JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Flagstaff Medical Center

4 / 5

At a glance

Flagstaff Medical Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 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 Limit0.575Better than national
Central Line Associated Bloodstream Infection: Number of Device Days5851Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.207Better 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 Limit0.006Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.605Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7645Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.155Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.123Better than national
SSI - Colon Surgery: Lower Confidence LimitBetter than national
SSI - Colon Surgery: Upper Confidence Limit0.777Better than national
SSI - Colon Surgery: Number of Procedures142Better than national
SSI - Colon Surgery: Predicted Cases3.855Better than national
SSI - Colon Surgery: Observed Cases0Better than national
SSI - Colon Surgery0.000Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures48Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.411Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.012Same as national
MRSA Bacteremia: Upper Confidence Limit1.169Same as national
MRSA Bacteremia: Patient Days65925Same as national
MRSA Bacteremia: Predicted Cases4.220Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.237Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.104Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.470Better than national
Clostridium Difficile (C.Diff): Patient Days61893Better than national
Clostridium Difficile (C.Diff): Predicted Cases29.469Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.238Better 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 patients3.3Same as national105
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national1567
Death rate for heart attack patients13.6Same as national176
Death rate for CABG surgery patients3.1Same as national72
Death rate for COPD patients8.5Same as national51
Death rate for heart failure patients10Same as national255
Death rate for pneumonia patients16.5Same as national267
Death rate for stroke patients13.1Same as national138
Pressure ulcer rate0.30Same as national4734
Death rate among surgical inpatients with serious treatable complications190.73Same as national95
Iatrogenic pneumothorax rate0.14Same as national5511
In-hospital fall-associated fracture rate0.29Same as national5714
Postoperative hemorrhage or hematoma rate2.22Same as national1911
Postoperative acute kidney injury requiring dialysis rate1.43Same as national913
Postoperative respiratory failure rate14.52Same as national911
Perioperative pulmonary embolism or deep vein thrombosis rate3.28Same as national2028
Postoperative sepsis rate5.11Same as national872
Postoperative wound dehiscence rate1.61Same as national527
Abdominopelvic accidental puncture or laceration rate1.05Same as national1298
CMS Medicare PSI 90: Patient safety and adverse events composite1.00Same 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-20.9Not available169
Hospital return days for heart failure patients1.7Not available295
Hospital return days for pneumonia patients20.1Not available259
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national2441
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national189
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.9Same as national47
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national47
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national376
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national169
Rate of readmission for CABG11.1Same as national67
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national50
Heart failure (HF) 30-Day Readmission Rate19.9Same as national295
Rate of readmission after hip/knee replacement4.4Same as national113
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national259

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 rating3783
Doctor communication - star rating3783
Communication about medicines - star rating3783
Discharge information - star rating3783
Cleanliness - star rating2783
Quietness - star rating3783
Overall hospital rating - star rating3783
Recommend hospital - star rating4783
Summary star rating3783

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 Hyperglycemia719175
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination913776
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 better224431
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 better221405
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28224
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 seen348650
Head CT results7713
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9467
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing93408
Appropriate care for severe sepsis and septic shock79116
Septic Shock 3-Hour Bundle8147
Septic Shock 6-Hour Bundle9432
Severe Sepsis 3-Hour Bundle93116
Severe Sepsis 6-Hour Bundle9595
Discharged on Antithrombotic Therapy98121
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis991297

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 Flagstaff Medical Center rated?
Flagstaff Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Flagstaff Medical Center have emergency services?
Yes. Flagstaff Medical Center operates a 24/7 emergency department.
Where is Flagstaff Medical Center located?
Flagstaff Medical Center is located at 1200 North Beaver Street, Flagstaff, AZ 86001.
What type of hospital is Flagstaff Medical Center?
Flagstaff Medical Center 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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