JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Abrazo West Campus

2 / 5

At a glance

Abrazo West Campus carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.227Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.431Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4776Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.359Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.893Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.531Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.865Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days11248Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases9.559Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases10Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.046Same as national
SSI - Colon Surgery: Lower Confidence Limit0.392Same as national
SSI - Colon Surgery: Upper Confidence Limit2.010Same as national
SSI - Colon Surgery: Number of Procedures228Same as national
SSI - Colon Surgery: Predicted Cases6.210Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery0.966Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures18Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.175Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.155Same as national
MRSA Bacteremia: Upper Confidence Limit3.059Same as national
MRSA Bacteremia: Patient Days61658Same as national
MRSA Bacteremia: Predicted Cases2.160Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.926Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.237Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.657Better than national
Clostridium Difficile (C.Diff): Patient Days59203Better than national
Clostridium Difficile (C.Diff): Predicted Cases36.791Better than national
Clostridium Difficile (C.Diff): Observed Cases15Better than national
Clostridium Difficile (C.Diff)0.408Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national1207
Death rate for heart attack patients13Same as national160
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9Same as national75
Death rate for heart failure patients11.2Same as national171
Death rate for pneumonia patients17.5Same as national312
Death rate for stroke patients17.3Worse than national217
Pressure ulcer rate0.19Same as national3557
Death rate among surgical inpatients with serious treatable complications199.73Same as national72
Iatrogenic pneumothorax rate0.17Same as national4270
In-hospital fall-associated fracture rate0.27Same as national4161
Postoperative hemorrhage or hematoma rate2.43Same as national984
Postoperative acute kidney injury requiring dialysis rate1.67Same as national35
Postoperative respiratory failure rate8.84Same as national37
Perioperative pulmonary embolism or deep vein thrombosis rate3.22Same as national1048
Postoperative sepsis rate5.16Same as national33
Postoperative wound dehiscence rate2.61Same as national252
Abdominopelvic accidental puncture or laceration rate1.57Same as national757
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-11.2Not available148
Hospital return days for heart failure patients-22Not available192
Hospital return days for pneumonia patients9.9Not available319
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1884
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national301
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national238
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national148
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national76
Heart failure (HF) 30-Day Readmission Rate18.8Same as national192
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national319

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating1956
Doctor communication - star rating2956
Communication about medicines - star rating1956
Discharge information - star rating1956
Cleanliness - star rating1956
Quietness - star rating1956
Overall hospital rating - star rating1956
Recommend hospital - star rating1956
Summary star rating1956

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumevery high
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia1118204
Hospital Harm - Severe Hypoglycemia31540
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination783114
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better180483
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better179471
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen277653
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9264
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)034
Safe Use of Opioids - Concurrent Prescribing93626
Appropriate care for severe sepsis and septic shock33166
Septic Shock 3-Hour Bundle3346
Septic Shock 6-Hour Bundle8312
Severe Sepsis 3-Hour Bundle60166
Severe Sepsis 6-Hour Bundle8865
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis897291
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Abrazo West Campus rated?
Abrazo West Campus has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Abrazo West Campus have emergency services?
Yes. Abrazo West Campus operates a 24/7 emergency department.
Where is Abrazo West Campus located?
Abrazo West Campus is located at Sallie, Goodyear, AZ 85395.
What type of hospital is Abrazo West Campus?
Abrazo West Campus is classified by CMS as a Acute Care Hospitals facility (Proprietary).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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