JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Alhambra Hospital Medical Center

4 / 5

At a glance

Alhambra Hospital Medical Center carries a 4-star CMS overall rating — above 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 Limit—Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.706Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1531Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.107Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit—Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.315Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1845Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.294Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit—Same as national
SSI - Colon Surgery: Upper Confidence Limit2.410Same as national
SSI - Colon Surgery: Number of Procedures49Same as national
SSI - Colon Surgery: Predicted Cases1.243Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures6Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.050Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days19552Not available
MRSA Bacteremia: Predicted Cases0.709Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.006Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.569Better than national
Clostridium Difficile (C.Diff): Patient Days19552Better than national
Clostridium Difficile (C.Diff): Predicted Cases8.672Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.115Better 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national329
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients—Not available—
Death rate for heart failure patients11.1Same as national51
Death rate for pneumonia patients12.8Better than national214
Death rate for stroke patients14Same as national40
Pressure ulcer rate0.34Same as national1653
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.20Same as national1764
In-hospital fall-associated fracture rate0.25Same as national1866
Postoperative hemorrhage or hematoma rate2.26Same as national150
Postoperative acute kidney injury requiring dialysis rate1.67Same as national39
Postoperative respiratory failure rate11.52Same as national42
Perioperative pulmonary embolism or deep vein thrombosis rate3.24Same as national154
Postoperative sepsis rate5.08Same as national40
Postoperative wound dehiscence rate1.74Same as national68
Abdominopelvic accidental puncture or laceration rate1.28Same as national390
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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—Not available—
Hospital return days for heart failure patients-21.8Not available56
Hospital return days for pneumonia patients21.6Not available235
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national567
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)—Not available—
Rate of inpatient admissions for patients receiving outpatient chemotherapy—Not available—
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy—Not available—
Ratio of unplanned hospital visits after hospital outpatient surgery—Not available—
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate—Not available—
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients—Not available—
Heart failure (HF) 30-Day Readmission Rate20.1Same as national56
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national235

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 rating3429
Doctor communication - star rating3429
Communication about medicines - star rating2429
Discharge information - star rating3429
Cleanliness - star rating4429
Quietness - star rating2429
Overall hospital rating - star rating4429
Recommend hospital - star rating3429
Summary star rating3429

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 volumemedium—
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 Hyperglycemia——
Hospital Harm - Severe Hypoglycemia——
Hospital Harm - Opioid Related Adverse Events——
Healthcare workers given influenza vaccination65979
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 better143539
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 better142518
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25117
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 seen120389
Head CT results——
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10089
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing15614
Appropriate care for severe sepsis and septic shock62281
Septic Shock 3-Hour Bundle57114
Septic Shock 6-Hour Bundle8552
Severe Sepsis 3-Hour Bundle88281
Severe Sepsis 6-Hour Bundle95190
Discharged on Antithrombotic Therapy——
Anticoagulation Therapy for Atrial Fibrillation/Flutter——
Antithrombotic Therapy by End of Hospital Day 28956
Venous Thromboembolism Prophylaxis942799
Intensive Care Unit Venous Thromboembolism Prophylaxis98465

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)—

Frequently asked questions

How is Alhambra Hospital Medical Center rated?
Alhambra Hospital Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Alhambra Hospital Medical Center have emergency services?
According to CMS records, Alhambra Hospital Medical Center does not report a 24/7 emergency department.
Where is Alhambra Hospital Medical Center located?
Alhambra Hospital Medical Center is located at 100 S Raymond Ave, Alhambra, CA 91801.
What type of hospital is Alhambra Hospital Medical Center?
Alhambra Hospital Medical Center 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.

Report an issue with this page