JCIPatientSafety.orgHospital Quality Directory

Acute Care - Veterans Administration · Veterans Health Administration

VA Southern Nevada Healthcare System

5 / 5

At a glance

VA Southern Nevada Healthcare System carries a 5-star CMS overall rating — above 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.552Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1295Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.174Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.433Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1992Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.091Same 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 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 patients3.5Same as national364
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNot available
Death rate for heart attack patients12Same as national31
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.6Same as national461
Death rate for heart failure patients8.2Better than national661
Death rate for pneumonia patients12.6Better than national373
Death rate for stroke patientsNot available
Pressure ulcer rate0.40Same as national5504
Death rate among surgical inpatients with serious treatable complications177.96Same as national32
Iatrogenic pneumothorax rate0.24Same as national8518
In-hospital fall-associated fracture rate0.25Same as national9005
Postoperative hemorrhage or hematoma rate2.08Same as national1176
Postoperative acute kidney injury requiring dialysis rate1.49Same as national761
Postoperative respiratory failure rate6.37Same as national772
Perioperative pulmonary embolism or deep vein thrombosis rate3.25Same as national1221
Postoperative sepsis rate4.78Same as national709
Postoperative wound dehiscence rate2.02Same as national178
Abdominopelvic accidental puncture or laceration rate0.92Same as national839
CMS Medicare PSI 90: Patient safety and adverse events composite0.81Same 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 patients-1Not available846
Hospital return days for pneumonia patients-17.3Not available403
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national3278
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 Rate14.7Same as national44
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national553
Heart failure (HF) 30-Day Readmission Rate18.5Same as national846
Rate of readmission after hip/knee replacement4.3Same as national392
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national403

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 rating4456
Doctor communication - star rating3456
Communication about medicines - star rating3456
Discharge information - star rating3456
Cleanliness - star rating3456
Quietness - star rating3456
Overall hospital rating - star rating4456
Recommend hospital - star rating5456
Summary star rating3456

Frequently asked questions

How is VA Southern Nevada Healthcare System rated?
VA Southern Nevada Healthcare System has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does VA Southern Nevada Healthcare System have emergency services?
Yes. VA Southern Nevada Healthcare System operates a 24/7 emergency department.
Where is VA Southern Nevada Healthcare System located?
VA Southern Nevada Healthcare System is located at 6900 North Pecos Road, N. Las Vegas, NV 89086.
What type of hospital is VA Southern Nevada Healthcare System?
VA Southern Nevada 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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