Acute Care Hospitals · Voluntary non-profit - Private
Legacy Salmon Creek Medical Center
- 2211 Ne 139th Street, Vancouver, WA 98686
- (360) 487-1000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Legacy Salmon Creek Medical Center carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | — | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.527 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 7071 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 5.689 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 0 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.000 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.613 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 2.772 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 6336 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 4.996 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 7 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 1.401 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.010 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.033 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 173 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 4.775 | Same as national |
| SSI - Colon Surgery: Observed Cases | 1 | Same as national |
| SSI - Colon Surgery | 0.209 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 72 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.609 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 2 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.129 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 2.542 | Same as national |
| MRSA Bacteremia: Patient Days | 66763 | Same as national |
| MRSA Bacteremia: Predicted Cases | 2.599 | Same as national |
| MRSA Bacteremia: Observed Cases | 2 | Same as national |
| MRSA Bacteremia | 0.770 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.206 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.594 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 63211 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 38.621 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 14 | Better than national |
| Clostridium Difficile (C.Diff) | 0.362 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.6 | Same as national | 25 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.6 | Same as national | 908 |
| Death rate for heart attack patients | 12 | Same as national | 76 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 10.2 | Same as national | 96 |
| Death rate for heart failure patients | 12.5 | Same as national | 327 |
| Death rate for pneumonia patients | 14.1 | Same as national | 235 |
| Death rate for stroke patients | 12.1 | Same as national | 86 |
| Pressure ulcer rate | 1.14 | Same as national | 3201 |
| Death rate among surgical inpatients with serious treatable complications | 160.37 | Same as national | 38 |
| Iatrogenic pneumothorax rate | 0.28 | Same as national | 3925 |
| In-hospital fall-associated fracture rate | 0.27 | Same as national | 3911 |
| Postoperative hemorrhage or hematoma rate | 2.15 | Same as national | 843 |
| Postoperative acute kidney injury requiring dialysis rate | 1.39 | Same as national | 266 |
| Postoperative respiratory failure rate | 11.16 | Same as national | 277 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.42 | Same as national | 887 |
| Postoperative sepsis rate | 5.00 | Same as national | 257 |
| Postoperative wound dehiscence rate | 1.59 | Same as national | 257 |
| Abdominopelvic accidental puncture or laceration rate | 0.84 | Same as national | 756 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.17 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 23.3 | Not available | 73 |
| Hospital return days for heart failure patients | 32.5 | Not available | 350 |
| Hospital return days for pneumonia patients | -26.7 | Not available | 227 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.1 | Same as national | 1472 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.1 | Same as national | 129 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 9.8 | Same as national | 201 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.5 | Same as national | 201 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 526 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.1 | Same as national | 73 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.3 | Same as national | 100 |
| Heart failure (HF) 30-Day Readmission Rate | 20.6 | Same as national | 350 |
| Rate of readmission after hip/knee replacement | 5.5 | Same as national | 26 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.1 | Same as national | 227 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 4 | 1011 |
| Doctor communication - star rating | 4 | 1011 |
| Communication about medicines - star rating | 3 | 1011 |
| Discharge information - star rating | 3 | 1011 |
| Cleanliness - star rating | 4 | 1011 |
| Quietness - star rating | 4 | 1011 |
| Overall hospital rating - star rating | 4 | 1011 |
| Recommend hospital - star rating | 5 | 1011 |
| Summary star rating | 4 | 1011 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 | 1 | 3583 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 46 | 3192 |
| 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 | 275 | 371 |
| 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 | 272 | 339 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 302 | 23 |
| 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 | 1 | 73903 |
| Head CT results | 61 | 18 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 96 | 75 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 35 | 60 |
| Safe Use of Opioids - Concurrent Prescribing | 12 | 3620 |
| Appropriate care for severe sepsis and septic shock | 19 | 153 |
| Septic Shock 3-Hour Bundle | 36 | 33 |
| Septic Shock 6-Hour Bundle | — | — |
| Severe Sepsis 3-Hour Bundle | 41 | 153 |
| Severe Sepsis 6-Hour Bundle | 71 | 34 |
| Discharged on Antithrombotic Therapy | 100 | 150 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | 72 | 40 |
| Antithrombotic Therapy by End of Hospital Day 2 | 97 | 131 |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | — | — |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Legacy Salmon Creek Medical Center rated?
- Legacy Salmon Creek Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Legacy Salmon Creek Medical Center have emergency services?
- Yes. Legacy Salmon Creek Medical Center operates a 24/7 emergency department.
- Where is Legacy Salmon Creek Medical Center located?
- Legacy Salmon Creek Medical Center is located at 2211 Ne 139th Street, Vancouver, WA 98686.
- What type of hospital is Legacy Salmon Creek Medical Center?
- Legacy Salmon Creek Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.