JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Henderson Hospital

2 / 5

At a glance

Henderson Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.033Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.654Better than national
Central Line Associated Bloodstream Infection: Number of Device Days9638Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.111Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.198Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.247Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9773Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases12.146Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence Limit0.225Same as national
SSI - Colon Surgery: Upper Confidence Limit2.406Same as national
SSI - Colon Surgery: Number of Procedures129Same as national
SSI - Colon Surgery: Predicted Cases3.394Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.884Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures73Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.604Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.135Same as national
MRSA Bacteremia: Upper Confidence Limit1.441Same as national
MRSA Bacteremia: Patient Days104726Same as national
MRSA Bacteremia: Predicted Cases5.665Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.530Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.052Better than national
Clostridium Difficile (C.Diff): Patient Days96214Better than national
Clostridium Difficile (C.Diff): Predicted Cases57.751Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 national92
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national1549
Death rate for heart attack patients12.6Same as national91
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.5Same as national126
Death rate for heart failure patients10.6Same as national257
Death rate for pneumonia patients14.3Same as national412
Death rate for stroke patients14.1Same as national115
Pressure ulcer rate0.43Same as national4461
Death rate among surgical inpatients with serious treatable complications168.84Same as national45
Iatrogenic pneumothorax rate0.16Same as national6360
In-hospital fall-associated fracture rate0.27Same as national6463
Postoperative hemorrhage or hematoma rate2.31Same as national744
Postoperative acute kidney injury requiring dialysis rate1.66Same as national129
Postoperative respiratory failure rate8.39Same as national141
Perioperative pulmonary embolism or deep vein thrombosis rate3.08Same as national739
Postoperative sepsis rate5.03Same as national130
Postoperative wound dehiscence rate1.99Same as national226
Abdominopelvic accidental puncture or laceration rate0.93Same as national765
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patients81Not available74
Hospital return days for heart failure patients30Not available339
Hospital return days for pneumonia patients18.5Not available487
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.4Worse than national2306
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)15.4Same as national692
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 surgery1.1Same as national312
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.7Same as national74
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.4Same as national139
Heart failure (HF) 30-Day Readmission Rate22.4Same as national339
Rate of readmission after hip/knee replacement4.6Same as national86
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national487

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 rating2584
Doctor communication - star rating1584
Communication about medicines - star rating1584
Discharge information - star rating2584
Cleanliness - star rating3584
Quietness - star rating2584
Overall hospital rating - star rating2584
Recommend hospital - star rating2584
Summary star rating2584

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 Events012905
Healthcare workers given influenza vaccination513263
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 better166400
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 better163377
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34919
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 seen070441
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100173
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4628
Safe Use of Opioids - Concurrent Prescribing145767
Appropriate care for severe sepsis and septic shock54130
Septic Shock 3-Hour Bundle6232
Septic Shock 6-Hour Bundle9417
Severe Sepsis 3-Hour Bundle70130
Severe Sepsis 6-Hour Bundle8971
Discharged on Antithrombotic Therapy97255
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis961809

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 Henderson Hospital rated?
Henderson Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Henderson Hospital have emergency services?
Yes. Henderson Hospital operates a 24/7 emergency department.
Where is Henderson Hospital located?
Henderson Hospital is located at 1050 West Galleria Drive, Henderson, NV 89011.
What type of hospital is Henderson Hospital?
Henderson 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.

Report an issue with this page