JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Pih Health Downey Hospital

4 / 5

At a glance

Pih Health Downey 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 6 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.214Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.225Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1672Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.564Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.279Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.280Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2294Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.340Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.795Same as national
SSI - Colon Surgery: Number of Procedures37Same as national
SSI - Colon Surgery: Predicted Cases1.072Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures28Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.259Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.318Same as national
MRSA Bacteremia: Patient Days34394Same as national
MRSA Bacteremia: Predicted Cases2.273Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.084Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.506Better than national
Clostridium Difficile (C.Diff): Patient Days34394Better than national
Clostridium Difficile (C.Diff): Predicted Cases21.897Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.228Better 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 Rate3.5Same as national463
Death rate for heart attack patients10.8Same as national45
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.7Same as national25
Death rate for heart failure patients11.1Same as national160
Death rate for pneumonia patients11.8Better than national156
Death rate for stroke patients12.4Same as national58
Pressure ulcer rate0.29Same as national2012
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2633
In-hospital fall-associated fracture rate0.25Same as national2714
Postoperative hemorrhage or hematoma rate2.19Same as national273
Postoperative acute kidney injury requiring dialysis rate1.66Same as national27
Postoperative respiratory failure rate8.89Same as national29
Perioperative pulmonary embolism or deep vein thrombosis rate3.10Same as national276
Postoperative sepsis rate5.15Same as national25
Postoperative wound dehiscence rate1.72Same as national63
Abdominopelvic accidental puncture or laceration rate1.28Same as national403
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same 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-5.2Not available201
Hospital return days for pneumonia patients32.8Not available180
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.5Worse than national802
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national432
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 national156
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national42
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national28
Heart failure (HF) 30-Day Readmission Rate19.4Same as national201
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.5Same as national180

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 rating3978
Doctor communication - star rating3978
Communication about medicines - star rating2978
Discharge information - star rating3978
Cleanliness - star rating4978
Quietness - star rating2978
Overall hospital rating - star rating3978
Recommend hospital - star rating4978
Summary star rating3978

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination722209
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 better241191
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 better240177
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen552006
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients92412
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing
Appropriate care for severe sepsis and septic shock7274
Septic Shock 3-Hour Bundle8628
Septic Shock 6-Hour Bundle9521
Severe Sepsis 3-Hour Bundle8475
Severe Sepsis 6-Hour Bundle9042
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Pih Health Downey Hospital rated?
Pih Health Downey Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Pih Health Downey Hospital have emergency services?
Yes. Pih Health Downey Hospital operates a 24/7 emergency department.
Where is Pih Health Downey Hospital located?
Pih Health Downey Hospital is located at 11500 Brookshire Avenue, Downey, CA 90241.
What type of hospital is Pih Health Downey Hospital?
Pih Health Downey 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.

Report an issue with this page