JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Providence Willamette Falls Medical Center

4 / 5

At a glance

Providence Willamette Falls Medical Center carries a 4-star CMS overall rating — above 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 Days962Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.757Not 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 Limit0.200Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.933Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2186Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.680Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.190Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures26Not available
SSI - Colon Surgery: Predicted Cases0.706Not 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 Procedures8Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.069Not 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 Days20270Not available
MRSA Bacteremia: Predicted Cases0.771Not available
MRSA Bacteremia: Observed Cases2Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.119Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.273Same as national
Clostridium Difficile (C.Diff): Patient Days20270Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.416Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.468Same 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 patients3.9Same as national30
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national400
Death rate for heart attack patients12.2Same as national39
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients8.2Same as national120
Death rate for pneumonia patients17.3Same as national116
Death rate for stroke patients12.2Same as national51
Pressure ulcer rate0.40Same as national1164
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1515
In-hospital fall-associated fracture rate0.26Same as national1466
Postoperative hemorrhage or hematoma rate2.60Same as national202
Postoperative acute kidney injury requiring dialysis rate1.66Same as national89
Postoperative respiratory failure rate8.12Same as national95
Perioperative pulmonary embolism or deep vein thrombosis rate3.58Same as national216
Postoperative sepsis rate6.03Same as national79
Postoperative wound dehiscence rate1.73Same as national40
Abdominopelvic accidental puncture or laceration rate1.02Same as national198
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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-29.6Not available136
Hospital return days for pneumonia patients-10.4Not available110
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national543
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national157
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.6Same as national62
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national62
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national192
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate18.3Same as national136
Rate of readmission after hip/knee replacement5.5Same as national26
Pneumonia (PN) 30-Day Readmission Rate16Same as national110

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 rating4528
Doctor communication - star rating4528
Communication about medicines - star rating3528
Discharge information - star rating4528
Cleanliness - star rating3528
Quietness - star rating3528
Overall hospital rating - star rating3528
Recommend hospital - star rating4528
Summary star rating4528

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 Events
Healthcare workers given influenza vaccination531443
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 better248415
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 better245379
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better45830
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 seen731247
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9734
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing121425
Appropriate care for severe sepsis and septic shock56133
Septic Shock 3-Hour Bundle6146
Septic Shock 6-Hour Bundle7520
Severe Sepsis 3-Hour Bundle78133
Severe Sepsis 6-Hour Bundle9071
Discharged on Antithrombotic Therapy9796
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29770
Venous Thromboembolism Prophylaxis842529
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 MeasureYes

Frequently asked questions

How is Providence Willamette Falls Medical Center rated?
Providence Willamette Falls Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Providence Willamette Falls Medical Center have emergency services?
Yes. Providence Willamette Falls Medical Center operates a 24/7 emergency department.
Where is Providence Willamette Falls Medical Center located?
Providence Willamette Falls Medical Center is located at 1500 Division Street, Oregon City, OR 97045.
What type of hospital is Providence Willamette Falls Medical Center?
Providence Willamette Falls 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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