JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Pomona Valley Hospital Medical Center

3 / 5

At a glance

Pomona Valley Hospital Medical Center carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 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 Limit0.458Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.514Same as national
Central Line Associated Bloodstream Infection: Number of Device Days10485Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.626Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases11Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.871Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.084Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.635Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8120Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases15.204Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.263Better than national
SSI - Colon Surgery: Lower Confidence Limit0.048Better than national
SSI - Colon Surgery: Upper Confidence Limit0.936Better than national
SSI - Colon Surgery: Number of Procedures239Better than national
SSI - Colon Surgery: Predicted Cases7.056Better than national
SSI - Colon Surgery: Observed Cases2Better than national
SSI - Colon Surgery0.283Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures72Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.674Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.007Better than national
MRSA Bacteremia: Upper Confidence Limit0.686Better than national
MRSA Bacteremia: Patient Days112972Better than national
MRSA Bacteremia: Predicted Cases7.191Better than national
MRSA Bacteremia: Observed Cases1Better than national
MRSA Bacteremia0.139Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.285Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.689Better than national
Clostridium Difficile (C.Diff): Patient Days92124Better than national
Clostridium Difficile (C.Diff): Predicted Cases44.045Better than national
Clostridium Difficile (C.Diff): Observed Cases20Better than national
Clostridium Difficile (C.Diff)0.454Better 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 patients3.3Same as national52
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1014
Death rate for heart attack patients10.9Same as national115
Death rate for CABG surgery patients3.5Same as national39
Death rate for COPD patients8.3Same as national48
Death rate for heart failure patients8.5Better than national320
Death rate for pneumonia patients15.6Same as national165
Death rate for stroke patients15.9Same as national233
Pressure ulcer rate0.10Same as national4157
Death rate among surgical inpatients with serious treatable complications169.52Same as national65
Iatrogenic pneumothorax rate0.15Same as national5235
In-hospital fall-associated fracture rate0.22Same as national5161
Postoperative hemorrhage or hematoma rate1.88Same as national911
Postoperative acute kidney injury requiring dialysis rate1.55Same as national180
Postoperative respiratory failure rate4.99Same as national189
Perioperative pulmonary embolism or deep vein thrombosis rate3.20Same as national996
Postoperative sepsis rate4.25Same as national172
Postoperative wound dehiscence rate1.60Same as national196
Abdominopelvic accidental puncture or laceration rate0.85Same as national1069
CMS Medicare PSI 90: Patient safety and adverse events composite0.64Better than 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 patients-38.3Not available131
Hospital return days for heart failure patients-29Not available385
Hospital return days for pneumonia patients13.3Not available178
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national1778
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national319
Rate of inpatient admissions for patients receiving outpatient chemotherapy13.3Same as national74
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national74
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national199
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national131
Rate of readmission for CABG10Same as national35
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national53
Heart failure (HF) 30-Day Readmission Rate18.1Same as national385
Rate of readmission after hip/knee replacement5.5Same as national49
Pneumonia (PN) 30-Day Readmission Rate15.9Same 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 rating21894
Doctor communication - star rating21894
Communication about medicines - star rating21894
Discharge information - star rating31894
Cleanliness - star rating31894
Quietness - star rating21894
Overall hospital rating - star rating31894
Recommend hospital - star rating31894
Summary star rating21894

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 vaccination655866
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 better198422
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 better197408
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better40013
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 seen1101610
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97475
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5540
Safe Use of Opioids - Concurrent Prescribing125166
Appropriate care for severe sepsis and septic shock64291
Septic Shock 3-Hour Bundle84115
Septic Shock 6-Hour Bundle9178
Severe Sepsis 3-Hour Bundle74291
Severe Sepsis 6-Hour Bundle97165
Discharged on Antithrombotic Therapy97540
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 287455
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis912998

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 Pomona Valley Hospital Medical Center rated?
Pomona Valley Hospital Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Pomona Valley Hospital Medical Center have emergency services?
Yes. Pomona Valley Hospital Medical Center operates a 24/7 emergency department.
Where is Pomona Valley Hospital Medical Center located?
Pomona Valley Hospital Medical Center is located at 1798 N Garey Ave, Pomona, CA 91767.
What type of hospital is Pomona Valley Hospital Medical Center?
Pomona Valley Hospital 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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