Elkhorn Valley Rehabilitation Hospital Llc


About the Facility

CMS Certification Number (CCN)
533027
Ownership Type
For Profit
CMS Region
Denver
Certification Date
Address
5715 East 2nd Street
Phone Number
(307) 265-0005

Facility Medical Condition Statistics

All other conditions
119
Brain disease or condition (non-traumatic)
22
Brain injury (traumatic)
15
Hip or femur fracture
87
Hip or knee replacement, amputation or other bone or joint condition
193
Nervous system disorder (excluding stroke)
48
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
106

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
2.911
Comparative performance category
No Different than the National Benchmark
Catheter days
952
Predicted number of infections (B)
1.029
Number of infections reported (A)
0
SIR (A/B)
0.000
Percentage of patients whose functional abilities were assessed and functional goals were included in their treatment plan
Numerator
549
Denominator
549
Facility rate
100.0
Change in patients ability to care for themselves
Average risk-adjusted change score
16.6
Denominator
492
Average observed change score
19.2
Change in patients ability to move around
Average risk-adjusted change score
42.2
Denominator
492
Average observed change score
45.1
Percentage of patients who are at or above an expected ability to care for themselves at discharge
Numerator
407
Denominator
492
Facility rate
82.7
Percentage of patients who are at or above an expected ability to move around at discharge
Numerator
397
Denominator
492
Facility rate
80.7
Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
Numerator
0
Denominator
549
Facility rate
0.0
Clostridium difficile Infection (CDI)
Standardized infection ratio (SIR) 95% confidence interval - lower limit
0.130
SIR 95% confidence interval - upper limit
2.560
Comparative performance category
No Different than the National Benchmark
Patient days
9,891
Predicted number of infections (B)
2.582
Number of infections reported (A)
2
SIR (A/B)
0.775
Percentage of healthcare personnel who got a flu shot for the current season
Number of health care workers vaccinated
140
Number of health care workers
175
Rate of flu vaccination
80.0
Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
Number of potentially preventable readmissions following discharge
37
Number of eligible stays
678
Unadjusted potentially preventable readmission rate
5.46
Risk-standardized potentially preventable readmission rate (RSRR)
7.38
Lower limit of the 95% confidence interval on the RSRR
5.86
Upper limit of the 95% confidence interval on the RSRR
8.91
Comparative performance category
No Different than the National Rate
Rate of potentially preventable hospital readmissions during the IRF stay
Number of potentially preventable readmissions
18
Number of eligible stays
729
Unadjusted potentially preventable readmission rate
2.47
Risk-standardized potentially preventable readmission rate (RSRR)
3.48
Lower limit of the 95% confidence interval on the RSRR
2.47
Upper limit of the 95% confidence interval on the RSRR
4.60
Comparative performance category
Better than the National Rate
Rate of successful return to home or community from an IRF
Observed number of discharges to community (DTC)
437
Number of eligible stays
598
Observed discharge to community rate
73.08
Risk-standardized discharge to community rate
73.27
Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
69.86
Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
76.59
Comparative performance category
Better than the National Rate
Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
MSPB score
1.06
Number of eligible episodes
803
Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
Numerator
545
Denominator
549
Facility rate
99.3
Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
Numerator
10
Denominator
549
Facility observed rate
1.8
Facility risk-adjusted rate
1.6
Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
Number of health care workers vaccinated
132
Number of health care workers
160
Rate of COVID-19 vaccination
82.5