JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Holy Cross Hospital-Davis

5 / 5

At a glance

Holy Cross Hospital-Davis carries a 5-star CMS overall rating — above the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1010Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.800Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.628Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1321Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.140Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit0.035Same as national
SSI - Colon Surgery: Upper Confidence Limit3.454Same as national
SSI - Colon Surgery: Number of Procedures55Same as national
SSI - Colon Surgery: Predicted Cases1.428Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.700Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.416Same as national
SSI - Abdominal Hysterectomy: Number of Procedures158Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.240Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days18080Not available
MRSA Bacteremia: Predicted Cases0.668Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.056Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.098Same as national
Clostridium Difficile (C.Diff): Patient Days14014Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.019Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.332Same as 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 patients3.5Same as national64
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national428
Death rate for heart attack patients12.5Same as national58
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients11.9Same as national116
Death rate for pneumonia patients11.9Same as national127
Death rate for stroke patients13.5Same as national57
Pressure ulcer rate0.38Same as national1010
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1430
In-hospital fall-associated fracture rate0.26Same as national1418
Postoperative hemorrhage or hematoma rate2.18Same as national359
Postoperative acute kidney injury requiring dialysis rate1.63Same as national135
Postoperative respiratory failure rate7.90Same as national141
Perioperative pulmonary embolism or deep vein thrombosis rate3.02Same as national353
Postoperative sepsis rate4.88Same as national132
Postoperative wound dehiscence rate1.71Same as national53
Abdominopelvic accidental puncture or laceration rate0.99Same as national265
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-21Not available55
Hospital return days for heart failure patients-45.2Not available128
Hospital return days for pneumonia patients-28.3Not available144
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national591
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.2Same as national923
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 national401
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national55
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate17.9Same as national128
Rate of readmission after hip/knee replacement4.2Same as national53
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national144

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 rating2281
Doctor communication - star rating4281
Communication about medicines - star rating2281
Discharge information - star rating4281
Cleanliness - star rating2281
Quietness - star rating2281
Overall hospital rating - star rating2281
Recommend hospital - star rating2281
Summary star rating3281

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 volumemedium
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 Hyperglycemia102974
Hospital Harm - Severe Hypoglycemia1726
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination921558
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 better104815
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 better102779
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better15822
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better17515
Left before being seen132674
Head CT results7919
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients95101
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141124
Appropriate care for severe sepsis and septic shock6983
Septic Shock 3-Hour Bundle9040
Septic Shock 6-Hour Bundle8824
Severe Sepsis 3-Hour Bundle8483
Severe Sepsis 6-Hour Bundle8643
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29436
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 Holy Cross Hospital-Davis rated?
Holy Cross Hospital-Davis has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Holy Cross Hospital-Davis have emergency services?
Yes. Holy Cross Hospital-Davis operates a 24/7 emergency department.
Where is Holy Cross Hospital-Davis located?
Holy Cross Hospital-Davis is located at 1600 West Antelope Drive, Layton, UT 84041.
What type of hospital is Holy Cross Hospital-Davis?
Holy Cross Hospital-Davis 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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