JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Sutter Delta Medical Center

3 / 5

At a glance

Sutter Delta 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 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.344Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1805Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.278Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.824Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2309Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.642Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit0.042Same as national
SSI - Colon Surgery: Upper Confidence Limit4.187Same as national
SSI - Colon Surgery: Number of Procedures46Same as national
SSI - Colon Surgery: Predicted Cases1.178Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.849Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures8Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.081Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.764Same as national
MRSA Bacteremia: Patient Days28648Same as national
MRSA Bacteremia: Predicted Cases1.084Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.018Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.357Better than national
Clostridium Difficile (C.Diff): Patient Days27849Better than national
Clostridium Difficile (C.Diff): Predicted Cases18.495Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.108Better 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 Rate4Same as national720
Death rate for heart attack patients12.7Same as national105
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8Same as national105
Death rate for heart failure patients10.1Same as national289
Death rate for pneumonia patients15.2Same as national198
Death rate for stroke patients16.4Same as national47
Pressure ulcer rate0.24Same as national2713
Death rate among surgical inpatients with serious treatable complications176.46Same as national31
Iatrogenic pneumothorax rate0.24Same as national3285
In-hospital fall-associated fracture rate0.24Same as national3374
Postoperative hemorrhage or hematoma rate2.16Same as national323
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rate8.63Same as national26
Perioperative pulmonary embolism or deep vein thrombosis rate3.47Same as national364
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.71Same as national81
Abdominopelvic accidental puncture or laceration rate0.98Same as national561
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patients26.3Not available89
Hospital return days for heart failure patients5.1Not available351
Hospital return days for pneumonia patients22Not available198
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Same as national1151
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national529
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 national45
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national89
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national129
Heart failure (HF) 30-Day Readmission Rate19.9Same as national351
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national198

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 rating2567
Doctor communication - star rating2567
Communication about medicines - star rating2567
Discharge information - star rating2567
Cleanliness - star rating3567
Quietness - star rating1567
Overall hospital rating - star rating2567
Recommend hospital - star rating2567
Summary star rating2567

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 Hypoglycemia22126
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination741238
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 better178395
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 better170368
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26216
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better53513
Left before being seen258129
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97115
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)7135
Safe Use of Opioids - Concurrent Prescribing141748
Appropriate care for severe sepsis and septic shock73177
Septic Shock 3-Hour Bundle7645
Septic Shock 6-Hour Bundle8826
Severe Sepsis 3-Hour Bundle84178
Severe Sepsis 6-Hour Bundle97121
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis983352
Intensive Care Unit Venous Thromboembolism Prophylaxis99807

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 Sutter Delta Medical Center rated?
Sutter Delta Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Sutter Delta Medical Center have emergency services?
Yes. Sutter Delta Medical Center operates a 24/7 emergency department.
Where is Sutter Delta Medical Center located?
Sutter Delta Medical Center is located at 3901 Lone Tree Way, Antioch, CA 94509.
What type of hospital is Sutter Delta Medical Center?
Sutter Delta Medical Center 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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