JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - State

Unm Hospital

2 / 5

At a glance

Unm Hospital carries a 2-star CMS overall rating — below 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 Limit0.455Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.155Same as national
Central Line Associated Bloodstream Infection: Number of Device Days21936Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases24.160Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases18Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.745Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.383Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.946Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days18413Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases30.785Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases19Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.617Better than national
SSI - Colon Surgery: Lower Confidence Limit0.930Same as national
SSI - Colon Surgery: Upper Confidence Limit2.424Same as national
SSI - Colon Surgery: Number of Procedures360Same as national
SSI - Colon Surgery: Predicted Cases11.000Same as national
SSI - Colon Surgery: Observed Cases17Same as national
SSI - Colon Surgery1.545Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.332Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.550Same as national
SSI - Abdominal Hysterectomy: Number of Procedures249Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.300Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy1.304Same as national
MRSA Bacteremia: Lower Confidence Limit0.656Same as national
MRSA Bacteremia: Upper Confidence Limit1.760Same as national
MRSA Bacteremia: Patient Days188910Same as national
MRSA Bacteremia: Predicted Cases14.447Same as national
MRSA Bacteremia: Observed Cases16Same as national
MRSA Bacteremia1.107Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.792Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.158Same as national
Clostridium Difficile (C.Diff): Patient Days170487Same as national
Clostridium Difficile (C.Diff): Predicted Cases111.234Same as national
Clostridium Difficile (C.Diff): Observed Cases107Same as national
Clostridium Difficile (C.Diff)0.962Same 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national1083
Death rate for heart attack patients11.1Same as national91
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.2Same as national53
Death rate for heart failure patients10.7Same as national155
Death rate for pneumonia patients16.5Same as national185
Death rate for stroke patients13.8Same as national331
Pressure ulcer rate2.05Worse than national4908
Death rate among surgical inpatients with serious treatable complications197.29Same as national183
Iatrogenic pneumothorax rate0.21Same as national4976
In-hospital fall-associated fracture rate0.29Same as national5104
Postoperative hemorrhage or hematoma rate2.75Same as national1423
Postoperative acute kidney injury requiring dialysis rate2.25Same as national546
Postoperative respiratory failure rate7.43Same as national497
Perioperative pulmonary embolism or deep vein thrombosis rate6.01Worse than national1475
Postoperative sepsis rate5.65Same as national531
Postoperative wound dehiscence rate2.08Same as national433
Abdominopelvic accidental puncture or laceration rate0.96Same as national1174
CMS Medicare PSI 90: Patient safety and adverse events composite1.51Worse 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-13.3Not available86
Hospital return days for heart failure patients17Not available168
Hospital return days for pneumonia patients8.2Not available182
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1824
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.4Same as national930
Rate of inpatient admissions for patients receiving outpatient chemotherapy9Same as national410
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national410
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national717
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national86
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national61
Heart failure (HF) 30-Day Readmission Rate19Same as national168
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national182

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 rating21822
Doctor communication - star rating31822
Communication about medicines - star rating21822
Discharge information - star rating31822
Cleanliness - star rating21822
Quietness - star rating21822
Overall hospital rating - star rating21822
Recommend hospital - star rating31822
Summary star rating21822

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 vaccination6323979
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 better289361
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 better279323
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better41822
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better38916
Left before being seen279884
Head CT results7465
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)035
Safe Use of Opioids - Concurrent Prescribing138782
Appropriate care for severe sepsis and septic shock44234
Septic Shock 3-Hour Bundle6086
Septic Shock 6-Hour Bundle6838
Severe Sepsis 3-Hour Bundle68234
Severe Sepsis 6-Hour Bundle92123
Discharged on Antithrombotic Therapy97557
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9113306
Intensive Care Unit Venous Thromboembolism Prophylaxis994181

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 Unm Hospital rated?
Unm Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Unm Hospital have emergency services?
Yes. Unm Hospital operates a 24/7 emergency department.
Where is Unm Hospital located?
Unm Hospital is located at 2211 Lomas Boulevard Ne, Albuquerque, NM 87106.
What type of hospital is Unm Hospital?
Unm Hospital is classified by CMS as a Acute Care Hospitals facility (Government - State).

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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