Acute Care Hospitals · Government - Hospital District or Authority
Memorial Hospital West
- 703 N Flamingo Rd, Pembroke Pines, FL 33028
- (954) 436-5000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Memorial Hospital West carries a 3-star CMS overall rating — in line with 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.409 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.539 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 10086 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 10.735 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 9 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.838 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.396 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 2.031 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 4973 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 6.146 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 6 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.976 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.329 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.487 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 338 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 9.311 | Same as national |
| SSI - Colon Surgery: Observed Cases | 7 | Same as national |
| SSI - Colon Surgery | 0.752 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.435 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 4.658 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 208 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.753 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 3 | Same as national |
| SSI - Abdominal Hysterectomy | 1.711 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.103 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.099 | Same as national |
| MRSA Bacteremia: Patient Days | 150475 | Same as national |
| MRSA Bacteremia: Predicted Cases | 7.426 | Same as national |
| MRSA Bacteremia: Observed Cases | 3 | Same as national |
| MRSA Bacteremia | 0.404 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.318 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.580 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 144069 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 98.990 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 43 | Better than national |
| Clostridium Difficile (C.Diff) | 0.434 | 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 | 4.1 | Same as national | 32 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.6 | Same as national | 1244 |
| Death rate for heart attack patients | 10.7 | Same as national | 100 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 7 | Same as national | 115 |
| Death rate for heart failure patients | 9.1 | Same as national | 381 |
| Death rate for pneumonia patients | 11.3 | Better than national | 318 |
| Death rate for stroke patients | 15.1 | Same as national | 152 |
| Pressure ulcer rate | 0.74 | Same as national | 5483 |
| Death rate among surgical inpatients with serious treatable complications | 155.83 | Same as national | 45 |
| Iatrogenic pneumothorax rate | 0.26 | Same as national | 6080 |
| In-hospital fall-associated fracture rate | 0.26 | Same as national | 6406 |
| Postoperative hemorrhage or hematoma rate | 2.33 | Same as national | 935 |
| Postoperative acute kidney injury requiring dialysis rate | 1.50 | Same as national | 259 |
| Postoperative respiratory failure rate | 9.90 | Same as national | 258 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.99 | Same as national | 961 |
| Postoperative sepsis rate | 5.62 | Same as national | 247 |
| Postoperative wound dehiscence rate | 1.95 | Same as national | 267 |
| Abdominopelvic accidental puncture or laceration rate | 1.05 | Same as national | 1021 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.12 | 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 | 33.9 | Not available | 101 |
| Hospital return days for heart failure patients | 29.8 | Not available | 441 |
| Hospital return days for pneumonia patients | 106.6 | Not available | 344 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 16 | Same as national | 2224 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.3 | Same as national | 258 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.7 | Same as national | 272 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.9 | Same as national | 272 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.8 | Same as national | 164 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.2 | Same as national | 101 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.8 | Same as national | 132 |
| Heart failure (HF) 30-Day Readmission Rate | 20.2 | Same as national | 441 |
| Rate of readmission after hip/knee replacement | 5.5 | Same as national | 32 |
| Pneumonia (PN) 30-Day Readmission Rate | 18.3 | Same as national | 344 |
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 | 3 | 3447 |
| Doctor communication - star rating | 3 | 3447 |
| Communication about medicines - star rating | 2 | 3447 |
| Discharge information - star rating | 3 | 3447 |
| Cleanliness - star rating | 4 | 3447 |
| Quietness - star rating | 4 | 3447 |
| Overall hospital rating - star rating | 4 | 3447 |
| Recommend hospital - star rating | 4 | 3447 |
| Summary star rating | 3 | 3447 |
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 | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 92 | 5613 |
| 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 | 207 | 361 |
| 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 | 207 | 357 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | — | — |
| 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 | 98249 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 94 | 193 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 57 | 30 |
| Safe Use of Opioids - Concurrent Prescribing | 15 | 5113 |
| Appropriate care for severe sepsis and septic shock | 76 | 160 |
| Septic Shock 3-Hour Bundle | 82 | 57 |
| Septic Shock 6-Hour Bundle | 94 | 34 |
| Severe Sepsis 3-Hour Bundle | 90 | 161 |
| Severe Sepsis 6-Hour Bundle | 92 | 105 |
| Discharged on Antithrombotic Therapy | 99 | 508 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 94 | 465 |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 99 | 1651 |
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 Memorial Hospital West rated?
- Memorial Hospital West has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Memorial Hospital West have emergency services?
- Yes. Memorial Hospital West operates a 24/7 emergency department.
- Where is Memorial Hospital West located?
- Memorial Hospital West is located at 703 N Flamingo Rd, Pembroke Pines, FL 33028.
- What type of hospital is Memorial Hospital West?
- Memorial Hospital West is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).
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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.