About the Facility
- CMS Certification Number (CCN)
- 46T010
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
5121 So. Cottonwood Street
- Phone Number
- (801) 507-1269
Facility Medical Condition Statistics
- All other conditions
- 55
- Brain disease or condition (non-traumatic)
- 36
- Brain injury (traumatic)
- 49
- Hip or femur fracture
- Data not available for this reporting period.
- Hip or knee replacement, amputation or other bone or joint condition
- 20
- Nervous system disorder (excluding stroke)
- 20
- Spinal cord disease or condition (non-traumatic)
- 14
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 127
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
- 218
- Predicted number of infections (B)
- 0.594
- Number of infections reported (A)
- 1
- SIR (A/B)
- Not Available
- Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
- Numerator
- 291
- Denominator
- 291
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 11.6
- Denominator
- 224
- Average observed change score
- 11.7
- Change in patients ability to move around
- Average risk-adjusted change score
- 28.8
- Denominator
- 224
- Average observed change score
- 28.0
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 115
- Denominator
- 224
- Facility rate
- 51.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 115
- Denominator
- 224
- Facility rate
- 51.3
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 291
- 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
- 0.822
- Comparative performance category
- Better than the National Benchmark
- Patient days
- 7,555
- Predicted number of infections (B)
- 3.646
- 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
- 154
- Number of health care workers
- 168
- Rate of flu vaccination
- 91.7
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 9
- Number of eligible stays
- 229
- Unadjusted potentially preventable readmission rate
- 3.93
- Risk-standardized potentially preventable readmission rate (RSRR)
- 7.67
- Lower limit of the 95% confidence interval on the RSRR
- 5.81
- Upper limit of the 95% confidence interval on the RSRR
- 10.03
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 10
- Number of eligible stays
- 248
- Unadjusted potentially preventable readmission rate
- 4.03
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.70
- Lower limit of the 95% confidence interval on the RSRR
- 3.41
- Upper limit of the 95% confidence interval on the RSRR
- 7.12
- 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)
- 120
- Number of eligible stays
- 194
- Observed discharge to community rate
- 61.86
- Risk-standardized discharge to community rate
- 62.98
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 57.68
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 69.02
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.93
- Number of eligible episodes
- 191
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 291
- Denominator
- 291
- Facility rate
- 100.0
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 291
- Facility observed rate
- 0.7
- Facility risk-adjusted rate
- 0.7
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 134
- Number of health care workers
- 139
- Rate of COVID-19 vaccination
- 96.4