JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Temecula Valley Hospital

4 / 5

At a glance

Temecula Valley 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 Limit0.015Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.467Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3581Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.362Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.297Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.074Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.458Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4398Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.531Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.441Same as national
SSI - Colon Surgery: Lower Confidence Limit0.018Same as national
SSI - Colon Surgery: Upper Confidence Limit1.745Same as national
SSI - Colon Surgery: Number of Procedures109Same as national
SSI - Colon Surgery: Predicted Cases2.826Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.354Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.022Same as national
MRSA Bacteremia: Upper Confidence Limit2.186Same as national
MRSA Bacteremia: Patient Days44788Same as national
MRSA Bacteremia: Predicted Cases2.256Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.443Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.270Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.946Better than national
Clostridium Difficile (C.Diff): Patient Days44788Better than national
Clostridium Difficile (C.Diff): Predicted Cases18.838Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.531Better 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 patients4.1Same as national48
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national992
Death rate for heart attack patients12.9Same as national163
Death rate for CABG surgery patients2.3Same as national59
Death rate for COPD patients8.1Same as national42
Death rate for heart failure patients9.9Same as national298
Death rate for pneumonia patients17.5Same as national270
Death rate for stroke patients13.3Same as national135
Pressure ulcer rate0.56Same as national3098
Death rate among surgical inpatients with serious treatable complications165.74Same as national58
Iatrogenic pneumothorax rate0.23Same as national3867
In-hospital fall-associated fracture rate0.24Same as national4044
Postoperative hemorrhage or hematoma rate2.21Same as national828
Postoperative acute kidney injury requiring dialysis rate1.58Same as national122
Postoperative respiratory failure rate7.75Same as national147
Perioperative pulmonary embolism or deep vein thrombosis rate4.37Same as national845
Postoperative sepsis rate4.74Same as national137
Postoperative wound dehiscence rate1.72Same as national133
Abdominopelvic accidental puncture or laceration rate1.24Same as national613
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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-1.5Not available183
Hospital return days for heart failure patients-17.1Not available353
Hospital return days for pneumonia patients11.8Not available280
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1549
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national31
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 national176
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national183
Rate of readmission for CABG9.9Same as national58
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national45
Heart failure (HF) 30-Day Readmission Rate19.1Same as national353
Rate of readmission after hip/knee replacement5.3Same as national33
Pneumonia (PN) 30-Day Readmission Rate16.7Same as national280

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 rating3902
Doctor communication - star rating3902
Communication about medicines - star rating2902
Discharge information - star rating3902
Cleanliness - star rating3902
Quietness - star rating2902
Overall hospital rating - star rating3902
Recommend hospital - star rating4902
Summary star rating3902

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events04728
Healthcare workers given influenza vaccination611884
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 better210400
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 better207379
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32516
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 seen048447
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10014
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6828
Safe Use of Opioids - Concurrent Prescribing171844
Appropriate care for severe sepsis and septic shock67105
Septic Shock 3-Hour Bundle8937
Septic Shock 6-Hour Bundle8825
Severe Sepsis 3-Hour Bundle80105
Severe Sepsis 6-Hour Bundle9059
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis975275
Intensive Care Unit Venous Thromboembolism Prophylaxis991225

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Temecula Valley Hospital rated?
Temecula Valley Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Temecula Valley Hospital have emergency services?
Yes. Temecula Valley Hospital operates a 24/7 emergency department.
Where is Temecula Valley Hospital located?
Temecula Valley Hospital is located at 31700 Temecula Pkwy, Temecula, CA 92592.
What type of hospital is Temecula Valley Hospital?
Temecula Valley 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.

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