JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Yavapai Regional Medical Center

2 / 5

At a glance

Yavapai Regional 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.

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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.793Better than national
Central Line Associated Bloodstream Infection: Number of Device Days4244Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.778Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.042Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.832Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8383Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.943Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.252Better than national
SSI - Colon Surgery: Lower Confidence Limit0.018Same as national
SSI - Colon Surgery: Upper Confidence Limit1.748Same as national
SSI - Colon Surgery: Number of Procedures115Same as national
SSI - Colon Surgery: Predicted Cases2.821Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.354Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures42Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.340Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.104Same as national
MRSA Bacteremia: Upper Confidence Limit2.057Same as national
MRSA Bacteremia: Patient Days58962Same as national
MRSA Bacteremia: Predicted Cases3.212Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.623Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.036Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.380Better than national
Clostridium Difficile (C.Diff): Patient Days58630Better than national
Clostridium Difficile (C.Diff): Predicted Cases21.479Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.140Better 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 patients2.7Same as national108
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.7Same as national2430
Death rate for heart attack patients12.3Same as national404
Death rate for CABG surgery patients4.8Worse than national137
Death rate for COPD patients10.7Same as national207
Death rate for heart failure patients12.5Same as national452
Death rate for pneumonia patients19.5Worse than national678
Death rate for stroke patients15.1Same as national283
Pressure ulcer rate1.64Worse than national6618
Death rate among surgical inpatients with serious treatable complications191.69Same as national86
Iatrogenic pneumothorax rate0.29Same as national7877
In-hospital fall-associated fracture rate0.25Same as national7975
Postoperative hemorrhage or hematoma rate2.29Same as national1955
Postoperative acute kidney injury requiring dialysis rate3.97Worse than national747
Postoperative respiratory failure rate10.48Same as national746
Perioperative pulmonary embolism or deep vein thrombosis rate2.33Same as national2018
Postoperative sepsis rate5.71Same as national724
Postoperative wound dehiscence rate1.86Same as national364
Abdominopelvic accidental puncture or laceration rate1.31Same as national1196
CMS Medicare PSI 90: Patient safety and adverse events composite1.40Worse 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-0.3Not available410
Hospital return days for heart failure patients23.7Not available482
Hospital return days for pneumonia patients13.6Not available687
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national3559
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national3367
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.6Same as national67
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national67
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national748
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.8Same as national410
Rate of readmission for CABG11.2Same as national129
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.9Same as national209
Heart failure (HF) 30-Day Readmission Rate20.7Same as national482
Rate of readmission after hip/knee replacement4.5Same as national105
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national687

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 rating4500
Doctor communication - star rating2500
Communication about medicines - star rating2500
Discharge information - star rating3500
Cleanliness - star rating3500
Quietness - star rating2500
Overall hospital rating - star rating3500
Recommend hospital - star rating3500
Summary star rating3500

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 vaccination603455
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 better194400
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 better191379
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better46215
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 seen476261
Head CT results6749
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97114
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing113569
Appropriate care for severe sepsis and septic shock61284
Septic Shock 3-Hour Bundle72103
Septic Shock 6-Hour Bundle9155
Severe Sepsis 3-Hour Bundle81284
Severe Sepsis 6-Hour Bundle92169
Discharged on Antithrombotic Therapy94261
Anticoagulation Therapy for Atrial Fibrillation/Flutter6386
Antithrombotic Therapy by End of Hospital Day 293230
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 MeasureYes

Frequently asked questions

How is Yavapai Regional Medical Center rated?
Yavapai Regional Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Yavapai Regional Medical Center have emergency services?
Yes. Yavapai Regional Medical Center operates a 24/7 emergency department.
Where is Yavapai Regional Medical Center located?
Yavapai Regional Medical Center is located at 1003 Willow Creek Road, Prescott, AZ 86301.
What type of hospital is Yavapai Regional Medical Center?
Yavapai Regional Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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