JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Dominican Hospital

4 / 5

At a glance

Dominican Hospital carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 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 Limit0.492Better than national
Central Line Associated Bloodstream Infection: Number of Device Days6750Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.086Better 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 Limit0.008Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.787Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5918Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.266Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.160Better than national
SSI - Colon Surgery: Lower Confidence Limit0.719Same as national
SSI - Colon Surgery: Upper Confidence Limit4.348Same as national
SSI - Colon Surgery: Number of Procedures110Same as national
SSI - Colon Surgery: Predicted Cases2.549Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery1.962Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures38Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.320Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.108Same as national
MRSA Bacteremia: Upper Confidence Limit2.124Same as national
MRSA Bacteremia: Patient Days53175Same as national
MRSA Bacteremia: Predicted Cases3.111Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.643Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.235Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.825Better than national
Clostridium Difficile (C.Diff): Patient Days49928Better than national
Clostridium Difficile (C.Diff): Predicted Cases21.607Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.463Better 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 patients3.4Same as national26
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national2047
Death rate for heart attack patients12.3Same as national237
Death rate for CABG surgery patients2.6Same as national65
Death rate for COPD patients8.4Same as national116
Death rate for heart failure patients10.6Same as national525
Death rate for pneumonia patients14.8Same as national404
Death rate for stroke patients10.4Better than national282
Pressure ulcer rate0.57Same as national6336
Death rate among surgical inpatients with serious treatable complications134.37Same as national132
Iatrogenic pneumothorax rate0.14Same as national7510
In-hospital fall-associated fracture rate0.21Same as national7695
Postoperative hemorrhage or hematoma rate1.85Same as national1474
Postoperative acute kidney injury requiring dialysis rate1.26Same as national436
Postoperative respiratory failure rate8.73Same as national437
Perioperative pulmonary embolism or deep vein thrombosis rate3.42Same as national1594
Postoperative sepsis rate11.66Worse than national412
Postoperative wound dehiscence rate1.58Same as national343
Abdominopelvic accidental puncture or laceration rate1.01Same as national1248
CMS Medicare PSI 90: Patient safety and adverse events composite1.14Same 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 patients32Not available246
Hospital return days for heart failure patients-12.1Not available588
Hospital return days for pneumonia patients17.8Not available408
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national3232
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national1585
Rate of inpatient admissions for patients receiving outpatient chemotherapy13Same as national126
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national126
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national390
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.9Same as national246
Rate of readmission for CABG11.4Same as national63
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national131
Heart failure (HF) 30-Day Readmission Rate18.9Same as national588
Rate of readmission after hip/knee replacement4.9Same as national25
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national408

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 rating3829
Doctor communication - star rating4829
Communication about medicines - star rating3829
Discharge information - star rating3829
Cleanliness - star rating4829
Quietness - star rating1829
Overall hospital rating - star rating3829
Recommend hospital - star rating3829
Summary star rating3829

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination872460
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 better198394
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 better194368
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23023
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 seen153032
Head CT results8816
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9067
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing152175
Appropriate care for severe sepsis and septic shock66205
Septic Shock 3-Hour Bundle7646
Septic Shock 6-Hour Bundle9029
Severe Sepsis 3-Hour Bundle75206
Severe Sepsis 6-Hour Bundle9896
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter6367
Antithrombotic Therapy by End of Hospital Day 292148
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis93946

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 Dominican Hospital rated?
Dominican Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Dominican Hospital have emergency services?
Yes. Dominican Hospital operates a 24/7 emergency department.
Where is Dominican Hospital located?
Dominican Hospital is located at 1555 Soquel Drive, Santa Cruz, CA 95065.
What type of hospital is Dominican Hospital?
Dominican Hospital 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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