Acute Care Hospitals · Voluntary non-profit - Private
Presbyterian Hospital
- 1100 Central Avenue Se, Albuquerque, NM 87106
- (505) 724-8386
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Presbyterian Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 2 measures and trails 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.529 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.587 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 13931 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 13.657 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 13 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.952 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.552 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.732 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 13499 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 11.776 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 12 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 1.019 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.278 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.257 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 413 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 11.014 | Same as national |
| SSI - Colon Surgery: Observed Cases | 7 | Same as national |
| SSI - Colon Surgery | 0.636 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.642 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 3.886 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 333 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 2.852 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 5 | Same as national |
| SSI - Abdominal Hysterectomy | 1.753 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.064 | Better than national |
| MRSA Bacteremia: Upper Confidence Limit | 0.689 | Better than national |
| MRSA Bacteremia: Patient Days | 250689 | Better than national |
| MRSA Bacteremia: Predicted Cases | 11.854 | Better than national |
| MRSA Bacteremia: Observed Cases | 3 | Better than national |
| MRSA Bacteremia | 0.253 | Better than national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.594 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.856 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 228349 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 160.663 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 115 | Better than national |
| Clostridium Difficile (C.Diff) | 0.716 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 4.1 | Same as national | 117 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.9 | Same as national | 3089 |
| Death rate for heart attack patients | 11.6 | Same as national | 321 |
| Death rate for CABG surgery patients | 2.4 | Same as national | 74 |
| Death rate for COPD patients | 6.4 | Same as national | 191 |
| Death rate for heart failure patients | 9.4 | Better than national | 692 |
| Death rate for pneumonia patients | 13.9 | Better than national | 860 |
| Death rate for stroke patients | 17.6 | Worse than national | 338 |
| Pressure ulcer rate | 1.83 | Worse than national | 11179 |
| Death rate among surgical inpatients with serious treatable complications | 146.95 | Same as national | 148 |
| Iatrogenic pneumothorax rate | 0.20 | Same as national | 12160 |
| In-hospital fall-associated fracture rate | 0.33 | Same as national | 12435 |
| Postoperative hemorrhage or hematoma rate | 1.79 | Same as national | 2790 |
| Postoperative acute kidney injury requiring dialysis rate | 1.62 | Same as national | 826 |
| Postoperative respiratory failure rate | 11.49 | Same as national | 857 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.88 | Same as national | 2981 |
| Postoperative sepsis rate | 6.98 | Same as national | 839 |
| Postoperative wound dehiscence rate | 1.71 | Same as national | 737 |
| Abdominopelvic accidental puncture or laceration rate | 0.82 | Same as national | 2480 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.47 | Worse 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 0.8 | Not available | 323 |
| Hospital return days for heart failure patients | -10.3 | Not available | 759 |
| Hospital return days for pneumonia patients | 1.1 | Not available | 877 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 13.8 | Better than national | 4684 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.3 | Same as national | 2182 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 12.8 | Same as national | 368 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.7 | Same as national | 368 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 973 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 12.2 | Same as national | 323 |
| Rate of readmission for CABG | 9.4 | Same as national | 73 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 16.7 | Same as national | 204 |
| Heart failure (HF) 30-Day Readmission Rate | 17.4 | Better than national | 759 |
| Rate of readmission after hip/knee replacement | 5.1 | Same as national | 101 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.2 | Same as national | 877 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 4517 |
| Doctor communication - star rating | 3 | 4517 |
| Communication about medicines - star rating | 2 | 4517 |
| Discharge information - star rating | 2 | 4517 |
| Cleanliness - star rating | 3 | 4517 |
| Quietness - star rating | 3 | 4517 |
| Overall hospital rating - star rating | 3 | 4517 |
| Recommend hospital - star rating | 3 | 4517 |
| Summary star rating | 3 | 4517 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 vaccination | 63 | 9403 |
| 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 better | 300 | 420 |
| 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 better | 287 | 375 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 446 | 43 |
| 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 seen | 8 | 138120 |
| Head CT results | 33 | 36 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 92 | 104 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 52 | 236 |
| Safe Use of Opioids - Concurrent Prescribing | 16 | 11435 |
| Appropriate care for severe sepsis and septic shock | 37 | 289 |
| Septic Shock 3-Hour Bundle | 46 | 69 |
| Septic Shock 6-Hour Bundle | 52 | 23 |
| Severe Sepsis 3-Hour Bundle | 66 | 289 |
| Severe Sepsis 6-Hour Bundle | 75 | 125 |
| Discharged on Antithrombotic Therapy | 95 | 511 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 90 | 468 |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 92 | 3296 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Presbyterian Hospital rated?
- Presbyterian Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
- Does Presbyterian Hospital have emergency services?
- Yes. Presbyterian Hospital operates a 24/7 emergency department.
- Where is Presbyterian Hospital located?
- Presbyterian Hospital is located at 1100 Central Avenue Se, Albuquerque, NM 87106.
- What type of hospital is Presbyterian Hospital?
- Presbyterian Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.