JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Lovelace Women's Hospital

4 / 5

At a glance

Lovelace Women's Hospital carries a 4-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. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.028Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.716Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2077Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.816Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.551Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.193Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.804Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2562Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.737Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.151Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures20Not available
SSI - Colon Surgery: Predicted Cases0.544Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.984Same as national
SSI - Abdominal Hysterectomy: Number of Procedures121Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.004Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.031Same as national
MRSA Bacteremia: Patient Days32065Same as national
MRSA Bacteremia: Predicted Cases1.475Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.096Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.731Better than national
Clostridium Difficile (C.Diff): Patient Days20304Better than national
Clostridium Difficile (C.Diff): Predicted Cases13.203Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.303Better 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 Rate4.3Same as national303
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 patients9.5Same as national48
Death rate for pneumonia patients14.6Same as national64
Death rate for stroke patientsNot available
Pressure ulcer rate0.45Same as national811
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1121
In-hospital fall-associated fracture rate0.26Same as national1096
Postoperative hemorrhage or hematoma rate2.20Same as national242
Postoperative acute kidney injury requiring dialysis rate1.63Same as national95
Postoperative respiratory failure rate7.98Same as national108
Perioperative pulmonary embolism or deep vein thrombosis rate3.58Same as national263
Postoperative sepsis rate5.66Same as national104
Postoperative wound dehiscence rate1.74Same as national76
Abdominopelvic accidental puncture or laceration rate0.97Same as national370
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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-30.2Not available55
Hospital return days for pneumonia patients-6.4Not available69
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14Same as national405
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national1007
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 surgery1.6Worse than national502
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 Rate18.9Same as national55
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national69

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 rating2438
Doctor communication - star rating2438
Communication about medicines - star rating1438
Discharge information - star rating2438
Cleanliness - star rating1438
Quietness - star rating2438
Overall hospital rating - star rating2438
Recommend hospital - star rating3438
Summary star rating2438

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 vaccination951189
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 better202398
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 better199374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20717
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 seen227497
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9479
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing71624
Appropriate care for severe sepsis and septic shock71190
Septic Shock 3-Hour Bundle8035
Septic Shock 6-Hour Bundle9623
Severe Sepsis 3-Hour Bundle80190
Severe Sepsis 6-Hour Bundle94114
Discharged on Antithrombotic Therapy9628
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis921579
Intensive Care Unit Venous Thromboembolism Prophylaxis96545

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 Lovelace Women's Hospital rated?
Lovelace Women's Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Lovelace Women's Hospital have emergency services?
Yes. Lovelace Women's Hospital operates a 24/7 emergency department.
Where is Lovelace Women's Hospital located?
Lovelace Women's Hospital is located at 4701 Montgomery Boulevard Ne, Albuquerque, NM 87109.
What type of hospital is Lovelace Women's Hospital?
Lovelace Women's 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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