JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

the Medical Center of Aurora & South Hospital

4 / 5

At a glance

the Medical Center of Aurora & South 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 12 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure 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 Limit0.409Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.849Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6906Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases7.490Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.935Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.007Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.685Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5766Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.201Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.139Better than national
SSI - Colon Surgery: Lower Confidence Limit0.119Same as national
SSI - Colon Surgery: Upper Confidence Limit2.353Same as national
SSI - Colon Surgery: Number of Procedures107Same as national
SSI - Colon Surgery: Predicted Cases2.808Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.712Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures14Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.121Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.067Same as national
MRSA Bacteremia: Upper Confidence Limit1.317Same as national
MRSA Bacteremia: Patient Days79359Same as national
MRSA Bacteremia: Predicted Cases5.016Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.399Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.074Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.335Better than national
Clostridium Difficile (C.Diff): Patient Days77421Better than national
Clostridium Difficile (C.Diff): Predicted Cases41.343Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.169Better 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 patients3.4Same as national69
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1191
Death rate for heart attack patients10.4Same as national118
Death rate for CABG surgery patients2.3Same as national60
Death rate for COPD patients9.3Same as national52
Death rate for heart failure patients9.4Same as national257
Death rate for pneumonia patients14.2Same as national271
Death rate for stroke patients12Same as national116
Pressure ulcer rate0.17Same as national4000
Death rate among surgical inpatients with serious treatable complications139.77Same as national106
Iatrogenic pneumothorax rate0.16Same as national5106
In-hospital fall-associated fracture rate0.22Same as national5281
Postoperative hemorrhage or hematoma rate1.70Same as national1343
Postoperative acute kidney injury requiring dialysis rate1.43Same as national563
Postoperative respiratory failure rate31.41Worse than national539
Perioperative pulmonary embolism or deep vein thrombosis rate2.35Same as national1438
Postoperative sepsis rate5.36Same as national588
Postoperative wound dehiscence rate1.61Same as national299
Abdominopelvic accidental puncture or laceration rate0.87Same as national916
CMS Medicare PSI 90: Patient safety and adverse events composite1.35Worse than 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-6.9Not available137
Hospital return days for heart failure patients-46.7Not available294
Hospital return days for pneumonia patients2.3Not available281
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.5Better than national1899
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national395
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 surgery1.4Worse than national305
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national137
Rate of readmission for CABG10.5Same as national59
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national52
Heart failure (HF) 30-Day Readmission Rate17.7Same as national294
Rate of readmission after hip/knee replacement4.7Same as national72
Pneumonia (PN) 30-Day Readmission Rate17.1Same as national281

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 rating2773
Doctor communication - star rating2773
Communication about medicines - star rating2773
Discharge information - star rating2773
Cleanliness - star rating2773
Quietness - star rating3773
Overall hospital rating - star rating2773
Recommend hospital - star rating2773
Summary star rating2773

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 Events
Healthcare workers given influenza vaccination736623
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 better142431
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 better140400
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24429
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 seen172768
Head CT results8312
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9776
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing134131
Appropriate care for severe sepsis and septic shock76159
Septic Shock 3-Hour Bundle5231
Septic Shock 6-Hour Bundle8715
Severe Sepsis 3-Hour Bundle91160
Severe Sepsis 6-Hour Bundle99124
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296184
Venous Thromboembolism Prophylaxis937397
Intensive Care Unit Venous Thromboembolism Prophylaxis951945

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 the Medical Center of Aurora & South Hospital rated?
the Medical Center of Aurora & South Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does the Medical Center of Aurora & South Hospital have emergency services?
Yes. the Medical Center of Aurora & South Hospital operates a 24/7 emergency department.
Where is the Medical Center of Aurora & South Hospital located?
the Medical Center of Aurora & South Hospital is located at 1501 S Potomac St, Aurora, CO 80012.
What type of hospital is the Medical Center of Aurora & South Hospital?
the Medical Center of Aurora & South 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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