JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Memorial Medical Center

2 / 5

At a glance

Memorial Medical Center carries a 2-star CMS overall rating — below 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 Limit0.019Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.894Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2748Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.604Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.384Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.013Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.258Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3829Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.921Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.255Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.102Same as national
SSI - Colon Surgery: Number of Procedures52Same as national
SSI - Colon Surgery: Predicted Cases1.425Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
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 Limit0.020Same as national
MRSA Bacteremia: Upper Confidence Limit2.003Same as national
MRSA Bacteremia: Patient Days39234Same as national
MRSA Bacteremia: Predicted Cases2.462Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.406Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.108Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.652Better than national
Clostridium Difficile (C.Diff): Patient Days36969Better than national
Clostridium Difficile (C.Diff): Predicted Cases16.987Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.294Better 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 Rate4.9Same as national803
Death rate for heart attack patients13.2Same as national140
Death rate for CABG surgery patients2.2Same as national37
Death rate for COPD patients9.7Same as national66
Death rate for heart failure patients12.2Same as national150
Death rate for pneumonia patients21.6Worse than national158
Death rate for stroke patients14.4Same as national85
Pressure ulcer rate0.52Same as national2596
Death rate among surgical inpatients with serious treatable complications177.67Same as national42
Iatrogenic pneumothorax rate0.17Same as national3164
In-hospital fall-associated fracture rate0.24Same as national3325
Postoperative hemorrhage or hematoma rate2.32Same as national846
Postoperative acute kidney injury requiring dialysis rate2.68Same as national255
Postoperative respiratory failure rate17.52Worse than national263
Perioperative pulmonary embolism or deep vein thrombosis rate2.50Same as national868
Postoperative sepsis rate5.66Same as national257
Postoperative wound dehiscence rate1.69Same as national145
Abdominopelvic accidental puncture or laceration rate0.90Same as national704
CMS Medicare PSI 90: Patient safety and adverse events composite1.18Same 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 patients37.4Not available128
Hospital return days for heart failure patients64.2Not available163
Hospital return days for pneumonia patients22.9Not available153
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national1311
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national211
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.5Same as national135
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.9Same as national135
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national411
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.7Same as national128
Rate of readmission for CABG10.8Same as national37
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national73
Heart failure (HF) 30-Day Readmission Rate20.7Same as national163
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national153

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 rating21050
Doctor communication - star rating21050
Communication about medicines - star rating21050
Discharge information - star rating21050
Cleanliness - star rating21050
Quietness - star rating21050
Overall hospital rating - star rating21050
Recommend hospital - star rating31050
Summary star rating21050

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 Hyperglycemia1110495
Hospital Harm - Severe Hypoglycemia11918
Hospital Harm - Opioid Related Adverse Events03469
Healthcare workers given influenza vaccination712115
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 better208448
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 better204408
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better40628
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better49021
Left before being seen138953
Head CT results5723
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97101
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing71070
Appropriate care for severe sepsis and septic shock57177
Septic Shock 3-Hour Bundle7442
Septic Shock 6-Hour Bundle7229
Severe Sepsis 3-Hour Bundle76177
Severe Sepsis 6-Hour Bundle8699
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
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 Memorial Medical Center rated?
Memorial Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Medical Center have emergency services?
Yes. Memorial Medical Center operates a 24/7 emergency department.
Where is Memorial Medical Center located?
Memorial Medical Center is located at 2450 South Telshor Blvd, Las Cruces, NM 88011.
What type of hospital is Memorial Medical Center?
Memorial Medical Center 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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