Hospital
CHINLE COMPREHENSIVE HEALTH CARE FACILITY
CCN: 030084 · CHINLE, AZ 86503 · APACHE County
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Percentile badges compare this hospital to all 5,426 hospitals nationally.
Overview
- Address
- US HWY 191, HOSPITAL ROAD, CHINLE, AZ 86503
- Phone
- (928) 674-7001
- Hospital Type
- Acute Care
- Ownership
- Government (Federal)
- Emergency Services
- Yes
- Birthing Friendly
- Yes
—
Star rating not available
Acute Care — General medical and surgical hospital participating in Medicare IPPS. Subject to CMS quality reporting and payment adjustment programs (VBP, HRRP, HAC).
CMS Star Rating — Quality Domain Breakdown
CMS computes the overall star rating from five quality domains. Each domain compares this hospital's measures against national benchmarks.
Mortality 1 of 7 measures reported
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 2 of 8 measures reported
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 3 of 11 measures reported
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Timely & Effective Care 5 of 12 measures reported
Process-of-care measures including flu immunization, blood clot prevention, and appropriate use of imaging.
Readmissions — Hospital Readmissions Reduction Program
The Excess Readmission Ratio (ERR) compares this hospital's 30-day readmission rate to expected, adjusting for patient mix. An ERR of 1.0 means readmissions are as expected; > 1.0 triggers a Medicare payment penalty (up to 3%).
This hospital has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack)
Heart Failure
Pneumonia 82 discharges
COPD
Hip/Knee Replacement
CABG Surgery
CMS Payment Programs
Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.
Readmissions (HRRP)
Penalized
Worst ERR: 1.0551
Value-Based Purchasing
—
HAC Reduction
No Reduction
HAC Score: -0.1268
Complications & Deaths
30-day mortality rates, patient safety indicators, and complication rates. "Better" means statistically significantly better than the national rate.
| Measure | Score | vs. National | Denominator |
|---|---|---|---|
| COMP_HIP_KNEE | — | — | — |
| Hybrid_HWM | 4.10 | No Different Than the National Rate | 192 |
| MORT_30_AMI | — | Number of Cases Too Small | — |
| MORT_30_CABG | — | — | — |
| MORT_30_COPD | — | Number of Cases Too Small | — |
| MORT_30_HF | — | Number of Cases Too Small | — |
| MORT_30_PN | 17.50 | No Different Than the National Rate | 74 |
| MORT_30_STK | — | Number of Cases Too Small | — |
| PSI_03 | 1.19 | No Different Than the National Rate | 465 |
| PSI_04 | — | — | — |
| PSI_06 | 0.21 | No Different Than the National Rate | 833 |
| PSI_08 | 0.27 | No Different Than the National Rate | 827 |
| PSI_09 | — | Number of Cases Too Small | — |
| PSI_10 | — | — | — |
| PSI_11 | — | — | — |
| PSI_12 | — | Number of Cases Too Small | — |
| PSI_13 | — | — | — |
| PSI_14 | — | Number of Cases Too Small | — |
| PSI_15 | 1.06 | No Different Than the National Rate | 26 |
| PSI_90 | 1.16 | No Different Than the National Value | — |
Patient Experience (HCAHPS)
Hospital Consumer Assessment of Healthcare Providers and Systems — standardized patient survey measuring satisfaction with care.
| Measure | Score | Star Rating |
|---|---|---|
| H_COMP_1_A_P: Nurses "always" communicated well | 68% | — |
| H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well | 14% | — |
| H_COMP_1_U_P: Nurses "usually" communicated well | 18% | — |
| H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score | — | — |
| H_COMP_1_STAR_RATING: Nurse communication - star rating | — | — |
| H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect | 76% | — |
| H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect | 9% | — |
| H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect | 15% | — |
| H_NURSE_LISTEN_A_P: Nurses "always" listened carefully | 60% | — |
| H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully | 13% | — |
| H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully | 27% | — |
| H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand | 67% | — |
| H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand | 19% | — |
| H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand | 14% | — |
| H_COMP_2_A_P: Doctors "always" communicated well | 69% | — |
| H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well | 13% | — |
| H_COMP_2_U_P: Doctors "usually" communicated well | 18% | — |
| H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score | — | — |
| H_COMP_2_STAR_RATING: Doctor communication - star rating | — | — |
| H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect | 77% | — |
| H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect | 11% | — |
| H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect | 12% | — |
| H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully | 62% | — |
| H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully | 14% | — |
| H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully | 24% | — |
| H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand | 69% | — |
| H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand | 13% | — |
| H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand | 18% | — |
| H_COMP_5_A_P: Staff "always" explained | 64% | — |
| H_COMP_5_SN_P: Staff "sometimes" or "never" explained | 23% | — |
| H_COMP_5_U_P: Staff "usually" explained | 13% | — |
| H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score | — | — |
| H_COMP_5_STAR_RATING: Communication about medicines - star rating | — | — |
| H_MED_FOR_A_P: Staff "always" explained new medications | 74% | — |
| H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications | 11% | — |
| H_MED_FOR_U_P: Staff "usually" explained new medications | 15% | — |
| H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects | 53% | — |
| H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects | 35% | — |
| H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects | 12% | — |
| H_COMP_6_N_P: No, staff "did not" give patients this information | 32% | — |
| H_COMP_6_Y_P: Yes, staff "did" give patients this information | 68% | — |
| H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score | — | — |
| H_COMP_6_STAR_RATING: Discharge information - star rating | — | — |
| H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge | 32% | — |
| H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge | 68% | — |
| H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms | 33% | — |
| H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms | 67% | — |
| H_CLEAN_HSP_A_P: Room was "always" clean | 62% | — |
| H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean | 12% | — |
| H_CLEAN_HSP_U_P: Room was "usually" clean | 26% | — |
| H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score | — | — |
| H_CLEAN_STAR_RATING: Cleanliness - star rating | — | — |
| H_QUIET_HSP_A_P: "Always" quiet at night | 61% | — |
| H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night | 11% | — |
| H_QUIET_HSP_U_P: "Usually" quiet at night | 28% | — |
| H_QUIET_LINEAR_SCORE: Quietness - linear mean score | — | — |
| H_QUIET_STAR_RATING: Quietness - star rating | — | — |
| H_HSP_RATING_0_6: Patients who gave a rating of "6" or lower (low) | 12% | — |
| H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) | 30% | — |
| H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) | 58% | — |
| H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score | — | — |
| H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating | — | — |
| H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) | 11% | — |
| H_RECMND_DY: "YES", patients would definitely recommend the hospital | 48% | — |
| H_RECMND_PY: "YES", patients would probably recommend the hospital | 41% | — |
| H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score | — | — |
| H_RECMND_STAR_RATING: Recommend hospital - star rating | — | — |
| H_STAR_RATING: Summary star rating | — | — |
Healthcare Associated Infections
Standardized Infection Ratios (SIR). A SIR < 1.0 means fewer infections than predicted based on national baseline data.
| Measure | Score (SIR) | vs. National |
|---|---|---|
| HAI_1_CILOWER | — | — |
| HAI_1_CIUPPER | — | — |
| HAI_1_DOPC | 3.000 | — |
| HAI_1_ELIGCASES | 0.002 | — |
| HAI_1_NUMERATOR | 0.000 | — |
| HAI_1_SIR | — | — |
| HAI_2_CILOWER | — | — |
| HAI_2_CIUPPER | — | — |
| HAI_2_DOPC | 364.000 | — |
| HAI_2_ELIGCASES | 0.183 | — |
| HAI_2_NUMERATOR | 0.000 | — |
| HAI_2_SIR | — | — |
| HAI_3_CILOWER | — | — |
| HAI_3_CIUPPER | — | — |
| HAI_3_DOPC | 1.000 | — |
| HAI_3_ELIGCASES | 0.024 | — |
| HAI_3_NUMERATOR | 0.000 | — |
| HAI_3_SIR | — | — |
| HAI_4_CILOWER | — | — |
| HAI_4_CIUPPER | — | — |
| HAI_4_DOPC | 1.000 | — |
| HAI_4_ELIGCASES | 0.008 | — |
| HAI_4_NUMERATOR | 0.000 | — |
| HAI_4_SIR | — | — |
| HAI_5_CILOWER | — | — |
| HAI_5_CIUPPER | — | — |
| HAI_5_DOPC | 6588.000 | — |
| HAI_5_ELIGCASES | 0.131 | — |
| HAI_5_NUMERATOR | 0.000 | — |
| HAI_5_SIR | — | — |
| HAI_6_CILOWER | 0.038 | No Different than National Benchmark |
| HAI_6_CIUPPER | 3.771 | No Different than National Benchmark |
| HAI_6_DOPC | 6588.000 | No Different than National Benchmark |
| HAI_6_ELIGCASES | 1.308 | No Different than National Benchmark |
| HAI_6_NUMERATOR | 1.000 | No Different than National Benchmark |
| HAI_6_SIR | 0.765 | No Different than National Benchmark |
Timely & Effective Care
Process-of-care measures including ED wait times, treatment timeliness, and preventive care.
| Measure | Score | Condition |
|---|---|---|
| EDV | — | Emergency Department |
| GMCS | — | Electronic Clinical Quality Measure |
| GMCS_Malnutrition_Diagnosis_Documented | — | Electronic Clinical Quality Measure |
| GMCS_Malnutrition_Screening | — | Electronic Clinical Quality Measure |
| GMCS_Nutrition_Assessment | — | Electronic Clinical Quality Measure |
| GMCS_Nutritional_Care_Plan | — | Electronic Clinical Quality Measure |
| HH_HYPER | 0.0 | Electronic Clinical Quality Measure |
| HH_HYPO | 0.0 | Electronic Clinical Quality Measure |
| HH_ORAE | 0.0 | Electronic Clinical Quality Measure |
| IMM_3 | 82.0 | Healthcare Personnel Vaccination |
| OP_18a | — | Emergency Department |
| OP_18b | — | Emergency Department |
| OP_18c | — | Emergency Department |
| OP_18d | — | Emergency Department |
| OP_22 | — | Emergency Department |
| OP_23 | — | Emergency Department |
| OP_29 | — | Colonoscopy care |
| OP_31 | — | Cataract surgery outcome |
| SAFE_USE_OF_OPIOIDS | 1.0 | Electronic Clinical Quality Measure |
| SEP_1 | 42.0 | Sepsis Care |
| SEP_SH_3HR | — | Sepsis Care |
| SEP_SH_6HR | — | Sepsis Care |
| SEV_SEP_3HR | 60.0 | Sepsis Care |
| SEV_SEP_6HR | 35.0 | Sepsis Care |
| STK_02 | — | Electronic Clinical Quality Measure |
| STK_03 | — | Electronic Clinical Quality Measure |
| STK_05 | — | Electronic Clinical Quality Measure |
| VTE_1 | 64.0 | Electronic Clinical Quality Measure |
| VTE_2 | — | Electronic Clinical Quality Measure |
Unplanned Hospital Visits
Readmission and ED return rates within 30 days of discharge.
| Measure | Score | vs. National |
|---|---|---|
| EDAC_30_AMI | — | Number of Cases Too Small |
| EDAC_30_HF | 4.20 | Average Days per 100 Discharges |
| EDAC_30_PN | 22.30 | More Days Than Average per 100 Discharges |
| Hybrid_HWR | 16.80 | No Different Than the National Rate |
| OP_32 | — | — |
| OP_35_ADM | — | — |
| OP_35_ED | — | — |
| OP_36 | — | — |
| READM_30_AMI | — | Number of Cases Too Small |
| READM_30_CABG | — | — |
| READM_30_COPD | — | Number of Cases Too Small |
| READM_30_HF | 20.30 | No Different Than the National Rate |
| READM_30_HIP_KNEE | — | — |
| READM_30_PN | 16.80 | No Different Than the National Rate |
Medicare Spending Per Beneficiary
MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.
Value
0.62
Financial Health (Cost Report — FY 2023)
All Data
Every labeled metric surfaced for this hospital, with national medians and percentiles where a benchmark is available.
Show 58 rows
| Source | Metric | Value | National Median | Pctl. | Raw key |
|---|---|---|---|---|---|
| Cost Report | Employees per Bed | 21.27 | — | metrics.employees_per_bed | |
| Cost Report | fiscal_year | 2,023 | — | fiscal_year | |
| Cost Report | Net Income ($) | $-236,990,765 | — | metrics.net_income | |
| Cost Report | Total Costs ($) | $146,845,990 | — | metrics.total_costs | |
| General Information | Address | US HWY 191, HOSPITAL ROAD | — | Address | |
| General Information | City/Town | CHINLE | — | City/Town | |
| General Information | Count of Facility MORT Measures | 1 | — | Count of Facility MORT Measures | |
| General Information | Count of Facility Pt Exp Measures | Not Available | — | Count of Facility Pt Exp Measures | |
| General Information | Count of Facility READM Measures | 3 | — | Count of Facility READM Measures | |
| General Information | Count of Facility Safety Measures | 2 | — | Count of Facility Safety Measures | |
| General Information | Count of Facility TE Measures | 5 | — | Count of Facility TE Measures | |
| General Information | Count of MORT Measures Better | 0 | — | Count of MORT Measures Better | |
| General Information | Count of MORT Measures No Different | 1 | — | Count of MORT Measures No Different | |
| General Information | Count of MORT Measures Worse | 0 | — | Count of MORT Measures Worse | |
| General Information | Count of READM Measures Better | 0 | — | Count of READM Measures Better | |
| General Information | Count of READM Measures No Different | 2 | — | Count of READM Measures No Different | |
| General Information | Count of READM Measures Worse | 1 | — | Count of READM Measures Worse | |
| General Information | Count of Safety Measures Better | 0 | — | Count of Safety Measures Better | |
| General Information | Count of Safety Measures No Different | 2 | — | Count of Safety Measures No Different | |
| General Information | Count of Safety Measures Worse | 0 | — | Count of Safety Measures Worse | |
| General Information | County/Parish | APACHE | — | County/Parish | |
| General Information | Emergency Services | Yes | — | Emergency Services | |
| General Information | Facility ID | 030084 | — | Facility ID | |
| General Information | Facility Name | CHINLE COMPREHENSIVE HEALTH CARE FACILITY | — | Facility Name | |
| General Information | Hospital overall rating | Not Available | — | Hospital overall rating | |
| General Information | Hospital overall rating footnote | 16 | — | Hospital overall rating footnote | |
| General Information | Hospital Ownership | Government - Federal | — | Hospital Ownership | |
| General Information | Hospital Type | Acute Care Hospitals | — | Hospital Type | |
| General Information | Meets criteria for birthing friendly designation | Y | — | Meets criteria for birthing friendly designation | |
| General Information | MORT Group Footnote | — | — | MORT Group Footnote | |
| General Information | MORT Group Measure Count | 7 | — | MORT Group Measure Count | |
| General Information | Pt Exp Group Footnote | 5 | — | Pt Exp Group Footnote | |
| General Information | Pt Exp Group Measure Count | 8 | — | Pt Exp Group Measure Count | |
| General Information | READM Group Footnote | — | — | READM Group Footnote | |
| General Information | READM Group Measure Count | 11 | — | READM Group Measure Count | |
| General Information | Safety Group Footnote | — | — | Safety Group Footnote | |
| General Information | Safety Group Measure Count | 8 | — | Safety Group Measure Count | |
| General Information | State | AZ | — | State | |
| General Information | TE Group Footnote | — | — | TE Group Footnote | |
| General Information | TE Group Measure Count | 12 | — | TE Group Measure Count | |
| General Information | Telephone Number | (928) 674-7001 | — | Telephone Number | |
| General Information | ZIP Code | 86503 | — | ZIP Code | |
| HAC Reduction Program | fiscal_year | 2,026 | — | fiscal_year | |
| HAC Reduction Program | measures — cdi — sir | 0 | — | measures.cdi.sir | |
| HAC Reduction Program | payment_reduction | No | — | payment_reduction | |
| HAC Reduction Program | total_hac_score | -0.13 | — | total_hac_score | |
| Medicare Spending per Beneficiary | End Date | 12/31/2024 | — | End Date | |
| Medicare Spending per Beneficiary | Measure ID | MSPB-1 | — | Measure ID | |
| Medicare Spending per Beneficiary | Start Date | 01/01/2024 | — | Start Date | |
| Medicare Spending per Beneficiary | Value | 0.62 | — | Value | |
| Readmissions (HRRP) | Heart Failure — Excess readmission ratio | 1.03 | 0.9983 | p71 | READM-30-HF-HRRP.excess_readmission_ratio |
| Readmissions (HRRP) | Heart Failure — Expected readmission rate | 15.9% | — | READM-30-HF-HRRP.expected_readmission_rate | |
| Readmissions (HRRP) | Heart Failure — Predicted readmission rate | 16.4% | — | READM-30-HF-HRRP.predicted_readmission_rate | |
| Readmissions (HRRP) | Pneumonia — Excess readmission ratio | 1.06 | 0.9955 | p80 | READM-30-PN-HRRP.excess_readmission_ratio |
| Readmissions (HRRP) | Pneumonia — Expected readmission rate | 10.1% | — | READM-30-PN-HRRP.expected_readmission_rate | |
| Readmissions (HRRP) | Pneumonia — Number of discharges | 82 | — | READM-30-PN-HRRP.num_discharges | |
| Readmissions (HRRP) | Pneumonia — Number of readmissions | 12 | — | READM-30-PN-HRRP.num_readmissions | |
| Readmissions (HRRP) | Pneumonia — Predicted readmission rate | 10.6% | — | READM-30-PN-HRRP.predicted_readmission_rate |
Methodology
- Hospital General Information (dataset:
xubh-q36u, vintage: 2026, downloaded: 2026-04-13) - Hospital Readmissions Reduction Program (dataset:
hrrp, vintage: FY2026, downloaded: 2026-04-13) - Timely and Effective Care — Hospital (dataset:
hosp-timely-care, vintage: 2026, downloaded: 2026-04-13) - Complications and Deaths — Hospital (dataset:
hosp-complications, vintage: 2026, downloaded: 2026-04-13) - Patient Survey (HCAHPS) — Hospital (dataset:
hosp-hcahps, vintage: 2026, downloaded: 2026-04-13) - Healthcare Associated Infections — Hospital (dataset:
hosp-hai, vintage: 2026, downloaded: 2026-04-13) - Unplanned Hospital Visits — Hospital (dataset:
hosp-unplanned-visits, vintage: 2026, downloaded: 2026-04-13) - Medicare Spending Per Beneficiary — Hospital (dataset:
hosp-mspb, vintage: 2026, downloaded: 2026-04-13) - Hospital Provider Cost Report (dataset:
hosp-cost-report, vintage: 2023, downloaded: 2026-04-13) - Hospital-Acquired Condition (HAC) Reduction Program (dataset:
hac-reduction, vintage: FY2026, downloaded: 2026-04-13)