JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Summerlin Hospital Medical Center

3 / 5

At a glance

Summerlin 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 24 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures 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 Limit0.024Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.464Better than national
Central Line Associated Bloodstream Infection: Number of Device Days12313Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases14.241Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.140Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.109Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.825Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9498Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.690Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.342Better than national
SSI - Colon Surgery: Lower Confidence LimitBetter than national
SSI - Colon Surgery: Upper Confidence Limit0.667Better than national
SSI - Colon Surgery: Number of Procedures176Better than national
SSI - Colon Surgery: Predicted Cases4.494Better than national
SSI - Colon Surgery: Observed Cases0Better than national
SSI - Colon Surgery0.000Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitSame as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.648Same as national
SSI - Abdominal Hysterectomy: Number of Procedures225Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.818Same as national
SSI - Abdominal Hysterectomy: Observed Cases0Same as national
SSI - Abdominal Hysterectomy0.000Same as national
MRSA Bacteremia: Lower Confidence Limit0.064Same as national
MRSA Bacteremia: Upper Confidence Limit1.271Same as national
MRSA Bacteremia: Patient Days115922Same as national
MRSA Bacteremia: Predicted Cases5.200Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.385Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.100Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.300Better than national
Clostridium Difficile (C.Diff): Patient Days97575Better than national
Clostridium Difficile (C.Diff): Predicted Cases72.313Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.180Better 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 Rate4.3Same as national1445
Death rate for heart attack patients13.3Same as national136
Death rate for CABG surgery patients3Same as national76
Death rate for COPD patients7.3Same as national89
Death rate for heart failure patients10.3Same as national263
Death rate for pneumonia patients13Better than national427
Death rate for stroke patients11Same as national138
Pressure ulcer rate0.20Same as national4402
Death rate among surgical inpatients with serious treatable complications163.85Same as national71
Iatrogenic pneumothorax rate0.16Same as national5974
In-hospital fall-associated fracture rate0.23Same as national6342
Postoperative hemorrhage or hematoma rate1.79Same as national966
Postoperative acute kidney injury requiring dialysis rate2.34Same as national207
Postoperative respiratory failure rate9.35Same as national223
Perioperative pulmonary embolism or deep vein thrombosis rate4.64Same as national1019
Postoperative sepsis rate7.28Same as national221
Postoperative wound dehiscence rate2.26Same as national333
Abdominopelvic accidental puncture or laceration rate0.82Same as national1217
CMS Medicare PSI 90: Patient safety and adverse events composite0.99Same 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 patients14.3Not available147
Hospital return days for heart failure patients31.8Not available320
Hospital return days for pneumonia patients31.7Not available505
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16Same as national2299
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.8Same as national241
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.8Same as national28
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national28
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national397
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.6Same as national147
Rate of readmission for CABG10.5Same as national71
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national91
Heart failure (HF) 30-Day Readmission Rate20.6Same as national320
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate18.7Worse than national505

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 rating2532
Doctor communication - star rating2532
Communication about medicines - star rating2532
Discharge information - star rating2532
Cleanliness - star rating3532
Quietness - star rating3532
Overall hospital rating - star rating3532
Recommend hospital - star rating3532
Summary star rating2532

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 Events012199
Healthcare workers given influenza vaccination763604
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 better210399
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 better208386
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32212
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 seen060948
Head CT results5016
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10066
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing115117
Appropriate care for severe sepsis and septic shock58123
Septic Shock 3-Hour Bundle6327
Septic Shock 6-Hour Bundle10017
Severe Sepsis 3-Hour Bundle72123
Severe Sepsis 6-Hour Bundle9264
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis918617
Intensive Care Unit Venous Thromboembolism Prophylaxis971373

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 Summerlin Hospital Medical Center rated?
Summerlin Hospital Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Summerlin Hospital Medical Center have emergency services?
Yes. Summerlin Hospital Medical Center operates a 24/7 emergency department.
Where is Summerlin Hospital Medical Center located?
Summerlin Hospital Medical Center is located at 657 Town Center Drive, Las Vegas, NV 89144.
What type of hospital is Summerlin Hospital Medical Center?
Summerlin 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.

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