JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Idaho Falls Community Hospital, Llc

4 / 5

At a glance

Idaho Falls Community Hospital, Llc carries a 4-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 Limit0.040Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.949Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1998Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.249Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.801Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.199Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.922Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3068Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.685Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.187Same as national
SSI - Colon Surgery: Lower Confidence Limit0.506Same as national
SSI - Colon Surgery: Upper Confidence Limit5.414Same as national
SSI - Colon Surgery: Number of Procedures60Same as national
SSI - Colon Surgery: Predicted Cases1.508Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.989Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures23Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.198Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days15291Not available
MRSA Bacteremia: Predicted Cases0.425Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.466Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.107Same as national
Clostridium Difficile (C.Diff): Patient Days15291Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.573Same as national
Clostridium Difficile (C.Diff): Observed Cases7Same as national
Clostridium Difficile (C.Diff)1.065Same 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.9Same as national603
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.1Same as national61
Death rate for heart failure patients12.9Same as national64
Death rate for pneumonia patients14.8Same as national119
Death rate for stroke patients13Same as national48
Pressure ulcer rate0.34Same as national1444
Death rate among surgical inpatients with serious treatable complications161.81Same as national27
Iatrogenic pneumothorax rate0.25Same as national2086
In-hospital fall-associated fracture rate0.25Same as national2043
Postoperative hemorrhage or hematoma rate3.53Same as national489
Postoperative acute kidney injury requiring dialysis rate1.60Same as national198
Postoperative respiratory failure rate7.06Same as national208
Perioperative pulmonary embolism or deep vein thrombosis rate3.60Same as national522
Postoperative sepsis rate4.75Same as national192
Postoperative wound dehiscence rate1.71Same as national148
Abdominopelvic accidental puncture or laceration rate0.94Same as national542
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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 patientsNot available
Hospital return days for heart failure patients-48.6Not available65
Hospital return days for pneumonia patients1.1Not available134
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national853
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national96
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 surgery1.2Same as national172
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national25
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national67
Heart failure (HF) 30-Day Readmission Rate18.7Same as national65
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national134

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 rating3369
Doctor communication - star rating4369
Communication about medicines - star rating3369
Discharge information - star rating4369
Cleanliness - star rating4369
Quietness - star rating4369
Overall hospital rating - star rating4369
Recommend hospital - star rating5369
Summary star rating4369

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia5791
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination701276
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 better138501
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 better137469
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better17622
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better16911
Left before being seen021891
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9625
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing17955
Appropriate care for severe sepsis and septic shock73169
Septic Shock 3-Hour Bundle9073
Septic Shock 6-Hour Bundle9649
Severe Sepsis 3-Hour Bundle86169
Severe Sepsis 6-Hour Bundle88104
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis981845
Intensive Care Unit Venous Thromboembolism Prophylaxis99376

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Idaho Falls Community Hospital, Llc rated?
Idaho Falls Community Hospital, Llc has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Idaho Falls Community Hospital, Llc have emergency services?
Yes. Idaho Falls Community Hospital, Llc operates a 24/7 emergency department.
Where is Idaho Falls Community Hospital, Llc located?
Idaho Falls Community Hospital, Llc is located at 2327 Coronado St, Idaho Falls, ID 83404.
What type of hospital is Idaho Falls Community Hospital, Llc?
Idaho Falls Community Hospital, Llc 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.

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