JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Santa Monica - UCLA Med Ctr & Orthopaedic Hospital

5 / 5

At a glance

Santa Monica - UCLA Med Ctr & Orthopaedic Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure 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 Limit0.485Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.981Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7447Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases7.668Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases8Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.043Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.760Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.107Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3993Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.890Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.636Same as national
SSI - Colon Surgery: Lower Confidence Limit0.015Same as national
SSI - Colon Surgery: Upper Confidence Limit1.437Same as national
SSI - Colon Surgery: Number of Procedures123Same as national
SSI - Colon Surgery: Predicted Cases3.432Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.291Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures30Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.251Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.154Same as national
MRSA Bacteremia: Upper Confidence Limit1.649Same as national
MRSA Bacteremia: Patient Days92533Same as national
MRSA Bacteremia: Predicted Cases4.951Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.606Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.324Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.784Better than national
Clostridium Difficile (C.Diff): Patient Days87281Better than national
Clostridium Difficile (C.Diff): Predicted Cases38.716Better than national
Clostridium Difficile (C.Diff): Observed Cases20Better than national
Clostridium Difficile (C.Diff)0.517Better 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 patients3.8Same as national451
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.2Better than national1638
Death rate for heart attack patients11.4Same as national67
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.9Same as national82
Death rate for heart failure patients7.7Better than national316
Death rate for pneumonia patients11.2Better than national438
Death rate for stroke patients10.8Same as national89
Pressure ulcer rate0.09Better than national6805
Death rate among surgical inpatients with serious treatable complications145.96Same as national118
Iatrogenic pneumothorax rate0.19Same as national7694
In-hospital fall-associated fracture rate0.26Same as national8081
Postoperative hemorrhage or hematoma rate1.63Same as national1832
Postoperative acute kidney injury requiring dialysis rate1.82Same as national915
Postoperative respiratory failure rate11.05Same as national886
Perioperative pulmonary embolism or deep vein thrombosis rate4.95Same as national1949
Postoperative sepsis rate8.16Same as national893
Postoperative wound dehiscence rate1.62Same as national396
Abdominopelvic accidental puncture or laceration rate0.87Same as national1532
CMS Medicare PSI 90: Patient safety and adverse events composite1.03Same 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 patients26.8Not available64
Hospital return days for heart failure patients1.6Not available399
Hospital return days for pneumonia patients41.3Not available496
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national2963
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national1955
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.5Same as national81
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national81
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Better than national1274
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national64
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national105
Heart failure (HF) 30-Day Readmission Rate19.6Same as national399
Rate of readmission after hip/knee replacement4.9Same as national438
Pneumonia (PN) 30-Day Readmission Rate18.5Worse than national496

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 rating3663
Doctor communication - star rating3663
Communication about medicines - star rating2663
Discharge information - star rating3663
Cleanliness - star rating4663
Quietness - star rating2663
Overall hospital rating - star rating3663
Recommend hospital - star rating4663
Summary star rating3663

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 volumehigh
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 vaccination402451
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 better224396
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 better222376
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29815
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 seen148991
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9999
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing223324
Appropriate care for severe sepsis and septic shock7591
Septic Shock 3-Hour Bundle7633
Septic Shock 6-Hour Bundle9315
Severe Sepsis 3-Hour Bundle8791
Severe Sepsis 6-Hour Bundle10044
Discharged on Antithrombotic Therapy9982
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29770
Venous Thromboembolism Prophylaxis1007934
Intensive Care Unit Venous Thromboembolism Prophylaxis1001100

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 Monica - UCLA Med Ctr & Orthopaedic Hospital rated?
Santa Monica - UCLA Med Ctr & Orthopaedic Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Santa Monica - UCLA Med Ctr & Orthopaedic Hospital have emergency services?
Yes. Santa Monica - UCLA Med Ctr & Orthopaedic Hospital operates a 24/7 emergency department.
Where is Santa Monica - UCLA Med Ctr & Orthopaedic Hospital located?
Santa Monica - UCLA Med Ctr & Orthopaedic Hospital is located at 1250 16th Street, Santa Monica, CA 90404.
What type of hospital is Santa Monica - UCLA Med Ctr & Orthopaedic Hospital?
Santa Monica - UCLA Med Ctr & Orthopaedic Hospital 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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