JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Santa Clara Valley Medical Center

2 / 5

At a glance

Santa Clara Valley Medical Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 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 Limit0.270Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.776Better than national
Central Line Associated Bloodstream Infection: Number of Device Days26596Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases29.561Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases14Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.474Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.612Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.288Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days22643Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases30.996Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases28Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.903Same as national
SSI - Colon Surgery: Lower Confidence Limit1.676Worse than national
SSI - Colon Surgery: Upper Confidence Limit4.249Worse than national
SSI - Colon Surgery: Number of Procedures228Worse than national
SSI - Colon Surgery: Predicted Cases6.566Worse than national
SSI - Colon Surgery: Observed Cases18Worse than national
SSI - Colon Surgery2.741Worse than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.660Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit7.057Same as national
SSI - Abdominal Hysterectomy: Number of Procedures130Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.157Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy2.593Same as national
MRSA Bacteremia: Lower Confidence Limit0.139Better than national
MRSA Bacteremia: Upper Confidence Limit0.839Better than national
MRSA Bacteremia: Patient Days218015Better than national
MRSA Bacteremia: Predicted Cases13.202Better than national
MRSA Bacteremia: Observed Cases5Better than national
MRSA Bacteremia0.379Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.136Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.294Better than national
Clostridium Difficile (C.Diff): Patient Days211539Better than national
Clostridium Difficile (C.Diff): Predicted Cases127.684Better than national
Clostridium Difficile (C.Diff): Observed Cases26Better than national
Clostridium Difficile (C.Diff)0.204Better 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 patients4.4Same as national61
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.2Better than national1846
Death rate for heart attack patients11.8Same as national151
Death rate for CABG surgery patients2.9Same as national39
Death rate for COPD patients7.7Same as national126
Death rate for heart failure patients8.3Better than national543
Death rate for pneumonia patients15.6Same as national566
Death rate for stroke patients11.7Same as national213
Pressure ulcer rate0.23Same as national7538
Death rate among surgical inpatients with serious treatable complications214.59Same as national108
Iatrogenic pneumothorax rate0.24Same as national9014
In-hospital fall-associated fracture rate0.34Same as national9216
Postoperative hemorrhage or hematoma rate2.11Same as national1446
Postoperative acute kidney injury requiring dialysis rate1.54Same as national288
Postoperative respiratory failure rate11.61Same as national294
Perioperative pulmonary embolism or deep vein thrombosis rate4.54Same as national1421
Postoperative sepsis rate7.29Same as national299
Postoperative wound dehiscence rate1.90Same as national333
Abdominopelvic accidental puncture or laceration rate1.25Same as national1535
CMS Medicare PSI 90: Patient safety and adverse events composite1.07Same 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 patients14Not available148
Hospital return days for heart failure patients10.2Not available683
Hospital return days for pneumonia patients6.7Not available611
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national3191
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national702
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.6Same as national226
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national226
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national195
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national148
Rate of readmission for CABG10.3Same as national37
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national151
Heart failure (HF) 30-Day Readmission Rate19.6Same as national683
Rate of readmission after hip/knee replacement4.9Same as national58
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national611

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 rating33890
Doctor communication - star rating33890
Communication about medicines - star rating33890
Discharge information - star rating33890
Cleanliness - star rating33890
Quietness - star rating23890
Overall hospital rating - star rating33890
Recommend hospital - star rating43890
Summary star rating33890

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 vaccination3711444
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 better1551212
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 better1521158
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24448
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 seen0204664
Head CT results7658
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8335
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5250
Safe Use of Opioids - Concurrent Prescribing96905
Appropriate care for severe sepsis and septic shock72353
Septic Shock 3-Hour Bundle77127
Septic Shock 6-Hour Bundle9187
Severe Sepsis 3-Hour Bundle84353
Severe Sepsis 6-Hour Bundle98212
Discharged on Antithrombotic Therapy97380
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 292358
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis983411

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 Santa Clara Valley Medical Center rated?
Santa Clara Valley Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Santa Clara Valley Medical Center have emergency services?
Yes. Santa Clara Valley Medical Center operates a 24/7 emergency department.
Where is Santa Clara Valley Medical Center located?
Santa Clara Valley Medical Center is located at 751 South Bascom Avenue, San Jose, CA 95128.
What type of hospital is Santa Clara Valley Medical Center?
Santa Clara Valley Medical Center is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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