JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Lone Peak Hospital

5 / 5

At a glance

Lone Peak 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 6 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days511Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.377Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days621Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.325Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures23Not available
SSI - Colon Surgery: Predicted Cases0.566Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures122Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.927Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days14525Not available
MRSA Bacteremia: Predicted Cases0.418Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.911Better than national
Clostridium Difficile (C.Diff): Patient Days8304Better than national
Clostridium Difficile (C.Diff): Predicted Cases3.290Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 Rate4Same as national213
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients9Same as national37
Death rate for pneumonia patients13.4Same as national64
Death rate for stroke patientsNot available
Pressure ulcer rate0.53Same as national365
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.21Same as national585
In-hospital fall-associated fracture rate0.27Same as national578
Postoperative hemorrhage or hematoma rate2.25Same as national198
Postoperative acute kidney injury requiring dialysis rate1.66Same as national152
Postoperative respiratory failure rate10.94Same as national150
Perioperative pulmonary embolism or deep vein thrombosis rate3.22Same as national201
Postoperative sepsis rate5.88Same as national151
Postoperative wound dehiscence rate1.75Same as national83
Abdominopelvic accidental puncture or laceration rate1.32Same as national142
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 patientsNot available
Hospital return days for heart failure patients19.2Not available45
Hospital return days for pneumonia patients-34.6Not available57
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national271
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national36
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national269
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate20.8Same as national45
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national57

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 rating3552
Doctor communication - star rating4552
Communication about medicines - star rating2552
Discharge information - star rating4552
Cleanliness - star rating4552
Quietness - star rating4552
Overall hospital rating - star rating4552
Recommend hospital - star rating5552
Summary star rating4552

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 volumelow
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 Hyperglycemia6879
Hospital Harm - Severe Hypoglycemia0352
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination791217
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 better108440
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 better104413
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better39616
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better27215
Left before being seen019555
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing111641
Appropriate care for severe sepsis and septic shock9079
Septic Shock 3-Hour Bundle9624
Septic Shock 6-Hour Bundle9418
Severe Sepsis 3-Hour Bundle9779
Severe Sepsis 6-Hour Bundle9653
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis100733
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.

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 Lone Peak Hospital rated?
Lone Peak Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Lone Peak Hospital have emergency services?
Yes. Lone Peak Hospital operates a 24/7 emergency department.
Where is Lone Peak Hospital located?
Lone Peak Hospital is located at 11925 South State Street, Draper, UT 84020.
What type of hospital is Lone Peak Hospital?
Lone Peak Hospital 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.

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