JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Valley Hospital Medical Center

2 / 5

At a glance

Valley Hospital 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 18 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.031Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.614Better than national
Central Line Associated Bloodstream Infection: Number of Device Days10181Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases10.763Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.186Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.024Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.471Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10035Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases14.025Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.143Better than national
SSI - Colon Surgery: Lower Confidence Limit0.448Same as national
SSI - Colon Surgery: Upper Confidence Limit2.709Same as national
SSI - Colon Surgery: Number of Procedures160Same as national
SSI - Colon Surgery: Predicted Cases4.091Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery1.222Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures116Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.950Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.163Same as national
MRSA Bacteremia: Upper Confidence Limit1.240Same as national
MRSA Bacteremia: Patient Days84182Same as national
MRSA Bacteremia: Predicted Cases7.778Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.514Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.007Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.130Better than national
Clostridium Difficile (C.Diff): Patient Days84182Better than national
Clostridium Difficile (C.Diff): Predicted Cases50.936Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.039Better 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 patients4.1Same as national44
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national792
Death rate for heart attack patients11Same as national86
Death rate for CABG surgery patients3.3Same as national48
Death rate for COPD patients8.9Same as national68
Death rate for heart failure patients11Same as national108
Death rate for pneumonia patients14Same as national182
Death rate for stroke patients15.5Same as national120
Pressure ulcer rate0.42Same as national3641
Death rate among surgical inpatients with serious treatable complications161.09Same as national69
Iatrogenic pneumothorax rate0.16Same as national4724
In-hospital fall-associated fracture rate0.34Same as national5019
Postoperative hemorrhage or hematoma rate2.31Same as national888
Postoperative acute kidney injury requiring dialysis rate1.96Same as national264
Postoperative respiratory failure rate8.39Same as national275
Perioperative pulmonary embolism or deep vein thrombosis rate3.54Same as national947
Postoperative sepsis rate4.41Same as national257
Postoperative wound dehiscence rate1.68Same as national235
Abdominopelvic accidental puncture or laceration rate0.89Same as national786
CMS Medicare PSI 90: Patient safety and adverse events composite0.89Same 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 patients5Not available93
Hospital return days for heart failure patients60.9Not available140
Hospital return days for pneumonia patients12.6Not available212
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.9Worse than national1310
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national63
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 national217
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national93
Rate of readmission for CABG11.4Same as national42
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national75
Heart failure (HF) 30-Day Readmission Rate21.3Same as national140
Rate of readmission after hip/knee replacement5.2Same as national36
Pneumonia (PN) 30-Day Readmission Rate16Same as national212

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 rating2387
Doctor communication - star rating2387
Communication about medicines - star rating2387
Discharge information - star rating2387
Cleanliness - star rating2387
Quietness - star rating2387
Overall hospital rating - star rating2387
Recommend hospital - star rating2387
Summary star rating2387

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 Events09182
Healthcare workers given influenza vaccination821416
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 better188389
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 better182335
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27950
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 seen092299
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9537
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5227
Safe Use of Opioids - Concurrent Prescribing163391
Appropriate care for severe sepsis and septic shock80152
Septic Shock 3-Hour Bundle9042
Septic Shock 6-Hour Bundle8824
Severe Sepsis 3-Hour Bundle86152
Severe Sepsis 6-Hour Bundle9886
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis937873
Intensive Care Unit Venous Thromboembolism Prophylaxis992229

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 Valley Hospital Medical Center rated?
Valley Hospital Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Valley Hospital Medical Center have emergency services?
Yes. Valley Hospital Medical Center operates a 24/7 emergency department.
Where is Valley Hospital Medical Center located?
Valley Hospital Medical Center is located at 620 Shadow Lane, Las Vegas, NV 89106.
What type of hospital is Valley Hospital Medical Center?
Valley Hospital Medical Center 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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