JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Mountainview Hospital

4 / 5

At a glance

Mountainview Hospital carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 30 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 Limit0.003Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.328Better than national
Central Line Associated Bloodstream Infection: Number of Device Days14344Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases15.054Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.066Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.003Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.291Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12099Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases16.931Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.059Better than national
SSI - Colon Surgery: Lower Confidence Limit0.039Better than national
SSI - Colon Surgery: Upper Confidence Limit0.764Better than national
SSI - Colon Surgery: Number of Procedures339Better than national
SSI - Colon Surgery: Predicted Cases8.646Better than national
SSI - Colon Surgery: Observed Cases2Better than national
SSI - Colon Surgery0.231Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.021Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.052Same as national
SSI - Abdominal Hysterectomy: Number of Procedures290Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.404Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.416Same as national
MRSA Bacteremia: Lower Confidence Limit0.084Better than national
MRSA Bacteremia: Upper Confidence Limit0.894Better than national
MRSA Bacteremia: Patient Days138091Better than national
MRSA Bacteremia: Predicted Cases9.129Better than national
MRSA Bacteremia: Observed Cases3Better than national
MRSA Bacteremia0.329Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.001Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.080Better than national
Clostridium Difficile (C.Diff): Patient Days127250Better than national
Clostridium Difficile (C.Diff): Predicted Cases61.875Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.016Better 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 patients2.9Same as national192
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.1Better than national2721
Death rate for heart attack patients9.6Same as national226
Death rate for CABG surgery patients2.5Same as national108
Death rate for COPD patients10.2Same as national167
Death rate for heart failure patients6.2Better than national663
Death rate for pneumonia patients13.2Better than national884
Death rate for stroke patients14.6Same as national211
Pressure ulcer rate0.18Same as national9400
Death rate among surgical inpatients with serious treatable complications178.36Same as national163
Iatrogenic pneumothorax rate0.20Same as national11202
In-hospital fall-associated fracture rate0.18Same as national11659
Postoperative hemorrhage or hematoma rate1.65Same as national2257
Postoperative acute kidney injury requiring dialysis rate1.31Same as national929
Postoperative respiratory failure rate21.08Worse than national972
Perioperative pulmonary embolism or deep vein thrombosis rate2.47Same as national2332
Postoperative sepsis rate6.91Same as national973
Postoperative wound dehiscence rate1.48Same as national598
Abdominopelvic accidental puncture or laceration rate0.66Same as national2252
CMS Medicare PSI 90: Patient safety and adverse events composite1.13Same 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 patients25.3Not available257
Hospital return days for heart failure patients-9.1Not available800
Hospital return days for pneumonia patients17.3Not available951
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national4470
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national202
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.4Same as national51
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national51
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Same as national387
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.7Same as national257
Rate of readmission for CABG11.5Same as national105
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national177
Heart failure (HF) 30-Day Readmission Rate18.5Same as national800
Rate of readmission after hip/knee replacement4.1Same as national193
Pneumonia (PN) 30-Day Readmission Rate16.7Same as national951

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 rating3611
Doctor communication - star rating2611
Communication about medicines - star rating2611
Discharge information - star rating3611
Cleanliness - star rating3611
Quietness - star rating3611
Overall hospital rating - star rating3611
Recommend hospital - star rating3611
Summary star rating3611

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 volumevery 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 vaccination774453
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 better165427
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 better159387
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24426
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better31215
Left before being seen0108528
Head CT results6118
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients6736
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)027
Safe Use of Opioids - Concurrent Prescribing187641
Appropriate care for severe sepsis and septic shock55143
Septic Shock 3-Hour Bundle4353
Septic Shock 6-Hour Bundle8020
Severe Sepsis 3-Hour Bundle84143
Severe Sepsis 6-Hour Bundle9989
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293257
Venous Thromboembolism Prophylaxis8615119
Intensive Care Unit Venous Thromboembolism Prophylaxis992931

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 Mountainview Hospital rated?
Mountainview Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mountainview Hospital have emergency services?
Yes. Mountainview Hospital operates a 24/7 emergency department.
Where is Mountainview Hospital located?
Mountainview Hospital is located at 3100 N Tenaya Way, Las Vegas, NV 89128.
What type of hospital is Mountainview Hospital?
Mountainview Hospital 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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