JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Petaluma Valley Hospital

4 / 5

At a glance

Petaluma Valley Hospital 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 Days1056Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.635Not 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 Days1297Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.656Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not 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 Procedures13Not available
SSI - Colon Surgery: Predicted Cases0.320Not 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 Procedures31Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.244Not 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 Days9993Not available
MRSA Bacteremia: Predicted Cases0.415Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.014Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.424Same as national
Clostridium Difficile (C.Diff): Patient Days9993Same as national
Clostridium Difficile (C.Diff): Predicted Cases3.464Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.289Same 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 patients3.1Same as national35
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national342
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.6Same as national48
Death rate for heart failure patients12.6Same as national112
Death rate for pneumonia patients13Same as national138
Death rate for stroke patients12.6Same as national59
Pressure ulcer rate0.37Same as national1184
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1427
In-hospital fall-associated fracture rate0.26Same as national1398
Postoperative hemorrhage or hematoma rate2.27Same as national202
Postoperative acute kidney injury requiring dialysis rate1.66Same as national43
Postoperative respiratory failure rate8.61Same as national49
Perioperative pulmonary embolism or deep vein thrombosis rate3.15Same as national216
Postoperative sepsis rate5.16Same as national44
Postoperative wound dehiscence rate1.73Same as national45
Abdominopelvic accidental puncture or laceration rate1.31Same as national147
CMS Medicare PSI 90: Patient safety and adverse events composite0.89Same 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 patients7.6Not available108
Hospital return days for pneumonia patients24.4Not available140
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national501
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national364
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 national138
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national52
Heart failure (HF) 30-Day Readmission Rate19.6Same as national108
Rate of readmission after hip/knee replacement4.6Same as national34
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national140

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 rating3251
Doctor communication - star rating3251
Communication about medicines - star rating2251
Discharge information - star rating3251
Cleanliness - star rating5251
Quietness - star rating2251
Overall hospital rating - star rating3251
Recommend hospital - star rating3251
Summary star rating3251

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination76664
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 better176376
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 better165325
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24019
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better37533
Left before being seen220105
Head CT results8825
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7770
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing17512
Appropriate care for severe sepsis and septic shock62175
Septic Shock 3-Hour Bundle7454
Septic Shock 6-Hour Bundle9236
Severe Sepsis 3-Hour Bundle77176
Severe Sepsis 6-Hour Bundle9494
Discharged on Antithrombotic Therapy9434
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29732
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis96253

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 Petaluma Valley Hospital rated?
Petaluma Valley Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Petaluma Valley Hospital have emergency services?
According to CMS records, Petaluma Valley Hospital does not report a 24/7 emergency department.
Where is Petaluma Valley Hospital located?
Petaluma Valley Hospital is located at 400 N Mcdowell Blvd, Petaluma, CA 94954.
What type of hospital is Petaluma Valley Hospital?
Petaluma Valley Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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