JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Mountain West Medical Center

4 / 5

At a glance

Mountain West Medical Center carries a 4-star CMS overall rating — above 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days11Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.008Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days570Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.293Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures5Not available
SSI - Colon Surgery: Predicted Cases0.160Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures1Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.006Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days4709Not available
MRSA Bacteremia: Predicted Cases0.094Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitSame as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.853Same as national
Clostridium Difficile (C.Diff): Patient Days4709Same as national
Clostridium Difficile (C.Diff): Predicted Cases1.050Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same 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 patients3.2Same as national25
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national160
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 patients11.1Same as national30
Death rate for pneumonia patients16.1Same as national35
Death rate for stroke patientsNot available
Pressure ulcer rate0.56Same as national291
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.21Same as national562
In-hospital fall-associated fracture rate0.27Same as national535
Postoperative hemorrhage or hematoma rate2.33Same as national60
Postoperative acute kidney injury requiring dialysis rate1.67Same as national25
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.42Same as national69
Postoperative sepsis rateNot available
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rate1.05Same as national63
CMS Medicare PSI 90: Patient safety and adverse events composite0.97Same 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-50.4Not available34
Hospital return days for pneumonia patients-48Not available38
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national221
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national99
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 surgery1.1Same as national118
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 Rate19.4Same as national34
Rate of readmission after hip/knee replacement5Same as national26
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national38

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 rating4258
Doctor communication - star rating4258
Communication about medicines - star rating4258
Discharge information - star rating5258
Cleanliness - star rating4258
Quietness - star rating4258
Overall hospital rating - star rating4258
Recommend hospital - star rating4258
Summary star rating4258

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 Hypoglycemia2332
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination37644
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 better166420
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 better150368
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29821
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better29238
Left before being seen220770
Head CT results4823
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100166
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing18434
Appropriate care for severe sepsis and septic shock9091
Septic Shock 3-Hour Bundle10025
Septic Shock 6-Hour Bundle10018
Severe Sepsis 3-Hour Bundle9691
Severe Sepsis 6-Hour Bundle9373
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis86669
Intensive Care Unit Venous Thromboembolism Prophylaxis89206

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 West Medical Center rated?
Mountain West Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mountain West Medical Center have emergency services?
Yes. Mountain West Medical Center operates a 24/7 emergency department.
Where is Mountain West Medical Center located?
Mountain West Medical Center is located at 2055 North Main Street, Tooele, UT 84074.
What type of hospital is Mountain West Medical Center?
Mountain West 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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