About the Facility
- CMS Certification Number (CCN)
- 46T005
- Ownership Type
- For Profit
- CMS Region
- Denver
- Certification Date
- Address
5475 S. 500 E.
- Phone Number
- (801) 479-2111
Facility Medical Condition Statistics
- All other conditions
- 60
- Brain disease or condition (non-traumatic)
- 17
- Brain injury (traumatic)
- 11
- Hip or femur fracture
- 19
- Hip or knee replacement, amputation or other bone or joint condition
- 33
- Nervous system disorder (excluding stroke)
- 11
- Spinal cord disease or condition (non-traumatic)
- Data not available for this reporting period.
- Spinal cord injury (traumatic)
- -
- Stroke
- 55
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
- 316
- Predicted number of infections (B)
- 0.530
- 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
- 182
- Denominator
- 182
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.8
- Denominator
- 173
- Average observed change score
- 14.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 38.1
- Denominator
- 173
- Average observed change score
- 36.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 135
- Denominator
- 173
- Facility rate
- 78.0
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 149
- Denominator
- 173
- Facility rate
- 86.1
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 182
- 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
- 2.719
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 3,383
- Predicted number of infections (B)
- 1.102
- 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
- 17
- Number of health care workers
- 27
- Rate of flu vaccination
- 63.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 6
- Number of eligible stays
- 104
- Unadjusted potentially preventable readmission rate
- 5.77
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.19
- Lower limit of the 95% confidence interval on the RSRR
- 6.32
- Upper limit of the 95% confidence interval on the RSRR
- 10.61
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 3
- Number of eligible stays
- 105
- Unadjusted potentially preventable readmission rate
- 2.86
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.52
- Lower limit of the 95% confidence interval on the RSRR
- 3.17
- Upper limit of the 95% confidence interval on the RSRR
- 6.48
- 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)
- 75
- Number of eligible stays
- 95
- Observed discharge to community rate
- 78.95
- Risk-standardized discharge to community rate
- 71.34
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 64.74
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 76.64
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.10
- Number of eligible episodes
- 96
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 182
- Denominator
- 182
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 181
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.4
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 19
- Number of health care workers
- 25
- Rate of COVID-19 vaccination
- 76.0