JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Delta County Memorial Hospital

3 / 5

At a glance

Delta County Memorial Hospital carries a 3-star CMS overall rating — in line with 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days439Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.269Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days792Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.405Not 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 LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures20Not available
SSI - Colon Surgery: Predicted Cases0.444Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures1Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.009Not 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 Days4742Not available
MRSA Bacteremia: Predicted Cases0.127Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.150Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.955Same as national
Clostridium Difficile (C.Diff): Patient Days4742Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.236Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.894Same 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national248
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 patients14.1Same as national57
Death rate for pneumonia patients18Same as national78
Death rate for stroke patientsNot available
Pressure ulcer rate0.52Same as national544
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.21Same as national780
In-hospital fall-associated fracture rate0.27Same as national735
Postoperative hemorrhage or hematoma rate2.29Same as national131
Postoperative acute kidney injury requiring dialysis rate1.64Same as national38
Postoperative respiratory failure rate8.42Same as national34
Perioperative pulmonary embolism or deep vein thrombosis rate3.28Same as national142
Postoperative sepsis rate5.91Same as national36
Postoperative wound dehiscence rate2.07Same as national35
Abdominopelvic accidental puncture or laceration rate1.30Same as national116
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same 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 patients29.3Not available63
Hospital return days for pneumonia patients28Not available77
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national310
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national550
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.2Same as national94
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6Same as national94
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national178
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 Rate19.8Same as national63
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national77

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 rating4222
Doctor communication - star rating3222
Communication about medicines - star rating3222
Discharge information - star rating3222
Cleanliness - star rating4222
Quietness - star rating3222
Overall hospital rating - star rating4222
Recommend hospital - star rating4222
Summary star rating3222

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 volumelow
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 Hypoglycemia2250
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination70882
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 better151476
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 better152462
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14514
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 seen314129
Head CT results3113
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10070
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing16288
Appropriate care for severe sepsis and septic shock7096
Septic Shock 3-Hour Bundle8136
Septic Shock 6-Hour Bundle8520
Severe Sepsis 3-Hour Bundle8296
Severe Sepsis 6-Hour Bundle9653
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 Delta County Memorial Hospital rated?
Delta County Memorial Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Delta County Memorial Hospital have emergency services?
Yes. Delta County Memorial Hospital operates a 24/7 emergency department.
Where is Delta County Memorial Hospital located?
Delta County Memorial Hospital is located at 1501 E 3rd St, Delta, CO 81416.
What type of hospital is Delta County Memorial Hospital?
Delta County Memorial Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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