JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

University Medical Center

2 / 5

At a glance

University Medical Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 Limit0.472Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.167Same as national
Central Line Associated Bloodstream Infection: Number of Device Days19685Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases24.951Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases19Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.761Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.140Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.632Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days12613Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases21.899Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.320Better than national
SSI - Colon Surgery: Lower Confidence Limit0.208Same as national
SSI - Colon Surgery: Upper Confidence Limit1.576Same as national
SSI - Colon Surgery: Number of Procedures208Same as national
SSI - Colon Surgery: Predicted Cases6.124Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery0.653Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures110Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.994Not available
SSI - Abdominal Hysterectomy: Observed Cases5Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.221Same as national
MRSA Bacteremia: Upper Confidence Limit1.135Same as national
MRSA Bacteremia: Patient Days145545Same as national
MRSA Bacteremia: Predicted Cases10.996Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia0.546Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.419Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.792Better than national
Clostridium Difficile (C.Diff): Patient Days136784Better than national
Clostridium Difficile (C.Diff): Predicted Cases65.140Better than national
Clostridium Difficile (C.Diff): Observed Cases38Better than national
Clostridium Difficile (C.Diff)0.583Better 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 patients3.5Same as national32
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national932
Death rate for heart attack patients12.4Same as national33
Death rate for CABG surgery patients2.3Same as national62
Death rate for COPD patients7.6Same as national70
Death rate for heart failure patients9.2Same as national143
Death rate for pneumonia patients17.3Same as national170
Death rate for stroke patients12.2Same as national100
Pressure ulcer rate0.14Same as national4788
Death rate among surgical inpatients with serious treatable complications177.93Same as national95
Iatrogenic pneumothorax rate0.28Same as national5124
In-hospital fall-associated fracture rate0.27Same as national4953
Postoperative hemorrhage or hematoma rate2.14Same as national1328
Postoperative acute kidney injury requiring dialysis rate1.81Same as national349
Postoperative respiratory failure rate11.16Same as national388
Perioperative pulmonary embolism or deep vein thrombosis rate4.23Same as national1427
Postoperative sepsis rate8.24Same as national398
Postoperative wound dehiscence rate1.60Same as national297
Abdominopelvic accidental puncture or laceration rate0.86Same as national951
CMS Medicare PSI 90: Patient safety and adverse events composite1.04Same 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 patients82Not available169
Hospital return days for pneumonia patients14.2Not available171
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national1600
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national98
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 national140
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national37
Rate of readmission for CABG11.6Same as national61
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.1Same as national89
Heart failure (HF) 30-Day Readmission Rate21.8Same as national169
Rate of readmission after hip/knee replacement4.4Same as national28
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national171

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 rating21605
Doctor communication - star rating21605
Communication about medicines - star rating11605
Discharge information - star rating21605
Cleanliness - star rating21605
Quietness - star rating11605
Overall hospital rating - star rating21605
Recommend hospital - star rating21605
Summary star rating21605

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 Hyperglycemia938565
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination776831
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 better244387
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 better240357
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better36730
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 seen2109011
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients6860
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6226
Safe Use of Opioids - Concurrent Prescribing126401
Appropriate care for severe sepsis and septic shock80326
Septic Shock 3-Hour Bundle95104
Septic Shock 6-Hour Bundle10078
Severe Sepsis 3-Hour Bundle88326
Severe Sepsis 6-Hour Bundle90212
Discharged on Antithrombotic Therapy98249
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis924124

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 University Medical Center rated?
University Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does University Medical Center have emergency services?
Yes. University Medical Center operates a 24/7 emergency department.
Where is University Medical Center located?
University Medical Center is located at 1800 W Charleston Blvd, Las Vegas, NV 89102.
What type of hospital is University Medical Center?
University Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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