JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

John Muir Medical Center - Concord Campus

4 / 5

At a glance

John Muir Medical Center - Concord Campus carries a 4-star CMS overall rating — above 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 1 measure and trails 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 Limit0.085Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.912Better than national
Central Line Associated Bloodstream Infection: Number of Device Days8734Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.956Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.335Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.163Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.983Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8832Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.269Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.444Better than national
SSI - Colon Surgery: Lower Confidence Limit0.493Same as national
SSI - Colon Surgery: Upper Confidence Limit2.228Same as national
SSI - Colon Surgery: Number of Procedures247Same as national
SSI - Colon Surgery: Predicted Cases6.216Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery1.126Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures74Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.507Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitBetter than national
MRSA Bacteremia: Upper Confidence Limit0.746Better than national
MRSA Bacteremia: Patient Days64044Better than national
MRSA Bacteremia: Predicted Cases4.014Better than national
MRSA Bacteremia: Observed Cases0Better than national
MRSA Bacteremia0.000Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.690Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.232Same as national
Clostridium Difficile (C.Diff): Patient Days64044Same as national
Clostridium Difficile (C.Diff): Predicted Cases49.379Same as national
Clostridium Difficile (C.Diff): Observed Cases46Same as national
Clostridium Difficile (C.Diff)0.932Same 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 patients2.5Same as national491
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national2106
Death rate for heart attack patients11.2Same as national172
Death rate for CABG surgery patients1.4Same as national174
Death rate for COPD patients7.1Same as national115
Death rate for heart failure patients8.9Better than national501
Death rate for pneumonia patients12.7Better than national350
Death rate for stroke patients13.8Same as national165
Pressure ulcer rate1.14Same as national6288
Death rate among surgical inpatients with serious treatable complications184.13Same as national86
Iatrogenic pneumothorax rate0.32Same as national7626
In-hospital fall-associated fracture rate0.23Same as national8660
Postoperative hemorrhage or hematoma rate3.00Same as national2355
Postoperative acute kidney injury requiring dialysis rate1.21Same as national1208
Postoperative respiratory failure rate7.77Same as national1216
Perioperative pulmonary embolism or deep vein thrombosis rate3.10Same as national2723
Postoperative sepsis rate3.43Same as national1253
Postoperative wound dehiscence rate1.93Same as national388
Abdominopelvic accidental puncture or laceration rate1.11Same as national1612
CMS Medicare PSI 90: Patient safety and adverse events composite1.02Same 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-2.1Not available283
Hospital return days for heart failure patients-7.6Not available591
Hospital return days for pneumonia patients40Not available366
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14Better than national3368
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national192
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.9Same as national476
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.7Same as national476
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national546
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national283
Rate of readmission for CABG9.8Same as national174
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients21.1Same as national124
Heart failure (HF) 30-Day Readmission Rate17.3Same as national591
Rate of readmission after hip/knee replacement5.1Same as national480
Pneumonia (PN) 30-Day Readmission Rate17.3Same as national366

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 rating3504
Doctor communication - star rating3504
Communication about medicines - star rating2504
Discharge information - star rating3504
Cleanliness - star rating3504
Quietness - star rating2504
Overall hospital rating - star rating4504
Recommend hospital - star rating4504
Summary star rating3504

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 vaccination612765
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 better149382
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 better148356
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32018
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 seen168357
Head CT results9042
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9212
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing143410
Appropriate care for severe sepsis and septic shock70121
Septic Shock 3-Hour Bundle6641
Septic Shock 6-Hour Bundle9521
Severe Sepsis 3-Hour Bundle85122
Severe Sepsis 6-Hour Bundle9880
Discharged on Antithrombotic Therapy99174
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295152
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis932254

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 John Muir Medical Center - Concord Campus rated?
John Muir Medical Center - Concord Campus has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does John Muir Medical Center - Concord Campus have emergency services?
Yes. John Muir Medical Center - Concord Campus operates a 24/7 emergency department.
Where is John Muir Medical Center - Concord Campus located?
John Muir Medical Center - Concord Campus is located at 2540 East St, Concord, CA 94520.
What type of hospital is John Muir Medical Center - Concord Campus?
John Muir Medical Center - Concord Campus 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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