JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Plains Regional Medical Center

2 / 5

At a glance

Plains Regional Medical Center carries a 2-star CMS overall rating — below 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 Days695Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.427Not 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 Days1643Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.836Not 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 Procedures17Not available
SSI - Colon Surgery: Predicted Cases0.478Not 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 Cases0.279Not 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 Days13719Not available
MRSA Bacteremia: Predicted Cases0.587Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.377Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.937Same as national
Clostridium Difficile (C.Diff): Patient Days12498Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.443Same as national
Clostridium Difficile (C.Diff): Observed Cases6Same as national
Clostridium Difficile (C.Diff)0.931Same 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 national40
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national375
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8Same as national60
Death rate for heart failure patients13.7Same as national77
Death rate for pneumonia patients18Same as national160
Death rate for stroke patients15.3Same as national27
Pressure ulcer rate0.45Same as national923
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1230
In-hospital fall-associated fracture rate0.26Same as national1158
Postoperative hemorrhage or hematoma rate2.25Same as national237
Postoperative acute kidney injury requiring dialysis rate1.65Same as national103
Postoperative respiratory failure rate11.09Same as national97
Perioperative pulmonary embolism or deep vein thrombosis rate3.13Same as national246
Postoperative sepsis rate4.97Same as national91
Postoperative wound dehiscence rate1.72Same as national44
Abdominopelvic accidental puncture or laceration rate1.01Same as national107
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same 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 patients13.5Not available72
Hospital return days for pneumonia patients53.1Not available178
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national519
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.4Same as national355
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national46
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.9Same as national46
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national70
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national60
Heart failure (HF) 30-Day Readmission Rate19.2Same as national72
Rate of readmission after hip/knee replacement4.9Same as national46
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national178

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 rating3287
Doctor communication - star rating2287
Communication about medicines - star rating3287
Discharge information - star rating3287
Cleanliness - star rating4287
Quietness - star rating3287
Overall hospital rating - star rating2287
Recommend hospital - star rating2287
Summary star rating3287

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 Events01552
Healthcare workers given influenza vaccination68611
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 better197472
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 better190438
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34816
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better39818
Left before being seen528693
Head CT results1217
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients5185
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing8735
Appropriate care for severe sepsis and septic shock3090
Septic Shock 3-Hour Bundle4321
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle6690
Severe Sepsis 6-Hour Bundle6047
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis881091
Intensive Care Unit Venous Thromboembolism Prophylaxis95331

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 Plains Regional Medical Center rated?
Plains Regional Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Plains Regional Medical Center have emergency services?
Yes. Plains Regional Medical Center operates a 24/7 emergency department.
Where is Plains Regional Medical Center located?
Plains Regional Medical Center is located at 2100 N Martin Luther King, Jr, Blvd, Clovis, NM 88101.
What type of hospital is Plains Regional Medical Center?
Plains Regional Medical Center 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.

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