JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

San Gabriel Valley Medical Center

4 / 5

At a glance

San Gabriel Valley 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 12 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 Limit0.472Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit5.052Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2006Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.616Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.856Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.944Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3638Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.173Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures31Not available
SSI - Colon Surgery: Predicted Cases0.790Not 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 Procedures43Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.352Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.032Same as national
MRSA Bacteremia: Upper Confidence Limit3.174Same as national
MRSA Bacteremia: Patient Days25755Same as national
MRSA Bacteremia: Predicted Cases1.554Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.644Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.003Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.343Better than national
Clostridium Difficile (C.Diff): Patient Days25755Better than national
Clostridium Difficile (C.Diff): Predicted Cases14.377Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.070Better 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 patients3.1Same as national76
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national656
Death rate for heart attack patients12.7Same as national33
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.9Same as national33
Death rate for heart failure patients8.5Same as national140
Death rate for pneumonia patients12.7Better than national481
Death rate for stroke patients10.5Same as national70
Pressure ulcer rate0.65Same as national3045
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national3113
In-hospital fall-associated fracture rate0.23Same as national3268
Postoperative hemorrhage or hematoma rate2.22Same as national360
Postoperative acute kidney injury requiring dialysis rate1.67Same as national93
Postoperative respiratory failure rate9.05Same as national93
Perioperative pulmonary embolism or deep vein thrombosis rate2.92Same as national363
Postoperative sepsis rate5.18Same as national94
Postoperative wound dehiscence rate1.73Same as national79
Abdominopelvic accidental puncture or laceration rate0.98Same as national544
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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 patients31.7Not available149
Hospital return days for pneumonia patients2Not available498
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national1055
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 surgery1Same as national33
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national33
Heart failure (HF) 30-Day Readmission Rate20.9Same as national149
Rate of readmission after hip/knee replacement4.2Same as national78
Pneumonia (PN) 30-Day Readmission Rate17.2Same as national498

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 rating2469
Doctor communication - star rating2469
Communication about medicines - star rating2469
Discharge information - star rating3469
Cleanliness - star rating3469
Quietness - star rating2469
Overall hospital rating - star rating2469
Recommend hospital - star rating3469
Summary star rating2469

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 vaccination601566
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 better137422
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 better134409
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better39411
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 seen332602
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141185
Appropriate care for severe sepsis and septic shock95107
Septic Shock 3-Hour Bundle10029
Septic Shock 6-Hour Bundle10028
Severe Sepsis 3-Hour Bundle98107
Severe Sepsis 6-Hour Bundle9685
Discharged on Antithrombotic Therapy8573
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 28956
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 Gabriel Valley Medical Center rated?
San Gabriel Valley Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does San Gabriel Valley Medical Center have emergency services?
Yes. San Gabriel Valley Medical Center operates a 24/7 emergency department.
Where is San Gabriel Valley Medical Center located?
San Gabriel Valley Medical Center is located at 438 W Las Tunas Drive, San Gabriel, CA 91776.
What type of hospital is San Gabriel Valley Medical Center?
San Gabriel Valley Medical Center 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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