JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mission Community Hospital

3 / 5

At a glance

Mission Community Hospital carries a 3-star CMS overall rating — in line with 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 Limit0.082Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.626Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5027Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.065Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.492Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.337Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.555Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4826Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.777Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.059Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures9Not available
SSI - Colon Surgery: Predicted Cases0.172Not 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 Limit0.490Same as national
MRSA Bacteremia: Upper Confidence Limit5.244Same as national
MRSA Bacteremia: Patient Days22497Same as national
MRSA Bacteremia: Predicted Cases1.557Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.927Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.271Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.391Same as national
Clostridium Difficile (C.Diff): Patient Days22497Same as national
Clostridium Difficile (C.Diff): Predicted Cases8.973Same as national
Clostridium Difficile (C.Diff): Observed Cases6Same as national
Clostridium Difficile (C.Diff)0.669Same 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 patients4Same as national53
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national410
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.7Same as national49
Death rate for heart failure patients9.3Same as national78
Death rate for pneumonia patients13.6Same as national261
Death rate for stroke patientsNot available
Pressure ulcer rate0.19Same as national2520
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.25Same as national2670
In-hospital fall-associated fracture rate0.28Same as national2752
Postoperative hemorrhage or hematoma rate2.23Same as national276
Postoperative acute kidney injury requiring dialysis rate1.66Same as national154
Postoperative respiratory failure rate8.52Same as national154
Perioperative pulmonary embolism or deep vein thrombosis rate3.47Same as national288
Postoperative sepsis rate5.08Same as national141
Postoperative wound dehiscence rate1.74Same as national60
Abdominopelvic accidental puncture or laceration rate1.02Same as national321
CMS Medicare PSI 90: Patient safety and adverse events composite0.84Same 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-7.8Not available102
Hospital return days for pneumonia patients17.7Not available272
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national773
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national58
Heart failure (HF) 30-Day Readmission Rate20Same as national102
Rate of readmission after hip/knee replacement4.4Same as national53
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national272

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 rating1265
Doctor communication - star rating2265
Communication about medicines - star rating2265
Discharge information - star rating1265
Cleanliness - star rating3265
Quietness - star rating1265
Overall hospital rating - star rating1265
Recommend hospital - star rating1265
Summary star rating2265

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination711302
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 better253373
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 better236309
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better41839
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better49427
Left before being seen114276
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100213
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing151034
Appropriate care for severe sepsis and septic shock86437
Septic Shock 3-Hour Bundle85125
Septic Shock 6-Hour Bundle9797
Severe Sepsis 3-Hour Bundle92437
Severe Sepsis 6-Hour Bundle100261
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis892555
Intensive Care Unit Venous Thromboembolism Prophylaxis94227

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 Mission Community Hospital rated?
Mission Community Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mission Community Hospital have emergency services?
According to CMS records, Mission Community Hospital does not report a 24/7 emergency department.
Where is Mission Community Hospital located?
Mission Community Hospital is located at 14850 Roscoe Blvd, Panorama City, CA 91402.
What type of hospital is Mission Community Hospital?
Mission Community Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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