JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Sharp Memorial Hospital

4 / 5

At a glance

Sharp Memorial Hospital carries a 4-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.

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 Limit0.404Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.054Same as national
Central Line Associated Bloodstream Infection: Number of Device Days23181Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases25.304Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases17Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.672Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.345Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.035Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days15354Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases20.932Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases13Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.621Same as national
SSI - Colon Surgery: Lower Confidence Limit0.393Same as national
SSI - Colon Surgery: Upper Confidence Limit1.379Same as national
SSI - Colon Surgery: Number of Procedures497Same as national
SSI - Colon Surgery: Predicted Cases12.927Same as national
SSI - Colon Surgery: Observed Cases10Same as national
SSI - Colon Surgery0.774Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.048Same as national
SSI - Abdominal Hysterectomy: Number of Procedures360Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.859Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.506Same as national
MRSA Bacteremia: Upper Confidence Limit1.905Same as national
MRSA Bacteremia: Patient Days177094Same as national
MRSA Bacteremia: Predicted Cases8.672Same as national
MRSA Bacteremia: Observed Cases9Same as national
MRSA Bacteremia1.038Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.413Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.747Better than national
Clostridium Difficile (C.Diff): Patient Days155935Better than national
Clostridium Difficile (C.Diff): Predicted Cases78.329Better than national
Clostridium Difficile (C.Diff): Observed Cases44Better than national
Clostridium Difficile (C.Diff)0.562Better 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 national70
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Better than national2220
Death rate for heart attack patients11.8Same as national170
Death rate for CABG surgery patients2.1Same as national27
Death rate for COPD patients8.3Same as national133
Death rate for heart failure patients8.7Better than national409
Death rate for pneumonia patients15.6Same as national439
Death rate for stroke patients11.6Same as national244
Pressure ulcer rate1.41Worse than national7340
Death rate among surgical inpatients with serious treatable complications168.64Same as national111
Iatrogenic pneumothorax rate0.30Same as national9499
In-hospital fall-associated fracture rate0.29Same as national9575
Postoperative hemorrhage or hematoma rate2.00Same as national2373
Postoperative acute kidney injury requiring dialysis rate1.15Same as national923
Postoperative respiratory failure rate10.93Same as national974
Perioperative pulmonary embolism or deep vein thrombosis rate2.81Same as national2561
Postoperative sepsis rate4.33Same as national963
Postoperative wound dehiscence rate1.55Same as national619
Abdominopelvic accidental puncture or laceration rate1.20Same as national1904
CMS Medicare PSI 90: Patient safety and adverse events composite1.19Same 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 patients28Not available173
Hospital return days for heart failure patients3.4Not available492
Hospital return days for pneumonia patients0.5Not available462
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national3691
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national1001
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.3Same as national135
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.2Same as national135
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national636
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national173
Rate of readmission for CABG10.9Same as national27
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national148
Heart failure (HF) 30-Day Readmission Rate19.5Same as national492
Rate of readmission after hip/knee replacement5.7Same as national62
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national462

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 rating44983
Doctor communication - star rating34983
Communication about medicines - star rating34983
Discharge information - star rating44983
Cleanliness - star rating34983
Quietness - star rating34983
Overall hospital rating - star rating44983
Recommend hospital - star rating54983
Summary star rating44983

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 vaccination688048
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 better204372
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 better197342
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25724
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 seen2103189
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10063
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing107560
Appropriate care for severe sepsis and septic shock63109
Septic Shock 3-Hour Bundle6133
Septic Shock 6-Hour Bundle8918
Severe Sepsis 3-Hour Bundle80111
Severe Sepsis 6-Hour Bundle9851
Discharged on Antithrombotic Therapy97351
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 290285
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis972490

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 Sharp Memorial Hospital rated?
Sharp Memorial Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Sharp Memorial Hospital have emergency services?
Yes. Sharp Memorial Hospital operates a 24/7 emergency department.
Where is Sharp Memorial Hospital located?
Sharp Memorial Hospital is located at 7901 Frost St, San Diego, CA 92123.
What type of hospital is Sharp Memorial Hospital?
Sharp Memorial 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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