JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Antelope Valley Hospital

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At a glance

Antelope Valley Hospital carries a 1-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 Limit0.415Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.876Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8359Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases7.380Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.949Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.544Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.708Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days14207Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.945Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases12Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.005Same as national
SSI - Colon Surgery: Lower Confidence Limit0.622Same as national
SSI - Colon Surgery: Upper Confidence Limit3.191Same as national
SSI - Colon Surgery: Number of Procedures132Same as national
SSI - Colon Surgery: Predicted Cases3.911Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.534Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures86Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.766Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.175Same as national
MRSA Bacteremia: Upper Confidence Limit1.874Same as national
MRSA Bacteremia: Patient Days86081Same as national
MRSA Bacteremia: Predicted Cases4.357Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.689Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.253Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.680Better than national
Clostridium Difficile (C.Diff): Patient Days79907Better than national
Clostridium Difficile (C.Diff): Predicted Cases37.389Better than national
Clostridium Difficile (C.Diff): Observed Cases16Better than national
Clostridium Difficile (C.Diff)0.428Better 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 national757
Death rate for heart attack patients11Same as national78
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.5Same as national38
Death rate for heart failure patients14.1Same as national122
Death rate for pneumonia patients24.5Worse than national301
Death rate for stroke patients11.7Same as national162
Pressure ulcer rate0.40Same as national3568
Death rate among surgical inpatients with serious treatable complications192.32Same as national74
Iatrogenic pneumothorax rate0.17Same as national4216
In-hospital fall-associated fracture rate0.24Same as national4261
Postoperative hemorrhage or hematoma rate2.20Same as national833
Postoperative acute kidney injury requiring dialysis rate1.61Same as national216
Postoperative respiratory failure rate13.21Same as national224
Perioperative pulmonary embolism or deep vein thrombosis rate4.11Same as national822
Postoperative sepsis rate6.37Same as national209
Postoperative wound dehiscence rate1.67Same as national169
Abdominopelvic accidental puncture or laceration rate0.93Same as national893
CMS Medicare PSI 90: Patient safety and adverse events composite1.07Same 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 patients20.3Not available76
Hospital return days for heart failure patients7.5Not available139
Hospital return days for pneumonia patients29.6Not available283
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national1225
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national72
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 surgery1.1Same as national145
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national76
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national43
Heart failure (HF) 30-Day Readmission Rate19.9Same as national139
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national283

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 rating1341
Doctor communication - star rating2341
Communication about medicines - star rating1341
Discharge information - star rating1341
Cleanliness - star rating3341
Quietness - star rating1341
Overall hospital rating - star rating1341
Recommend hospital - star rating1341
Summary star rating1341

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 Hyperglycemia825973
Hospital Harm - Severe Hypoglycemia35001
Hospital Harm - Opioid Related Adverse Events011243
Healthcare workers given influenza vaccination374199
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 better269369
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 better266346
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30920
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 seen2122644
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98146
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6638
Safe Use of Opioids - Concurrent Prescribing114881
Appropriate care for severe sepsis and septic shock64561
Septic Shock 3-Hour Bundle76238
Septic Shock 6-Hour Bundle81136
Severe Sepsis 3-Hour Bundle81562
Severe Sepsis 6-Hour Bundle96337
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
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 Antelope Valley Hospital rated?
Antelope Valley Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Antelope Valley Hospital have emergency services?
Yes. Antelope Valley Hospital operates a 24/7 emergency department.
Where is Antelope Valley Hospital located?
Antelope Valley Hospital is located at 1600 W Ave J, Lancaster, CA 93534.
What type of hospital is Antelope Valley Hospital?
Antelope Valley Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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