JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Lovelace Westside Hospital

4 / 5

At a glance

Lovelace Westside Hospital carries a 4-star CMS overall rating — above the national norm.

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 Days581Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.352Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not 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 Days1135Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.585Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Not 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 Procedures34Not available
SSI - Colon Surgery: Predicted Cases0.895Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days8450Not available
MRSA Bacteremia: Predicted Cases0.287Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.162Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.730Same as national
Clostridium Difficile (C.Diff): Patient Days8450Same as national
Clostridium Difficile (C.Diff): Predicted Cases4.720Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.636Same as 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 Rate4.1Same as national226
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 patients12.2Same as national32
Death rate for pneumonia patients12.3Same as national96
Death rate for stroke patientsNot available
Pressure ulcer rate0.47Same as national590
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national788
In-hospital fall-associated fracture rate0.26Same as national753
Postoperative hemorrhage or hematoma rate2.60Same as national149
Postoperative acute kidney injury requiring dialysis rate1.65Same as national43
Postoperative respiratory failure rate8.38Same as national42
Perioperative pulmonary embolism or deep vein thrombosis rate3.71Same as national156
Postoperative sepsis rate5.02Same as national37
Postoperative wound dehiscence rate1.75Same as national40
Abdominopelvic accidental puncture or laceration rate1.03Same as national139
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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-25.3Not available36
Hospital return days for pneumonia patients-30.6Not available91
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national293
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.7Same as national506
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 national113
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 Rate18.8Same as national36
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national91

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 rating3337
Doctor communication - star rating3337
Communication about medicines - star rating3337
Discharge information - star rating3337
Cleanliness - star rating4337
Quietness - star rating3337
Overall hospital rating - star rating4337
Recommend hospital - star rating4337
Summary star rating3337

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination82774
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 better158407
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 better154383
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22215
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 seen222541
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8479
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing17600
Appropriate care for severe sepsis and septic shock79163
Septic Shock 3-Hour Bundle7431
Septic Shock 6-Hour Bundle9417
Severe Sepsis 3-Hour Bundle90163
Severe Sepsis 6-Hour Bundle97111
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis90949
Intensive Care Unit Venous Thromboembolism Prophylaxis87549

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 Lovelace Westside Hospital rated?
Lovelace Westside Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Lovelace Westside Hospital have emergency services?
Yes. Lovelace Westside Hospital operates a 24/7 emergency department.
Where is Lovelace Westside Hospital located?
Lovelace Westside Hospital is located at 10501 Golf Course Road Nw, Albuquerque, NM 87114.
What type of hospital is Lovelace Westside Hospital?
Lovelace Westside 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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