JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Sutter Tracy Community Hospital

4 / 5

At a glance

Sutter Tracy Community 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1594Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.971Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.048Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.738Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2049Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.041Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.961Same as national
SSI - Colon Surgery: Lower Confidence Limit0.040Same as national
SSI - Colon Surgery: Upper Confidence Limit3.920Same as national
SSI - Colon Surgery: Number of Procedures47Same as national
SSI - Colon Surgery: Predicted Cases1.258Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.795Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures22Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.193Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days15005Not available
MRSA Bacteremia: Predicted Cases0.544Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.478Better than national
Clostridium Difficile (C.Diff): Patient Days14435Better than national
Clostridium Difficile (C.Diff): Predicted Cases6.270Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patients3.9Same as national30
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national453
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.1Same as national37
Death rate for heart failure patients11.5Same as national131
Death rate for pneumonia patients14.2Same as national125
Death rate for stroke patients13.9Same as national42
Pressure ulcer rate0.34Same as national1481
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national1800
In-hospital fall-associated fracture rate0.25Same as national1820
Postoperative hemorrhage or hematoma rate2.19Same as national274
Postoperative acute kidney injury requiring dialysis rate1.51Same as national138
Postoperative respiratory failure rate7.77Same as national145
Perioperative pulmonary embolism or deep vein thrombosis rate3.09Same as national291
Postoperative sepsis rate4.93Same as national133
Postoperative wound dehiscence rate1.72Same as national96
Abdominopelvic accidental puncture or laceration rate1.28Same as national363
CMS Medicare PSI 90: Patient safety and adverse events composite0.84Same 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 patientsNot available
Hospital return days for heart failure patients-60.5Not available138
Hospital return days for pneumonia patients-31.7Not available121
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.9Same as national713
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national504
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 surgery1.1Same as national104
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national36
Heart failure (HF) 30-Day Readmission Rate16.9Same as national138
Rate of readmission after hip/knee replacement5Same as national28
Pneumonia (PN) 30-Day Readmission Rate14.7Same as national121

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 rating2425
Doctor communication - star rating3425
Communication about medicines - star rating2425
Discharge information - star rating3425
Cleanliness - star rating4425
Quietness - star rating2425
Overall hospital rating - star rating3425
Recommend hospital - star rating3425
Summary star rating3425

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 Hypoglycemia11187
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination71956
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 better166398
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 better162374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better70911
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better44413
Left before being seen142968
Head CT results9021
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100192
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing15921
Appropriate care for severe sepsis and septic shock62133
Septic Shock 3-Hour Bundle6751
Septic Shock 6-Hour Bundle7928
Severe Sepsis 3-Hour Bundle82133
Severe Sepsis 6-Hour Bundle9685
Discharged on Antithrombotic Therapy9980
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis100714

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 Tracy Community Hospital rated?
Sutter Tracy Community Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Sutter Tracy Community Hospital have emergency services?
Yes. Sutter Tracy Community Hospital operates a 24/7 emergency department.
Where is Sutter Tracy Community Hospital located?
Sutter Tracy Community Hospital is located at 1420 North Tracy Blvd, Tracy, CA 95376.
What type of hospital is Sutter Tracy Community Hospital?
Sutter Tracy Community Hospital 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