JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Lds Hospital

5 / 5

At a glance

Lds Hospital carries a 5-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.

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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.899Better than national
Central Line Associated Bloodstream Infection: Number of Device Days3341Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.333Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.012Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.155Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3528Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.269Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.234Same as national
SSI - Colon Surgery: Lower Confidence Limit0.009Better than national
SSI - Colon Surgery: Upper Confidence Limit0.843Better than national
SSI - Colon Surgery: Number of Procedures218Better than national
SSI - Colon Surgery: Predicted Cases5.849Better than national
SSI - Colon Surgery: Observed Cases1Better than national
SSI - Colon Surgery0.171Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures104Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.843Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.023Same as national
MRSA Bacteremia: Upper Confidence Limit2.261Same as national
MRSA Bacteremia: Patient Days52146Same as national
MRSA Bacteremia: Predicted Cases2.181Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.459Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.088Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.451Better than national
Clostridium Difficile (C.Diff): Patient Days47089Better than national
Clostridium Difficile (C.Diff): Predicted Cases27.668Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.217Better 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 patients3.3Same as national50
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national412
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.7Same as national26
Death rate for heart failure patients9.7Same as national32
Death rate for pneumonia patients17.5Same as national107
Death rate for stroke patientsNot available
Pressure ulcer rate0.67Same as national1217
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1537
In-hospital fall-associated fracture rate0.29Same as national1634
Postoperative hemorrhage or hematoma rate2.39Same as national474
Postoperative acute kidney injury requiring dialysis rate1.55Same as national327
Postoperative respiratory failure rate7.85Same as national329
Perioperative pulmonary embolism or deep vein thrombosis rate3.08Same as national501
Postoperative sepsis rate3.85Same as national304
Postoperative wound dehiscence rate2.30Same as national151
Abdominopelvic accidental puncture or laceration rate1.11Same as national425
CMS Medicare PSI 90: Patient safety and adverse events composite0.91Same 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-40.6Not available36
Hospital return days for pneumonia patients-19.8Not available120
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.9Same as national573
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national1290
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.4Same as national92
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.6Same as national92
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national426
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national30
Heart failure (HF) 30-Day Readmission Rate19.7Same as national36
Rate of readmission after hip/knee replacement4.2Same as national61
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national120

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 rating41104
Doctor communication - star rating41104
Communication about medicines - star rating31104
Discharge information - star rating41104
Cleanliness - star rating41104
Quietness - star rating41104
Overall hospital rating - star rating41104
Recommend hospital - star rating41104
Summary star rating41104

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 Hyperglycemia66083
Hospital Harm - Severe Hypoglycemia11392
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination924734
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 better172485
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 better174400
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14979
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 seen120621
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97127
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing112496
Appropriate care for severe sepsis and septic shock6089
Septic Shock 3-Hour Bundle5221
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle8189
Severe Sepsis 6-Hour Bundle9260
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis91193

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 Lds Hospital rated?
Lds Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Lds Hospital have emergency services?
Yes. Lds Hospital operates a 24/7 emergency department.
Where is Lds Hospital located?
Lds Hospital is located at 8th Avenue and C Street, Salt Lake City, UT 84143.
What type of hospital is Lds Hospital?
Lds Hospital 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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