JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Spring Valley Hospital Medical Center

3 / 5

At a glance

Spring Valley Hospital Medical Center carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 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 Limit0.083Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.629Better than national
Central Line Associated Bloodstream Infection: Number of Device Days14325Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases15.328Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.261Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.050Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.533Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12273Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases15.332Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.196Better than national
SSI - Colon Surgery: Lower Confidence Limit0.012Same as national
SSI - Colon Surgery: Upper Confidence Limit1.166Same as national
SSI - Colon Surgery: Number of Procedures159Same as national
SSI - Colon Surgery: Predicted Cases4.228Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.237Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures37Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.286Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.112Same as national
MRSA Bacteremia: Upper Confidence Limit1.199Same as national
MRSA Bacteremia: Patient Days101509Same as national
MRSA Bacteremia: Predicted Cases6.808Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.441Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.001Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.077Better than national
Clostridium Difficile (C.Diff): Patient Days96701Better than national
Clostridium Difficile (C.Diff): Predicted Cases64.075Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.016Better 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 patients3.5Same as national156
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national1210
Death rate for heart attack patients13Same as national96
Death rate for CABG surgery patients1.9Same as national48
Death rate for COPD patients7.3Same as national71
Death rate for heart failure patients12.5Same as national211
Death rate for pneumonia patients17Same as national296
Death rate for stroke patients18.1Worse than national150
Pressure ulcer rate0.57Same as national4000
Death rate among surgical inpatients with serious treatable complications151.86Same as national96
Iatrogenic pneumothorax rate0.16Same as national5371
In-hospital fall-associated fracture rate0.26Same as national5582
Postoperative hemorrhage or hematoma rate1.74Same as national1204
Postoperative acute kidney injury requiring dialysis rate1.52Same as national368
Postoperative respiratory failure rate10.78Same as national386
Perioperative pulmonary embolism or deep vein thrombosis rate3.61Same as national1295
Postoperative sepsis rate6.29Same as national367
Postoperative wound dehiscence rate1.65Same as national282
Abdominopelvic accidental puncture or laceration rate0.86Same as national946
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 patients-1.2Not available111
Hospital return days for heart failure patients9Not available257
Hospital return days for pneumonia patients14.8Not available341
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national1910
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national117
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 surgery0.9Same as national382
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national111
Rate of readmission for CABG9.8Same as national48
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national83
Heart failure (HF) 30-Day Readmission Rate21.2Same as national257
Rate of readmission after hip/knee replacement4.5Same as national140
Pneumonia (PN) 30-Day Readmission Rate17.6Same as national341

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 rating3593
Doctor communication - star rating2593
Communication about medicines - star rating2593
Discharge information - star rating2593
Cleanliness - star rating3593
Quietness - star rating2593
Overall hospital rating - star rating3593
Recommend hospital - star rating3593
Summary star rating2593

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 Events011158
Healthcare workers given influenza vaccination764569
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 better186398
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 better181345
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better21051
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 seen066680
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7924
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5032
Safe Use of Opioids - Concurrent Prescribing124158
Appropriate care for severe sepsis and septic shock48120
Septic Shock 3-Hour Bundle6739
Septic Shock 6-Hour Bundle6520
Severe Sepsis 3-Hour Bundle71120
Severe Sepsis 6-Hour Bundle8973
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis969094
Intensive Care Unit Venous Thromboembolism Prophylaxis981849

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 Spring Valley Hospital Medical Center rated?
Spring Valley Hospital Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Spring Valley Hospital Medical Center have emergency services?
Yes. Spring Valley Hospital Medical Center operates a 24/7 emergency department.
Where is Spring Valley Hospital Medical Center located?
Spring Valley Hospital Medical Center is located at 5400 South Rainbow Blvd, Las Vegas, NV 89118.
What type of hospital is Spring Valley Hospital Medical Center?
Spring Valley Hospital 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.

Report an issue with this page