JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Hospital de la Concepcion

Not rated overall

CMS reports safety and quality measures for this hospital but does not assign an overall star rating. See scores below.

At a glance

On healthcare-associated infection measures, it performs better than the national average on 6 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 Limit0.095Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.014Same as national
Central Line Associated Bloodstream Infection: Number of Device Days10011Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.054Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.372Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.047Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.503Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days18372Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases16.219Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.185Better than national
SSI - Colon Surgery: Lower Confidence Limit—Not available
SSI - Colon Surgery: Upper Confidence Limit—Not available
SSI - Colon Surgery: Number of Procedures—Not available
SSI - Colon Surgery: Predicted Cases—Not available
SSI - Colon Surgery: Observed Cases—Not available
SSI - Colon Surgery—Not available
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures—Not available
SSI - Abdominal Hysterectomy: Predicted Cases—Not available
SSI - Abdominal Hysterectomy: Observed Cases—Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Same as national
MRSA Bacteremia: Upper Confidence Limit1.662Same as national
MRSA Bacteremia: Patient Days43221Same as national
MRSA Bacteremia: Predicted Cases1.802Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.771Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.696Same as national
Clostridium Difficile (C.Diff): Patient Days42331Same as national
Clostridium Difficile (C.Diff): Predicted Cases21.441Same as national
Clostridium Difficile (C.Diff): Observed Cases25Same as national
Clostridium Difficile (C.Diff)1.166Same 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 patients4Same as national31
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.3Worse than national212
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients—Not available—
Death rate for heart failure patients—Not available—
Death rate for pneumonia patients—Not available—
Death rate for stroke patients—Not available—
Pressure ulcer rate—Not available—
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate—Not available—
In-hospital fall-associated fracture rate—Not available—
Postoperative hemorrhage or hematoma rate—Not available—
Postoperative acute kidney injury requiring dialysis rate—Not available—
Postoperative respiratory failure rate—Not available—
Perioperative pulmonary embolism or deep vein thrombosis rate—Not available—
Postoperative sepsis rate—Not available—
Postoperative wound dehiscence rate—Not available—
Abdominopelvic accidental puncture or laceration rate—Not available—
CMS Medicare PSI 90: Patient safety and adverse events composite—Not available—

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—Not available—
Hospital return days for heart failure patients—Not available—
Hospital return days for pneumonia patients—Not available—
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.2Same as national279
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)—Not available—
Rate of inpatient admissions for patients receiving outpatient chemotherapy—Not available—
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy—Not available—
Ratio of unplanned hospital visits after hospital outpatient surgery—Not available—
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate—Not available—
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients—Not available—
Heart failure (HF) 30-Day Readmission Rate—Not available—
Rate of readmission after hip/knee replacement5.2Same as national28
Pneumonia (PN) 30-Day Readmission Rate—Not available—

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

Timely & Effective Care

higher is better (unless a wait time) · 29 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 volume——
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 Hypoglycemia42804
Hospital Harm - Opioid Related Adverse Events03566
Healthcare workers given influenza vaccination56652
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 better——
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 better——
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better——
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 seen——
Head CT results——
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients——
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
Safe Use of Opioids - Concurrent Prescribing2548
Appropriate care for severe sepsis and septic shock1286
Septic Shock 3-Hour Bundle——
Septic Shock 6-Hour Bundle——
Severe Sepsis 3-Hour Bundle2086
Severe Sepsis 6-Hour Bundle——
Discharged on Antithrombotic Therapy——
Anticoagulation Therapy for Atrial Fibrillation/Flutter——
Antithrombotic Therapy by End of Hospital Day 272123
Venous Thromboembolism Prophylaxis705264
Intensive Care Unit Venous Thromboembolism Prophylaxis69536

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 Measure——

Frequently asked questions

How is Hospital de la Concepcion rated?
CMS does not assign an overall star rating to Hospital de la Concepcion, but does publish underlying safety and quality measures shown on this page.
Does Hospital de la Concepcion have emergency services?
Yes. Hospital de la Concepcion operates a 24/7 emergency department.
Where is Hospital de la Concepcion located?
Hospital de la Concepcion is located at Road Number 2 Km 173.4 Cain Alto, San German, PR 00683.
What type of hospital is Hospital de la Concepcion?
Hospital de la Concepcion 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.

Report an issue with this page