JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Loma Linda University Medical Center

4 / 5

At a glance

Loma Linda University 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 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 Limit0.240Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.754Better than national
Central Line Associated Bloodstream Infection: Number of Device Days26372Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases27.068Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases12Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.443Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.114Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.465Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days24521Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases32.643Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.245Better than national
SSI - Colon Surgery: Lower Confidence Limit0.220Same as national
SSI - Colon Surgery: Upper Confidence Limit1.129Same as national
SSI - Colon Surgery: Number of Procedures380Same as national
SSI - Colon Surgery: Predicted Cases11.055Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery0.543Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.085Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.682Same as national
SSI - Abdominal Hysterectomy: Number of Procedures428Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.929Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy0.509Same as national
MRSA Bacteremia: Lower Confidence Limit0.232Same as national
MRSA Bacteremia: Upper Confidence Limit1.191Same as national
MRSA Bacteremia: Patient Days135551Same as national
MRSA Bacteremia: Predicted Cases10.474Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia0.573Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.219Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.528Better than national
Clostridium Difficile (C.Diff): Patient Days135551Better than national
Clostridium Difficile (C.Diff): Predicted Cases57.476Better than national
Clostridium Difficile (C.Diff): Observed Cases20Better than national
Clostridium Difficile (C.Diff)0.348Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1389
Death rate for heart attack patients11.7Same as national113
Death rate for CABG surgery patients2.2Same as national60
Death rate for COPD patients7.2Same as national59
Death rate for heart failure patients10.2Same as national316
Death rate for pneumonia patients16.1Same as national234
Death rate for stroke patients12.7Same as national150
Pressure ulcer rate0.37Same as national7115
Death rate among surgical inpatients with serious treatable complications173.35Same as national169
Iatrogenic pneumothorax rate0.28Same as national7732
In-hospital fall-associated fracture rate0.33Same as national8479
Postoperative hemorrhage or hematoma rate2.85Same as national2380
Postoperative acute kidney injury requiring dialysis rate1.04Same as national933
Postoperative respiratory failure rate5.16Same as national908
Perioperative pulmonary embolism or deep vein thrombosis rate2.88Same as national2571
Postoperative sepsis rate3.42Same as national988
Postoperative wound dehiscence rate2.29Same as national677
Abdominopelvic accidental puncture or laceration rate0.66Same as national2053
CMS Medicare PSI 90: Patient safety and adverse events composite0.71Better than 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 patients0.9Not available180
Hospital return days for heart failure patients15.6Not available396
Hospital return days for pneumonia patients23.1Not available248
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national2475
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national720
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.6Same as national422
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national422
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national778
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.6Same as national180
Rate of readmission for CABG9.5Same as national59
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national63
Heart failure (HF) 30-Day Readmission Rate20Same as national396
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national248

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 rating42995
Doctor communication - star rating32995
Communication about medicines - star rating32995
Discharge information - star rating32995
Cleanliness - star rating42995
Quietness - star rating32995
Overall hospital rating - star rating42995
Recommend hospital - star rating52995
Summary star rating42995

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 vaccination471695
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 better456380
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 better464348
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better40725
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 seen669453
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10072
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery8064
ST-Segment Elevation Myocardial Infarction (STEMI)7246
Safe Use of Opioids - Concurrent Prescribing187695
Appropriate care for severe sepsis and septic shock56379
Septic Shock 3-Hour Bundle68149
Septic Shock 6-Hour Bundle8890
Severe Sepsis 3-Hour Bundle77380
Severe Sepsis 6-Hour Bundle92204
Discharged on Antithrombotic Therapy98424
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9913864
Intensive Care Unit Venous Thromboembolism Prophylaxis1004627

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 Loma Linda University Medical Center rated?
Loma Linda University Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Loma Linda University Medical Center have emergency services?
Yes. Loma Linda University Medical Center operates a 24/7 emergency department.
Where is Loma Linda University Medical Center located?
Loma Linda University Medical Center is located at 11234 Anderson St, Loma Linda, CA 92354.
What type of hospital is Loma Linda University Medical Center?
Loma Linda University Medical Center 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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