JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Desert Valley Hospital

3 / 5

At a glance

Desert Valley Hospital 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 12 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.553Better than national
Central Line Associated Bloodstream Infection: Number of Device Days5528Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.417Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.054Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.069Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5815Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.183Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.323Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.914Same as national
SSI - Colon Surgery: Number of Procedures37Same as national
SSI - Colon Surgery: Predicted Cases1.028Same 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 Procedures14Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.137Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.157Same as national
MRSA Bacteremia: Patient Days53589Same as national
MRSA Bacteremia: Predicted Cases2.589Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.059Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.355Better than national
Clostridium Difficile (C.Diff): Patient Days53589Better than national
Clostridium Difficile (C.Diff): Predicted Cases31.225Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.160Better 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 patients4.1Same as national41
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national563
Death rate for heart attack patients10Same as national75
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11Same as national60
Death rate for heart failure patients7.8Better than national162
Death rate for pneumonia patients14.5Same as national251
Death rate for stroke patients12.2Same as national31
Pressure ulcer rate0.19Same as national2597
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.17Same as national3242
In-hospital fall-associated fracture rate0.29Same as national3261
Postoperative hemorrhage or hematoma rate2.12Same as national453
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate2.93Same as national450
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.73Same as national72
Abdominopelvic accidental puncture or laceration rate1.00Same as national332
CMS Medicare PSI 90: Patient safety and adverse events composite0.84Same 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-38.5Not available82
Hospital return days for heart failure patients21.2Not available209
Hospital return days for pneumonia patients7.7Not available274
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Same as national942
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national106
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 surgery0.9Same as national46
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national82
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national70
Heart failure (HF) 30-Day Readmission Rate21.4Same as national209
Rate of readmission after hip/knee replacement6.5Same as national43
Pneumonia (PN) 30-Day Readmission Rate18.6Same as national274

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 rating2417
Doctor communication - star rating2417
Communication about medicines - star rating1417
Discharge information - star rating2417
Cleanliness - star rating3417
Quietness - star rating2417
Overall hospital rating - star rating2417
Recommend hospital - star rating2417
Summary star rating2417

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 volumehigh
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 Hyperglycemia1216857
Hospital Harm - Severe Hypoglycemia13844
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination531400
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 better182388
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 better173358
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27414
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better41419
Left before being seen253880
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10032
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing132308
Appropriate care for severe sepsis and septic shock29100
Septic Shock 3-Hour Bundle5018
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle43100
Severe Sepsis 6-Hour Bundle9133
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 291102
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 Desert Valley Hospital rated?
Desert Valley Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Desert Valley Hospital have emergency services?
Yes. Desert Valley Hospital operates a 24/7 emergency department.
Where is Desert Valley Hospital located?
Desert Valley Hospital is located at 16850 Bear Valley Rd, Victorville, CA 92395.
What type of hospital is Desert Valley Hospital?
Desert Valley Hospital 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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