JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

San Antonio Regional Hospital

3 / 5

At a glance

San Antonio Regional Hospital 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 18 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 Limit0.082Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.880Better than national
Central Line Associated Bloodstream Infection: Number of Device Days10984Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.277Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.323Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.733Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.301Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10265Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.866Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases12Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.353Same as national
SSI - Colon Surgery: Lower Confidence Limit0.050Better than national
SSI - Colon Surgery: Upper Confidence Limit0.994Better than national
SSI - Colon Surgery: Number of Procedures245Better than national
SSI - Colon Surgery: Predicted Cases6.648Better than national
SSI - Colon Surgery: Observed Cases2Better than national
SSI - Colon Surgery0.301Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.504Same as national
SSI - Abdominal Hysterectomy: Number of Procedures244Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.992Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.305Same as national
MRSA Bacteremia: Upper Confidence Limit2.316Same as national
MRSA Bacteremia: Patient Days80383Same as national
MRSA Bacteremia: Predicted Cases4.166Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.960Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.134Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.421Better than national
Clostridium Difficile (C.Diff): Patient Days74930Better than national
Clostridium Difficile (C.Diff): Predicted Cases48.428Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.248Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national1326
Death rate for heart attack patients10.8Same as national180
Death rate for CABG surgery patients2.4Same as national46
Death rate for COPD patients8.9Same as national66
Death rate for heart failure patients9.5Same as national281
Death rate for pneumonia patients16.4Same as national434
Death rate for stroke patients14.1Same as national207
Pressure ulcer rate0.35Same as national4715
Death rate among surgical inpatients with serious treatable complications167.04Same as national62
Iatrogenic pneumothorax rate0.16Same as national5607
In-hospital fall-associated fracture rate0.23Same as national5828
Postoperative hemorrhage or hematoma rate2.77Same as national1084
Postoperative acute kidney injury requiring dialysis rate1.31Same as national315
Postoperative respiratory failure rate15.26Same as national347
Perioperative pulmonary embolism or deep vein thrombosis rate5.55Same as national1096
Postoperative sepsis rate4.60Same as national309
Postoperative wound dehiscence rate1.60Same as national331
Abdominopelvic accidental puncture or laceration rate1.42Same as national1107
CMS Medicare PSI 90: Patient safety and adverse events composite1.12Same 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 patients-7.2Not available183
Hospital return days for heart failure patients12.1Not available335
Hospital return days for pneumonia patients19.4Not available461
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national2127
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12Same as national285
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national234
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12Same as national183
Rate of readmission for CABG9.7Same as national45
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national70
Heart failure (HF) 30-Day Readmission Rate20Same as national335
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national461

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 rating21834
Doctor communication - star rating21834
Communication about medicines - star rating21834
Discharge information - star rating31834
Cleanliness - star rating31834
Quietness - star rating21834
Overall hospital rating - star rating31834
Recommend hospital - star rating31834
Summary star rating21834

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 vaccination743770
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 better255391
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 better256376
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25012
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 seen279777
Head CT results9653
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10090
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4050
Safe Use of Opioids - Concurrent Prescribing164446
Appropriate care for severe sepsis and septic shock71202
Septic Shock 3-Hour Bundle9061
Septic Shock 6-Hour Bundle8622
Severe Sepsis 3-Hour Bundle81203
Severe Sepsis 6-Hour Bundle91116
Discharged on Antithrombotic Therapy84334
Anticoagulation Therapy for Atrial Fibrillation/Flutter7668
Antithrombotic Therapy by End of Hospital Day 269306
Venous Thromboembolism Prophylaxis
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 San Antonio Regional Hospital rated?
San Antonio Regional Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does San Antonio Regional Hospital have emergency services?
Yes. San Antonio Regional Hospital operates a 24/7 emergency department.
Where is San Antonio Regional Hospital located?
San Antonio Regional Hospital is located at 999 San Bernardino Road, Upland, CA 91786.
What type of hospital is San Antonio Regional Hospital?
San Antonio Regional Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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.

Report an issue with this page