About the Facility
- CMS Certification Number (CCN)
- 53T014
- Ownership Type
- Non-profit
- CMS Region
- Denver
- Certification Date
- Address
2600 East 18th St.
- Phone Number
- (502) 596-6346
Facility Medical Condition Statistics
- All other conditions
- 27
- Brain disease or condition (non-traumatic)
- Data not available for this reporting period.
- Brain injury (traumatic)
- Data not available for this reporting period.
- Hip or femur fracture
- 45
- Hip or knee replacement, amputation or other bone or joint condition
- 43
- Nervous system disorder (excluding stroke)
- 16
- Spinal cord disease or condition (non-traumatic)
- 12
- Spinal cord injury (traumatic)
- Data not available for this reporting period.
- Stroke
- 27
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
- 205
- Predicted number of infections (B)
- 0.345
- 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
- 185
- Denominator
- 185
- Facility rate
- 100.0
- Change in patients ability to care for themselves
- Average risk-adjusted change score
- 13.4
- Denominator
- 175
- Average observed change score
- 15.0
- Change in patients ability to move around
- Average risk-adjusted change score
- 35.2
- Denominator
- 175
- Average observed change score
- 38.9
- Percentage of patients who are at or above an expected ability to care for themselves at discharge
- Numerator
- 125
- Denominator
- 175
- Facility rate
- 71.4
- Percentage of patients who are at or above an expected ability to move around at discharge
- Numerator
- 124
- Denominator
- 175
- Facility rate
- 70.9
- Percentage of IRF patients who experience one or more falls with major injury during their IRF stay
- Numerator
- 1
- Denominator
- 185
- Facility rate
- 0.5
- Clostridium difficile Infection (CDI)
- Standardized infection ratio (SIR) 95% confidence interval - lower limit
- Not Available
- SIR 95% confidence interval - upper limit
- 1.915
- Comparative performance category
- No Different than the National Benchmark
- Patient days
- 2,960
- Predicted number of infections (B)
- 1.564
- 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
- 2,516
- Number of health care workers
- 2,704
- Rate of flu vaccination
- 93.0
- Rate of potentially preventable hospital readmissions 30 days after discharge from an IRF
- Number of potentially preventable readmissions following discharge
- 19
- Number of eligible stays
- 356
- Unadjusted potentially preventable readmission rate
- 5.34
- Risk-standardized potentially preventable readmission rate (RSRR)
- 8.45
- Lower limit of the 95% confidence interval on the RSRR
- 6.63
- 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
- 7
- Number of eligible stays
- 366
- Unadjusted potentially preventable readmission rate
- 1.91
- Risk-standardized potentially preventable readmission rate (RSRR)
- 4.12
- Lower limit of the 95% confidence interval on the RSRR
- 2.75
- Upper limit of the 95% confidence interval on the RSRR
- 6.00
- 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)
- 222
- Number of eligible stays
- 297
- Observed discharge to community rate
- 74.75
- Risk-standardized discharge to community rate
- 67.11
- Lower limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 62.73
- Upper limit of the 95% confidence interval on the risk-standardized discharge to community rate
- 70.81
- Comparative performance category
- No Different than the National Rate
- Medicare Spending Per Beneficiary (MSPB) for patients in IRFs
- MSPB score
- 0.98
- Number of eligible episodes
- 370
- Percentage of patients whose medications were reviewed and who received follow-up care when medication issues were identified
- Numerator
- 184
- Denominator
- 185
- Facility rate
- 99.5
- Percentage of patients with pressure ulcers/pressure injuries that are new or worsened
- Numerator
- 2
- Denominator
- 185
- Facility observed rate
- 1.1
- Facility risk-adjusted rate
- 1.3
- Percentage of IRF healthcare personnel who completed COVID-19 primary vaccination series
- Number of health care workers vaccinated
- 2,476
- Number of health care workers
- 2,656
- Rate of COVID-19 vaccination
- 93.2