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Acute Care Hospitals · Voluntary non-profit - Private

San Juan Regional Medical Center Inc

2 / 5

At a glance

San Juan Regional Medical Center Inc carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 6.

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 Limit1.021Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.619Worse than national
Central Line Associated Bloodstream Infection: Number of Device Days4365Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.998Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Worse than national
Central Line Associated Bloodstream Infection (ICU + select Wards)2.335Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.221Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.362Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4928Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.457Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.868Same as national
SSI - Colon Surgery: Lower Confidence Limit0.777Same as national
SSI - Colon Surgery: Upper Confidence Limit4.700Same as national
SSI - Colon Surgery: Number of Procedures83Same as national
SSI - Colon Surgery: Predicted Cases2.358Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery2.120Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures3Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.035Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.233Same as national
MRSA Bacteremia: Upper Confidence Limit4.592Same as national
MRSA Bacteremia: Patient Days37778Same as national
MRSA Bacteremia: Predicted Cases1.439Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.390Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.082Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.494Better than national
Clostridium Difficile (C.Diff): Patient Days36378Better than national
Clostridium Difficile (C.Diff): Predicted Cases22.457Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.223Better 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 Rate4.1Same as national997
Death rate for heart attack patients12.3Same as national144
Death rate for CABG surgery patientsNot available
Death rate for COPD patients12.5Same as national132
Death rate for heart failure patients12.9Same as national255
Death rate for pneumonia patients16.6Same as national407
Death rate for stroke patients15.8Same as national122
Pressure ulcer rate0.20Same as national3453
Death rate among surgical inpatients with serious treatable complications174.06Same as national42
Iatrogenic pneumothorax rate0.23Same as national4425
In-hospital fall-associated fracture rate0.27Same as national4375
Postoperative hemorrhage or hematoma rate2.76Same as national906
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate2.79Same as national910
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate2.65Same as national184
Abdominopelvic accidental puncture or laceration rate0.89Same as national688
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same 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-4Not available139
Hospital return days for heart failure patients4.7Not available273
Hospital return days for pneumonia patients-15.9Not available417
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national1565
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national1085
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.5Same as national32
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.9Same as national32
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national363
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national139
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.7Same as national143
Heart failure (HF) 30-Day Readmission Rate18.6Same as national273
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.6Same as national417

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 rating2367
Doctor communication - star rating2367
Communication about medicines - star rating2367
Discharge information - star rating2367
Cleanliness - star rating3367
Quietness - star rating3367
Overall hospital rating - star rating2367
Recommend hospital - star rating2367
Summary star rating2367

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 vaccination802246
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 better196438
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 better190390
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24646
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 seen762100
Head CT results5826
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98337
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)3826
Safe Use of Opioids - Concurrent Prescribing91771
Appropriate care for severe sepsis and septic shock40781
Septic Shock 3-Hour Bundle52275
Septic Shock 6-Hour Bundle78106
Severe Sepsis 3-Hour Bundle68781
Severe Sepsis 6-Hour Bundle84409
Discharged on Antithrombotic Therapy99104
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29394
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis781037

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 Juan Regional Medical Center Inc rated?
San Juan Regional Medical Center Inc has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does San Juan Regional Medical Center Inc have emergency services?
Yes. San Juan Regional Medical Center Inc operates a 24/7 emergency department.
Where is San Juan Regional Medical Center Inc located?
San Juan Regional Medical Center Inc is located at 801 West Maple Street, Farmington, NM 87401.
What type of hospital is San Juan Regional Medical Center Inc?
San Juan Regional Medical Center Inc 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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