JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Grossmont Hospital

4 / 5

At a glance

Grossmont 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 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 Limit0.209Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.946Better than national
Central Line Associated Bloodstream Infection: Number of Device Days13809Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases14.634Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.478Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.282Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.846Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days15654Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases25.605Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases13Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.508Better than national
SSI - Colon Surgery: Lower Confidence Limit0.010Better than national
SSI - Colon Surgery: Upper Confidence Limit0.990Better than national
SSI - Colon Surgery: Number of Procedures178Better than national
SSI - Colon Surgery: Predicted Cases4.982Better than national
SSI - Colon Surgery: Observed Cases1Better than national
SSI - Colon Surgery0.201Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures46Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.407Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.261Same as national
MRSA Bacteremia: Upper Confidence Limit1.337Same as national
MRSA Bacteremia: Patient Days134082Same as national
MRSA Bacteremia: Predicted Cases9.334Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia0.643Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.325Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.638Better than national
Clostridium Difficile (C.Diff): Patient Days129002Better than national
Clostridium Difficile (C.Diff): Predicted Cases73.655Better than national
Clostridium Difficile (C.Diff): Observed Cases34Better than national
Clostridium Difficile (C.Diff)0.462Better 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 patients2.7Same as national70
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national2568
Death rate for heart attack patients12.8Same as national184
Death rate for CABG surgery patients2.5Same as national60
Death rate for COPD patients9.8Same as national230
Death rate for heart failure patients9.5Same as national504
Death rate for pneumonia patients15.7Same as national569
Death rate for stroke patients12.2Same as national361
Pressure ulcer rate1.11Same as national9450
Death rate among surgical inpatients with serious treatable complications178.41Same as national130
Iatrogenic pneumothorax rate0.22Same as national11498
In-hospital fall-associated fracture rate0.18Same as national11909
Postoperative hemorrhage or hematoma rate2.07Same as national1940
Postoperative acute kidney injury requiring dialysis rate1.70Same as national594
Postoperative respiratory failure rate14.67Same as national587
Perioperative pulmonary embolism or deep vein thrombosis rate2.90Same as national2033
Postoperative sepsis rate5.04Same as national568
Postoperative wound dehiscence rate1.55Same as national484
Abdominopelvic accidental puncture or laceration rate0.95Same as national1794
CMS Medicare PSI 90: Patient safety and adverse events composite1.22Same 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 patients30.5Not available183
Hospital return days for heart failure patients3.5Not available600
Hospital return days for pneumonia patients21Not available609
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national4205
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national981
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national99
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.6Same as national99
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national407
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national183
Rate of readmission for CABG11.7Same as national58
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national265
Heart failure (HF) 30-Day Readmission Rate20.2Same as national600
Rate of readmission after hip/knee replacement4.9Same as national74
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national609

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 rating33201
Doctor communication - star rating33201
Communication about medicines - star rating33201
Discharge information - star rating33201
Cleanliness - star rating43201
Quietness - star rating23201
Overall hospital rating - star rating33201
Recommend hospital - star rating43201
Summary star rating33201

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 volumevery high
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 vaccination725990
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 better189366
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 better188340
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24123
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 seen2117769
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9769
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)7731
Safe Use of Opioids - Concurrent Prescribing127208
Appropriate care for severe sepsis and septic shock79119
Septic Shock 3-Hour Bundle8148
Septic Shock 6-Hour Bundle10033
Severe Sepsis 3-Hour Bundle87120
Severe Sepsis 6-Hour Bundle10077
Discharged on Antithrombotic Therapy98469
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295387
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis992489

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 Grossmont Hospital rated?
Grossmont Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Grossmont Hospital have emergency services?
Yes. Grossmont Hospital operates a 24/7 emergency department.
Where is Grossmont Hospital located?
Grossmont Hospital is located at 5555 Grossmont Center Drive Box 58, la Mesa, CA 91942.
What type of hospital is Grossmont Hospital?
Grossmont Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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.

Report an issue with this page