JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Las Palmas Medical Center a Campus of Lpds Healthc

2 / 5

At a glance

Las Palmas Medical Center a Campus of Lpds Healthc carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 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 Limit0.107Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.813Better than national
Central Line Associated Bloodstream Infection: Number of Device Days10764Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases11.875Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.337Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.024Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.480Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9517Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases13.753Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.145Better than national
SSI - Colon Surgery: Lower Confidence Limit0.516Same as national
SSI - Colon Surgery: Upper Confidence Limit3.119Same as national
SSI - Colon Surgery: Number of Procedures132Same as national
SSI - Colon Surgery: Predicted Cases3.553Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery1.407Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.164Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.233Same as national
SSI - Abdominal Hysterectomy: Number of Procedures219Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.044Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy0.978Same as national
MRSA Bacteremia: Lower Confidence Limit0.006Better than national
MRSA Bacteremia: Upper Confidence Limit0.606Better than national
MRSA Bacteremia: Patient Days133234Better than national
MRSA Bacteremia: Predicted Cases8.144Better than national
MRSA Bacteremia: Observed Cases1Better than national
MRSA Bacteremia0.123Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.015Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.158Better than national
Clostridium Difficile (C.Diff): Patient Days113804Better than national
Clostridium Difficile (C.Diff): Predicted Cases51.515Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.058Better 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 patients3.2Same as national59
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national975
Death rate for heart attack patients11.5Same as national114
Death rate for CABG surgery patients2.2Same as national33
Death rate for COPD patients9.9Same as national57
Death rate for heart failure patients10.5Same as national208
Death rate for pneumonia patients15.2Same as national329
Death rate for stroke patients15.9Same as national158
Pressure ulcer rate0.14Same as national4471
Death rate among surgical inpatients with serious treatable complications208.91Same as national86
Iatrogenic pneumothorax rate0.21Same as national5347
In-hospital fall-associated fracture rate0.22Same as national5471
Postoperative hemorrhage or hematoma rate1.97Same as national1149
Postoperative acute kidney injury requiring dialysis rate1.96Same as national327
Postoperative respiratory failure rate8.45Same as national371
Perioperative pulmonary embolism or deep vein thrombosis rate2.56Same as national1148
Postoperative sepsis rate5.80Same as national335
Postoperative wound dehiscence rate1.93Same as national275
Abdominopelvic accidental puncture or laceration rate0.83Same as national1200
CMS Medicare PSI 90: Patient safety and adverse events composite0.80Same 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 patients14.8Not available111
Hospital return days for heart failure patients32.8Not available246
Hospital return days for pneumonia patients45.4Not available342
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national1844
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.4Same as national167
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.5Same as national33
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national33
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national222
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national111
Rate of readmission for CABG11.1Same as national32
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national56
Heart failure (HF) 30-Day Readmission Rate20.6Same as national246
Rate of readmission after hip/knee replacement4.5Same as national51
Pneumonia (PN) 30-Day Readmission Rate18.2Same as national342

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 rating21305
Doctor communication - star rating21305
Communication about medicines - star rating21305
Discharge information - star rating21305
Cleanliness - star rating31305
Quietness - star rating21305
Overall hospital rating - star rating21305
Recommend hospital - star rating21305
Summary star rating21305

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 vaccination504506
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 better127459
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 better124442
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better15213
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 seen1125160
Head CT results5812
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients93104
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)2128
Safe Use of Opioids - Concurrent Prescribing113659
Appropriate care for severe sepsis and septic shock80158
Septic Shock 3-Hour Bundle8746
Septic Shock 6-Hour Bundle9538
Severe Sepsis 3-Hour Bundle87158
Severe Sepsis 6-Hour Bundle96103
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 289219
Venous Thromboembolism Prophylaxis9313122
Intensive Care Unit Venous Thromboembolism Prophylaxis983666

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 Las Palmas Medical Center a Campus of Lpds Healthc rated?
Las Palmas Medical Center a Campus of Lpds Healthc has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Las Palmas Medical Center a Campus of Lpds Healthc have emergency services?
Yes. Las Palmas Medical Center a Campus of Lpds Healthc operates a 24/7 emergency department.
Where is Las Palmas Medical Center a Campus of Lpds Healthc located?
Las Palmas Medical Center a Campus of Lpds Healthc is located at 1801 North Oregon Street, El Paso, TX 79902.
What type of hospital is Las Palmas Medical Center a Campus of Lpds Healthc?
Las Palmas Medical Center a Campus of Lpds Healthc 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