JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

San Dimas Community Hospital

2 / 5

At a glance

San Dimas Community Hospital carries a 2-star CMS overall rating — below the national norm. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.447Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2579Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.070Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.606Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2387Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.865Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures22Not available
SSI - Colon Surgery: Predicted Cases0.569Not available
SSI - Colon Surgery: Observed Cases0Not 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 Cases0.071Not 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 Days12580Not available
MRSA Bacteremia: Predicted Cases0.722Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.236Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.788Same as national
Clostridium Difficile (C.Diff): Patient Days12580Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.396Same as national
Clostridium Difficile (C.Diff): Observed Cases4Same as national
Clostridium Difficile (C.Diff)0.741Same 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 patients4.5Same as national35
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national315
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients10.2Same as national33
Death rate for pneumonia patients15.4Same as national183
Death rate for stroke patientsNot available
Pressure ulcer rate0.27Same as national1132
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1478
In-hospital fall-associated fracture rate0.25Same as national1480
Postoperative hemorrhage or hematoma rate2.29Same as national123
Postoperative acute kidney injury requiring dialysis rate1.67Same as national40
Postoperative respiratory failure rate9.15Same as national41
Perioperative pulmonary embolism or deep vein thrombosis rate3.29Same as national115
Postoperative sepsis rate5.19Same as national41
Postoperative wound dehiscence rate1.75Same as national33
Abdominopelvic accidental puncture or laceration rate1.03Same as national183
CMS Medicare PSI 90: Patient safety and adverse events composite0.87Same 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 patients80.9Not available41
Hospital return days for pneumonia patients49.2Not available185
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national469
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national27
Heart failure (HF) 30-Day Readmission Rate20.3Same as national41
Rate of readmission after hip/knee replacement5.1Same as national35
Pneumonia (PN) 30-Day Readmission Rate19.6Worse than national185

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 rating2385
Doctor communication - star rating2385
Communication about medicines - star rating1385
Discharge information - star rating1385
Cleanliness - star rating3385
Quietness - star rating1385
Overall hospital rating - star rating2385
Recommend hospital - star rating2385
Summary star rating2385

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 volumelow
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 Hyperglycemia124150
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination44904
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 better159428
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 better155406
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better18815
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 seen217262
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10070
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing16329
Appropriate care for severe sepsis and septic shock7088
Septic Shock 3-Hour Bundle6020
Septic Shock 6-Hour Bundle10011
Severe Sepsis 3-Hour Bundle8488
Severe Sepsis 6-Hour Bundle9647
Discharged on Antithrombotic Therapy7832
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 28044
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is San Dimas Community Hospital rated?
San Dimas Community Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does San Dimas Community Hospital have emergency services?
Yes. San Dimas Community Hospital operates a 24/7 emergency department.
Where is San Dimas Community Hospital located?
San Dimas Community Hospital is located at 1350 W Covina Blvd, San Dimas, CA 91773.
What type of hospital is San Dimas Community Hospital?
San Dimas Community Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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