JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

West Anaheim Medical Center

2 / 5

At a glance

West Anaheim 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 6 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 2.

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 Limit0.015Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.451Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4483Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.398Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.294Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.175Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.875Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4836Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.355Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.689Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.073Same as national
SSI - Colon Surgery: Number of Procedures51Same as national
SSI - Colon Surgery: Predicted Cases1.445Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
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 Limit0.024Same as national
MRSA Bacteremia: Upper Confidence Limit2.361Same as national
MRSA Bacteremia: Patient Days35780Same as national
MRSA Bacteremia: Predicted Cases2.089Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.479Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.010Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.196Better than national
Clostridium Difficile (C.Diff): Patient Days35780Better than national
Clostridium Difficile (C.Diff): Predicted Cases33.658Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.059Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national717
Death rate for heart attack patients10.2Same as national61
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.7Same as national57
Death rate for heart failure patients9.6Same as national124
Death rate for pneumonia patients14.1Same as national391
Death rate for stroke patientsNot available
Pressure ulcer rate0.13Same as national2948
Death rate among surgical inpatients with serious treatable complications190.47Same as national36
Iatrogenic pneumothorax rate0.17Same as national3521
In-hospital fall-associated fracture rate0.23Same as national3582
Postoperative hemorrhage or hematoma rate2.14Same as national313
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.23Same as national351
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.71Same as national83
Abdominopelvic accidental puncture or laceration rate0.93Same as national557
CMS Medicare PSI 90: Patient safety and adverse events composite0.79Same 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 patients31.7Not available77
Hospital return days for heart failure patients27Not available140
Hospital return days for pneumonia patients27.8Not available426
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.6Worse than national1270
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 Rate14.4Same as national77
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national64
Heart failure (HF) 30-Day Readmission Rate20.7Same as national140
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate18.8Worse than national426

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 rating1388
Doctor communication - star rating1388
Communication about medicines - star rating1388
Discharge information - star rating1388
Cleanliness - star rating3388
Quietness - star rating1388
Overall hospital rating - star rating2388
Recommend hospital - star rating2388
Summary star rating1388

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 volumemedium
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 Hyperglycemia1112518
Hospital Harm - Severe Hypoglycemia02630
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination55942
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 better206420
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 better196358
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better33751
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better43616
Left before being seen233927
Head CT results
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)
Safe Use of Opioids - Concurrent Prescribing161505
Appropriate care for severe sepsis and septic shock77146
Septic Shock 3-Hour Bundle9259
Septic Shock 6-Hour Bundle9645
Severe Sepsis 3-Hour Bundle86146
Severe Sepsis 6-Hour Bundle9793
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29049
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 West Anaheim Medical Center rated?
West Anaheim Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does West Anaheim Medical Center have emergency services?
Yes. West Anaheim Medical Center operates a 24/7 emergency department.
Where is West Anaheim Medical Center located?
West Anaheim Medical Center is located at 3033 W Orange Avenue, Anaheim, CA 92804.
What type of hospital is West Anaheim Medical Center?
West Anaheim 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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