About the Facility
- CMS Certification Number (CCN)
- 46T009
- Ownership Type
- Government
- CMS Region
- Denver
- Certification Date
- Address
50 North Medical Drive
- Phone Number
- (801) 581-2337
Facility Medical Condition Statistics
- All other conditions
- 24
- Brain disease or condition (non-traumatic)
- 64
- Brain injury (traumatic)
- 44
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 24
- Nervous system disorder (excluding stroke)
- 49
- Spinal cord disease or condition (non-traumatic)
- 58
- Spinal cord injury (traumatic)
- 24
- Stroke
- 126
Facility Quality of Patient Care Measures
- Catheter-associated urinary tract infections (CAUTI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.258
- SIR 95% confidence interval - upper limit
- 2.763
- Comparative performance category
- No Different than the National Benchmark
- Catheter days
- 1,085
- Predicted number of infections (B)
- 2.955
- Number of infections reported (A)
- 3
- SIR (A/B)
- 1.015
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 414
- Denominator
- 414
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 9.6
- Denominator
- 335
- Average observed change score
- 10.2
- Change in patients ability to move around
- Average risk-adjusted change score
- 26.1
- Denominator
- 334
- Average observed change score
- 25.8
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 131
- Denominator
- 335
- Facility rate
- 39.1
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 156
- Denominator
- 335
- Facility rate
- 46.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 2
- Denominator
- 414
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- 0.099
- SIR 95% confidence interval - upper limit
- 1.059
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 14,940
- Predicted number of infections (B)
- 7.709
- Number of infections reported (A)
- 3
- SIR (A/B)
- 0.389
- Percentage of healthcare personnel who got a flu shot for the current season
- Number of health care workers vaccinated
- 281
- Number of health care workers
- 283
- Rate of flu vaccination
- 99.3
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 18
- Number of eligible stays
- 380
- Unadjusted potentially preventable readmission rate
- 4.74
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.86
- Lower limit of the 95% confidence interval on the RSRR
- 6.25
- Upper limit of the 95% confidence interval on the RSRR
- 9.69
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 22
- Number of eligible stays
- 429
- Unadjusted potentially preventable readmission rate
- 5.13
- Risk-standardized potentially preventable readmission rate (RSRR)
- 5.09
- Lower limit of the 95% confidence interval on the RSRR
- 3.62
- Upper limit of the 95% confidence interval on the RSRR
- 6.88
- 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)
- 221
- Number of eligible stays
- 323
- Observed discharge to community rate
- 68.42
- Risk-standardized discharge to community rate
- 68.31
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 63.87
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 72.74
- 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
- 333
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 411
- Denominator
- 414
- Facility rate
- 99.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 4
- Denominator
- 414
- Facility observed rate
- 1.0
- Facility risk-adjusted rate
- 1.0
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 281
- Number of health care workers
- 286
- Rate of COVID-19 vaccination
- 98.3