About the Facility
- CMS Certification Number (CCN)
- 46T047
- Ownership Type
- For Profit
- CMS Region
- Denver
- Certification Date
- Address
1200 E 3900 South
- Phone Number
- (801) 268-7745
Facility Medical Condition Statistics
- All other conditions
- 80
- Brain disease or condition (non-traumatic)
- 12
- Brain injury (traumatic)
- 22
- Hip or femur fracture
- 27
- Hip or knee replacement, amputation or other bone or joint condition
- 30
- Nervous system disorder (excluding stroke)
- 36
- 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
- 61
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
- 87
- Predicted number of infections (B)
- 0.125
- 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
- 256
- Denominator
- 256
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 14.3
- Denominator
- 229
- Average observed change score
- 15.3
- Change in patients ability to move around
- Average risk-adjusted change score
- 37.9
- Denominator
- 229
- Average observed change score
- 38.4
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 177
- Denominator
- 229
- Facility rate
- 77.3
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 196
- Denominator
- 229
- Facility rate
- 85.6
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 0
- Denominator
- 256
- 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
- 1.866
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 4,214
- Predicted number of infections (B)
- 1.605
- 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
- 23
- Number of health care workers
- 34
- Rate of flu vaccination
- 67.6
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 25
- Number of eligible stays
- 315
- Unadjusted potentially preventable readmission rate
- 7.94
- Risk-standardized potentially preventable readmission rate (RSRR)
- 9.15
- Lower limit of the 95% confidence interval on the RSRR
- 7.35
- Upper limit of the 95% confidence interval on the RSRR
- 11.56
- Comparative performance category
- No Different than the National Rate
- Rate of potentially preventable hospital readmissions during the IRF stay
- Number of potentially preventable readmissions
- 13
- Number of eligible stays
- 335
- Unadjusted potentially preventable readmission rate
- 3.88
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.83
- Lower limit of the 95% confidence interval on the RSRR
- 3.54
- Upper limit of the 95% confidence interval on the RSRR
- 6.78
- 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)
- 184
- Number of eligible stays
- 259
- Observed discharge to community rate
- 71.04
- Risk-standardized discharge to community rate
- 65.82
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 61.21
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.08
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 1.00
- Number of eligible episodes
- 291
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 249
- Denominator
- 256
- Facility rate
- 97.3
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 1
- Denominator
- 255
- Facility observed rate
- 0.4
- Facility risk-adjusted rate
- 0.5
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 26
- Number of health care workers
- 36
- Rate of COVID-19 vaccination
- 72.2