator
- 168
- Facility rate
- 71.4
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 184
- Facility rate
- 0.0
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.834
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,635
- Predicted number of infections (B)
- 1.633
- 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
- 77
- Number of health care workers
- 85
- Rate of flu vaccination
- 90.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 8
- Number of eligible stays
- 229
- Unadjusted potentially preventable readmission rate
- 3.49
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.84
- Lower limit of the 95% confidence interval on the RSRR
- 6.03
- Upper limit of the 95% confidence interval on the RSRR
- 10.16
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 15
- Number of eligible stays
- 248
- Unadjusted potentially preventable readmission rate
- 6.05
- Risk-standardized potentially preventable readmission rate (RSRR)
- 6.30
- Lower limit of the 95% confidence interval on the RSRR
- 4.61
- Upper limit of the 95% confidence interval on the RSRR
- 8.81
- 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)
- 141
- Number of eligible stays
- 186
- Observed discharge to community rate
- 75.81
- Risk-standardized discharge to community rate
- 68.50
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.68
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.63
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.89
- Number of eligible episodes
- 202
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 183
- Denominator
- 184
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 184
- Facility observed rate
- 0.5
- Facility risk-adjusted rate
- 0.6
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 73
- Number of health care workers
- 76
- Rate of COVID-19 vaccination
- 96.1