Acute Care Hospitals · Voluntary non-profit - Church
Providence Holy Cross Medical Center
- 15031 Rinaldi St, Mission Hills, CA 91346
- (818) 365-8051
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Providence Holy Cross Medical Center 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.
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 | 0.208 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 2.224 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 4028 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 3.672 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 3 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.817 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.268 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 2.037 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 5410 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 4.736 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 4 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.845 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.079 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.565 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 153 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 4.221 | Same as national |
| SSI - Colon Surgery: Observed Cases | 2 | Same as national |
| SSI - Colon Surgery | 0.474 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.114 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 2.241 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 377 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 2.949 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 2 | Same as national |
| SSI - Abdominal Hysterectomy | 0.678 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.015 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.514 | Same as national |
| MRSA Bacteremia: Patient Days | 90442 | Same as national |
| MRSA Bacteremia: Predicted Cases | 3.258 | Same as national |
| MRSA Bacteremia: Observed Cases | 1 | Same as national |
| MRSA Bacteremia | 0.307 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.169 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.529 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 82483 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 38.545 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 12 | Better than national |
| Clostridium Difficile (C.Diff) | 0.311 | 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 | 3.8 | Same as national | 42 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.5 | Same as national | 1060 |
| Death rate for heart attack patients | 12.1 | Same as national | 81 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 8.9 | Same as national | 55 |
| Death rate for heart failure patients | 8.6 | Better than national | 451 |
| Death rate for pneumonia patients | 14 | Same as national | 255 |
| Death rate for stroke patients | 11.6 | Same as national | 156 |
| Pressure ulcer rate | 0.29 | Same as national | 4791 |
| Death rate among surgical inpatients with serious treatable complications | 168.53 | Same as national | 78 |
| Iatrogenic pneumothorax rate | 0.21 | Same as national | 5542 |
| In-hospital fall-associated fracture rate | 0.25 | Same as national | 5701 |
| Postoperative hemorrhage or hematoma rate | 1.92 | Same as national | 1235 |
| Postoperative acute kidney injury requiring dialysis rate | 1.44 | Same as national | 343 |
| Postoperative respiratory failure rate | 11.25 | Same as national | 383 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.08 | Same as national | 1284 |
| Postoperative sepsis rate | 5.75 | Same as national | 353 |
| Postoperative wound dehiscence rate | 1.96 | Same as national | 313 |
| Abdominopelvic accidental puncture or laceration rate | 0.97 | Same as national | 1299 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.93 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | -21.6 | Not available | 79 |
| Hospital return days for heart failure patients | 13.6 | Not available | 567 |
| Hospital return days for pneumonia patients | 16.4 | Not available | 267 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.2 | Same as national | 1979 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.1 | Same as national | 218 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.4 | Same as national | 30 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.2 | Same as national | 30 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.3 | Same as national | 119 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.6 | Same as national | 79 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.8 | Same as national | 58 |
| Heart failure (HF) 30-Day Readmission Rate | 20.9 | Same as national | 567 |
| Rate of readmission after hip/knee replacement | 5.5 | Same as national | 44 |
| Pneumonia (PN) 30-Day Readmission Rate | 17.3 | Same as national | 267 |
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 | 414 |
| Doctor communication - star rating | 4 | 414 |
| Communication about medicines - star rating | 3 | 414 |
| Discharge information - star rating | 3 | 414 |
| Cleanliness - star rating | 4 | 414 |
| Quietness - star rating | 2 | 414 |
| Overall hospital rating - star rating | 4 | 414 |
| Recommend hospital - star rating | 4 | 414 |
| Summary star rating | 3 | 414 |
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 | 56 | 3410 |
| 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 | 151 | 381 |
| 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 | 149 | 371 |
| 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 seen | 1 | 108806 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 99 | 74 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 12 | 4726 |
| Appropriate care for severe sepsis and septic shock | 78 | 195 |
| Septic Shock 3-Hour Bundle | 90 | 61 |
| Septic Shock 6-Hour Bundle | 95 | 41 |
| Severe Sepsis 3-Hour Bundle | 87 | 195 |
| Severe Sepsis 6-Hour Bundle | 95 | 123 |
| Discharged on Antithrombotic Therapy | 99 | 285 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 94 | 8220 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 100 | 1478 |
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 Providence Holy Cross Medical Center rated?
- Providence Holy Cross Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Providence Holy Cross Medical Center have emergency services?
- Yes. Providence Holy Cross Medical Center operates a 24/7 emergency department.
- Where is Providence Holy Cross Medical Center located?
- Providence Holy Cross Medical Center is located at 15031 Rinaldi St, Mission Hills, CA 91346.
- What type of hospital is Providence Holy Cross Medical Center?
- Providence Holy Cross Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).
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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.