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 LimitSame 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 LimitSame 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 LimitSame 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 LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures6Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.050Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days19552Not available
MRSA Bacteremia: Predicted Cases0.709Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national329
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot 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 complicationsNot 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 patientsNot 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 chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate20.1Same as national56
Rate of readmission after hip/knee replacementNot 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.

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