JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Christus Southern New Mexico

3 / 5

At a glance

Christus Southern New Mexico carries a 3-star CMS overall rating — in line with 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days940Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.754Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.313Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1732Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.295Same 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 Limit2.649Same as national
SSI - Colon Surgery: Number of Procedures42Same as national
SSI - Colon Surgery: Predicted Cases1.131Same 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 Procedures15Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.116Not 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 Days17899Not available
MRSA Bacteremia: Predicted Cases0.877Not 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 Limit0.591Better than national
Clostridium Difficile (C.Diff): Patient Days17276Better than national
Clostridium Difficile (C.Diff): Predicted Cases8.344Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.120Better 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 patients4Same as national284
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national614
Death rate for heart attack patients12.8Same as national76
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.7Same as national66
Death rate for heart failure patients14.4Same as national79
Death rate for pneumonia patients18.3Same as national158
Death rate for stroke patients13.7Same as national58
Pressure ulcer rate0.39Same as national1178
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.25Same as national1955
In-hospital fall-associated fracture rate0.25Same as national1913
Postoperative hemorrhage or hematoma rate2.45Same as national654
Postoperative acute kidney injury requiring dialysis rate2.05Same as national422
Postoperative respiratory failure rate9.83Same as national446
Perioperative pulmonary embolism or deep vein thrombosis rate3.29Same as national666
Postoperative sepsis rate4.47Same as national411
Postoperative wound dehiscence rate2.05Same as national66
Abdominopelvic accidental puncture or laceration rate1.28Same as national192
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 patients3.5Not available95
Hospital return days for heart failure patients-8.5Not available95
Hospital return days for pneumonia patients-18.3Not available159
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national814
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.8Same as national878
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.8Same as national71
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national71
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national149
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national95
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national74
Heart failure (HF) 30-Day Readmission Rate19.6Same as national95
Rate of readmission after hip/knee replacement4.6Same as national311
Pneumonia (PN) 30-Day Readmission Rate15Same as national159

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 rating3395
Doctor communication - star rating3395
Communication about medicines - star rating2395
Discharge information - star rating3395
Cleanliness - star rating4395
Quietness - star rating3395
Overall hospital rating - star rating3395
Recommend hospital - star rating4395
Summary star rating3395

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 Hypoglycemia1733
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination891465
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 better206392
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 better201366
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 better41019
Left before being seen231393
Head CT results6020
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9694
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing10890
Appropriate care for severe sepsis and septic shock64146
Septic Shock 3-Hour Bundle7250
Septic Shock 6-Hour Bundle7827
Severe Sepsis 3-Hour Bundle81146
Severe Sepsis 6-Hour Bundle9578
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29628
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 Christus Southern New Mexico rated?
Christus Southern New Mexico has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Christus Southern New Mexico have emergency services?
Yes. Christus Southern New Mexico operates a 24/7 emergency department.
Where is Christus Southern New Mexico located?
Christus Southern New Mexico is located at 2669 Scenic Drive, Alamogordo, NM 88310.
What type of hospital is Christus Southern New Mexico?
Christus Southern New Mexico is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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