JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Mountain View Regional Medical Center

2 / 5

At a glance

Mountain View Regional 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 18 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.850Better than national
Central Line Associated Bloodstream Infection: Number of Device Days3767Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.525Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.735Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3963Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.076Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence Limit0.350Same as national
SSI - Colon Surgery: Upper Confidence Limit3.744Same as national
SSI - Colon Surgery: Number of Procedures79Same as national
SSI - Colon Surgery: Predicted Cases2.181Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.376Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures57Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.475Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.401Same as national
MRSA Bacteremia: Patient Days39698Same as national
MRSA Bacteremia: Predicted Cases2.139Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.104Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.628Better than national
Clostridium Difficile (C.Diff): Patient Days38046Better than national
Clostridium Difficile (C.Diff): Predicted Cases17.645Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.283Better 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 Rate4.8Same as national797
Death rate for heart attack patients13.8Same as national117
Death rate for CABG surgery patients2.7Same as national39
Death rate for COPD patients12Same as national59
Death rate for heart failure patients11.9Same as national196
Death rate for pneumonia patients18.9Same as national299
Death rate for stroke patients14.5Same as national94
Pressure ulcer rate0.20Same as national2847
Death rate among surgical inpatients with serious treatable complications164.75Same as national49
Iatrogenic pneumothorax rate0.17Same as national3311
In-hospital fall-associated fracture rate0.28Same as national3389
Postoperative hemorrhage or hematoma rate2.22Same as national754
Postoperative acute kidney injury requiring dialysis rate1.62Same as national145
Postoperative respiratory failure rate7.43Same as national149
Perioperative pulmonary embolism or deep vein thrombosis rate3.31Same as national772
Postoperative sepsis rate5.80Same as national138
Postoperative wound dehiscence rate1.64Same as national198
Abdominopelvic accidental puncture or laceration rate0.88Same as national760
CMS Medicare PSI 90: Patient safety and adverse events composite0.82Same 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 patients30.4Not available123
Hospital return days for heart failure patients47.9Not available208
Hospital return days for pneumonia patients24.3Not available297
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16Same as national1233
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national431
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 national216
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.5Same as national123
Rate of readmission for CABG10.9Same as national38
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national60
Heart failure (HF) 30-Day Readmission Rate21.4Same as national208
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national297

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 rating2483
Doctor communication - star rating2483
Communication about medicines - star rating1483
Discharge information - star rating2483
Cleanliness - star rating1483
Quietness - star rating3483
Overall hospital rating - star rating2483
Recommend hospital - star rating2483
Summary star rating2483

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 volumehigh
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 Hypoglycemia32307
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination551789
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 better172406
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 better166374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30919
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better41313
Left before being seen347790
Head CT results5511
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8964
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing101460
Appropriate care for severe sepsis and septic shock65156
Septic Shock 3-Hour Bundle7730
Septic Shock 6-Hour Bundle9418
Severe Sepsis 3-Hour Bundle81156
Severe Sepsis 6-Hour Bundle8288
Discharged on Antithrombotic Therapy9759
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 28972
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 Mountain View Regional Medical Center rated?
Mountain View Regional Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Mountain View Regional Medical Center have emergency services?
Yes. Mountain View Regional Medical Center operates a 24/7 emergency department.
Where is Mountain View Regional Medical Center located?
Mountain View Regional Medical Center is located at 4311 East Lohman Avenue, Las Cruces, NM 88011.
What type of hospital is Mountain View Regional Medical Center?
Mountain View Regional 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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