JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Three Crosses Regional Hospital Llc

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At a glance

Three Crosses Regional Hospital Llc carries a 3-star CMS overall rating — in line with the national norm.

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 Days1140Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.834Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.960Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1707Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.012Same 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 LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures17Not available
SSI - Colon Surgery: Predicted Cases0.222Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures26Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.183Not 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 Days9801Not available
MRSA Bacteremia: Predicted Cases0.391Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.070Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.379Same as national
Clostridium Difficile (C.Diff): Patient Days9801Same as national
Clostridium Difficile (C.Diff): Predicted Cases4.791Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.417Same as 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 patients3.6Same as national52
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5Same as national443
Death rate for heart attack patients13.2Same as national55
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients11.5Same as national81
Death rate for pneumonia patients17.2Same as national84
Death rate for stroke patientsNot available
Pressure ulcer rate0.43Same as national822
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national1422
In-hospital fall-associated fracture rate0.43Same as national1413
Postoperative hemorrhage or hematoma rate3.02Same as national469
Postoperative acute kidney injury requiring dialysis rate1.59Same as national297
Postoperative respiratory failure rate8.74Same as national298
Perioperative pulmonary embolism or deep vein thrombosis rate3.85Same as national479
Postoperative sepsis rate4.58Same as national288
Postoperative wound dehiscence rate1.75Same as national102
Abdominopelvic accidental puncture or laceration rate1.03Same as national220
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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-23.8Not available57
Hospital return days for heart failure patients11.9Not available95
Hospital return days for pneumonia patients60.1Not available86
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national645
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 surgery1.2Same as national225
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national57
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate20.9Same as national95
Rate of readmission after hip/knee replacement3.9Same as national61
Pneumonia (PN) 30-Day Readmission Rate17.1Same as national86

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 rating4500
Doctor communication - star rating3500
Communication about medicines - star rating3500
Discharge information - star rating3500
Cleanliness - star rating5500
Quietness - star rating4500
Overall hospital rating - star rating4500
Recommend hospital - star rating5500
Summary star rating4500

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 volumelow
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 Hyperglycemia102391
Hospital Harm - Severe Hypoglycemia2659
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination69735
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 better151427
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 better142391
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14111
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better33625
Left before being seen317684
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4831
Safe Use of Opioids - Concurrent Prescribing13688
Appropriate care for severe sepsis and septic shock38163
Septic Shock 3-Hour Bundle6718
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle63163
Severe Sepsis 6-Hour Bundle5978
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis78362

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 Three Crosses Regional Hospital Llc rated?
Three Crosses Regional Hospital Llc has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Three Crosses Regional Hospital Llc have emergency services?
Yes. Three Crosses Regional Hospital Llc operates a 24/7 emergency department.
Where is Three Crosses Regional Hospital Llc located?
Three Crosses Regional Hospital Llc is located at 2560 Samaritan Drive, Las Cruces, NM 88001.
What type of hospital is Three Crosses Regional Hospital Llc?
Three Crosses Regional Hospital Llc 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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