JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Cascade Valley Hospital

4 / 5

At a glance

Cascade Valley Hospital carries a 4-star CMS overall rating — above the national norm.

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—Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit—Not available
Central Line Associated Bloodstream Infection: Number of Device Days666Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.405Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit—Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1141Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.584Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)—Not available
SSI - Colon Surgery: Lower Confidence Limit—Same as national
SSI - Colon Surgery: Upper Confidence Limit2.509Same as national
SSI - Colon Surgery: Number of Procedures47Same as national
SSI - Colon Surgery: Predicted Cases1.194Same 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 Procedures—Not available
SSI - Abdominal Hysterectomy: Predicted Cases—Not available
SSI - Abdominal Hysterectomy: Observed Cases—Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days9102Not available
MRSA Bacteremia: Predicted Cases0.246Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.017Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.643Same as national
Clostridium Difficile (C.Diff): Patient Days9102Same as national
Clostridium Difficile (C.Diff): Predicted Cases3.002Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.333Same as 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 Rate4.1Same as national193
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 patients12.4Same as national55
Death rate for pneumonia patients15.2Same as national77
Death rate for stroke patients—Not available—
Pressure ulcer rate0.49Same as national638
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.20Same as national719
In-hospital fall-associated fracture rate0.31Same as national713
Postoperative hemorrhage or hematoma rate2.27Same as national115
Postoperative acute kidney injury requiring dialysis rate—Not available—
Postoperative respiratory failure rate—Not available—
Perioperative pulmonary embolism or deep vein thrombosis rate3.34Same as national120
Postoperative sepsis rate—Not available—
Postoperative wound dehiscence rate1.75Same as national37
Abdominopelvic accidental puncture or laceration rate1.03Same as national105
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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 patients15.2Not available54
Hospital return days for pneumonia patients-16.8Not available75
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national252
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national77
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 surgery1Same as national121
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 Rate19.5Same as national54
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national75

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 rating3314
Doctor communication - star rating3314
Communication about medicines - star rating2314
Discharge information - star rating4314
Cleanliness - star rating3314
Quietness - star rating2314
Overall hospital rating - star rating3314
Recommend hospital - star rating3314
Summary star rating3314

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 Hyperglycemia102702
Hospital Harm - Severe Hypoglycemia0537
Hospital Harm - Opioid Related Adverse Events——
Healthcare workers given influenza vaccination55434
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 better176402
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 better166362
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26121
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better45919
Left before being seen324656
Head CT results6916
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10023
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing16617
Appropriate care for severe sepsis and septic shock4266
Septic Shock 3-Hour Bundle1513
Septic Shock 6-Hour Bundle——
Severe Sepsis 3-Hour Bundle7366
Severe Sepsis 6-Hour Bundle7528
Discharged on Antithrombotic Therapy9732
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 Cascade Valley Hospital rated?
Cascade Valley Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Cascade Valley Hospital have emergency services?
Yes. Cascade Valley Hospital operates a 24/7 emergency department.
Where is Cascade Valley Hospital located?
Cascade Valley Hospital is located at 330 S Stillaguamish Ave, Arlington, WA 98223.
What type of hospital is Cascade Valley Hospital?
Cascade 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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