JCIPatientSafety.orgHospital Quality Directory

Acute Care - Veterans Administration · Veterans Health Administration

VA New Mexico Healthcare System

3 / 5

At a glance

VA New Mexico Healthcare System 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 Limit0.207Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.089Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1748Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.616Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.238Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.546Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.305Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4137Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.353Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.491Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of ProceduresNot available
SSI - Colon Surgery: Predicted CasesNot available
SSI - Colon Surgery: Observed CasesNot available
SSI - Colon SurgeryNot available
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 LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient DaysNot available
MRSA Bacteremia: Predicted CasesNot available
MRSA Bacteremia: Observed CasesNot available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitNot available
Clostridium Difficile (C.Diff): Upper Confidence LimitNot available
Clostridium Difficile (C.Diff): Patient DaysNot available
Clostridium Difficile (C.Diff): Predicted CasesNot available
Clostridium Difficile (C.Diff): Observed CasesNot available
Clostridium Difficile (C.Diff)Not available

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 patients3Same as national84
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNot available
Death rate for heart attack patients11Same as national114
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.7Same as national158
Death rate for heart failure patients7.1Better than national520
Death rate for pneumonia patients12.3Better than national391
Death rate for stroke patientsNot available
Pressure ulcer rate3.17Worse than national4854
Death rate among surgical inpatients with serious treatable complications165.55Same as national51
Iatrogenic pneumothorax rate0.16Same as national7700
In-hospital fall-associated fracture rate0.40Same as national7830
Postoperative hemorrhage or hematoma rate2.07Same as national1017
Postoperative acute kidney injury requiring dialysis rate1.48Same as national453
Postoperative respiratory failure rate11.29Same as national483
Perioperative pulmonary embolism or deep vein thrombosis rate3.22Same as national1060
Postoperative sepsis rate6.91Same as national432
Postoperative wound dehiscence rate2.61Same as national192
Abdominopelvic accidental puncture or laceration rate1.57Same as national1103
CMS Medicare PSI 90: Patient safety and adverse events composite1.85Worse 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 patients26.3Not available122
Hospital return days for heart failure patients-4.9Not available623
Hospital return days for pneumonia patients17.4Not available468
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national2693
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 surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national122
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national178
Heart failure (HF) 30-Day Readmission Rate18.2Same as national623
Rate of readmission after hip/knee replacement4.5Same as national80
Pneumonia (PN) 30-Day Readmission Rate16Same as national468

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 rating4522
Doctor communication - star rating4522
Communication about medicines - star rating4522
Discharge information - star rating4522
Cleanliness - star rating3522
Quietness - star rating3522
Overall hospital rating - star rating4522
Recommend hospital - star rating4522
Summary star rating4522

Frequently asked questions

How is VA New Mexico Healthcare System rated?
VA New Mexico Healthcare System has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does VA New Mexico Healthcare System have emergency services?
Yes. VA New Mexico Healthcare System operates a 24/7 emergency department.
Where is VA New Mexico Healthcare System located?
VA New Mexico Healthcare System is located at 1501 San Pedro Drive Se, Albuquerque, NM 87108.
What type of hospital is VA New Mexico Healthcare System?
VA New Mexico Healthcare System is classified by CMS as a Acute Care - Veterans Administration facility (Veterans Health Administration).

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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