Hospital

PACIFICA HOSPITAL OF THE VALLEY

CCN: 050378 · SUN VALLEY, CA 91352 · LOS ANGELES County

Bottom quartile Middle Top quartile Percentile badges compare this hospital to all 5,426 hospitals nationally.

Overview

Address
9449 SAN FERNANDO RD, SUN VALLEY, CA 91352
Phone
(818) 767-3310
Hospital Type
Acute Care
Ownership
For-Profit
Emergency Services
Yes
1 /5
★★★★★
CMS Overall Rating
p0
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.

Safety of Care 4 of 8 measures reported
3
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 1 of 11 measures reported
1
Better No different Worse
30-day unplanned readmission rates for heart attack, heart failure, pneumonia, COPD, hip/knee replacement, and CABG.
Patient Experience 8 of 8 measures reported
8 measures reported (comparative data not available for this domain)
HCAHPS survey scores — patient-reported experience with communication, responsiveness, cleanliness, and discharge planning.
Timely & Effective Care 6 of 12 measures reported
6 measures reported (comparative data not available for this domain)
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 does not have excess readmissions triggering HRRP penalties.
Acute Myocardial Infarction (Heart Attack)
— Not reported
Heart Failure
— Not reported
Pneumonia
— Not reported
COPD
— Not reported
Hip/Knee Replacement
— Not reported
CABG Surgery
— Not reported
Expected (1.0) National median

CMS Payment Programs

Three Medicare programs adjust hospital payments based on quality performance. Hospitals can be penalized under multiple programs simultaneously.

Readmissions (HRRP)
Not Penalized
Value-Based Purchasing
—
HAC Reduction
Payment Reduced
HAC Score: 1.5073

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 4.20 No Different Than the National Rate 45
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 — Number of Cases Too Small —
MORT_30_STK — Number of Cases Too Small —
PSI_03 0.50 No Different Than the National Rate 572
PSI_04 — — —
PSI_06 0.21 No Different Than the National Rate 710
PSI_08 0.27 No Different Than the National Rate 710
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 1.05 No Different Than the National Rate 40
PSI_90 0.96 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 55% —
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 16% —
H_COMP_1_U_P: Nurses "usually" communicated well 29% —
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 63% —
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 12% —
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 25% —
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 49% —
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 18% —
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 33% —
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 54% —
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 17% —
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 29% —
H_COMP_2_A_P: Doctors "always" communicated well 55% —
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 13% —
H_COMP_2_U_P: Doctors "usually" communicated well 32% —
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 62% —
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 9% —
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 29% —
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 53% —
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 11% —
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 36% —
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 49% —
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 18% —
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 33% —
H_COMP_5_A_P: Staff "always" explained 42% —
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 32% —
H_COMP_5_U_P: Staff "usually" explained 26% —
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 54% —
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 23% —
H_MED_FOR_U_P: Staff "usually" explained new medications 23% —
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 30% —
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 40% —
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 30% —
H_COMP_6_N_P: No, staff "did not" give patients this information 29% —
H_COMP_6_Y_P: Yes, staff "did" give patients this information 71% —
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 34% —
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 66% —
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 23% —
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 77% —
H_CLEAN_HSP_A_P: Room was "always" clean 63% —
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 22% —
H_CLEAN_HSP_U_P: Room was "usually" clean 15% —
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score — —
H_CLEAN_STAR_RATING: Cleanliness - star rating — —
H_QUIET_HSP_A_P: "Always" quiet at night 35% —
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 31% —
H_QUIET_HSP_U_P: "Usually" quiet at night 34% —
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) 23% —
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 28% —
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 49% —
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) 23% —
H_RECMND_DY: "YES", patients would definitely recommend the hospital 51% —
H_RECMND_PY: "YES", patients would probably recommend the hospital 26% —
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 0.042 No Different than National Benchmark
HAI_1_CIUPPER 4.176 No Different than National Benchmark
HAI_1_DOPC 1749.000 No Different than National Benchmark
HAI_1_ELIGCASES 1.181 No Different than National Benchmark
HAI_1_NUMERATOR 1.000 No Different than National Benchmark
HAI_1_SIR 0.847 No Different than National Benchmark
HAI_2_CILOWER 0.746 No Different than National Benchmark
HAI_2_CIUPPER 5.666 No Different than National Benchmark
HAI_2_DOPC 2530.000 No Different than National Benchmark
HAI_2_ELIGCASES 1.703 No Different than National Benchmark
HAI_2_NUMERATOR 4.000 No Different than National Benchmark
HAI_2_SIR 2.349 No Different than National Benchmark
HAI_3_CILOWER — —
HAI_3_CIUPPER — —
HAI_3_DOPC — —
HAI_3_ELIGCASES — —
HAI_3_NUMERATOR — —
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 13717.000 —
HAI_5_ELIGCASES 0.618 —
HAI_5_NUMERATOR 3.000 —
HAI_5_SIR — —
HAI_6_CILOWER 0.068 No Different than National Benchmark
HAI_6_CIUPPER 1.332 No Different than National Benchmark
HAI_6_DOPC 13717.000 No Different than National Benchmark
HAI_6_ELIGCASES 4.960 No Different than National Benchmark
HAI_6_NUMERATOR 2.000 No Different than National Benchmark
HAI_6_SIR 0.403 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 low 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 — Electronic Clinical Quality Measure
HH_HYPO — Electronic Clinical Quality Measure
HH_ORAE — Electronic Clinical Quality Measure
IMM_3 60.0 Healthcare Personnel Vaccination
OP_18a 220.0 Emergency Department
OP_18b 212.0 Emergency Department
OP_18c 348.0 Emergency Department
OP_18d — Emergency Department
OP_22 5.0 Emergency Department
OP_23 — Emergency Department
OP_29 — Colonoscopy care
OP_31 — Cataract surgery outcome
OP_40 — Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS — Electronic Clinical Quality Measure
SEP_1 0.0 Sepsis Care
SEP_SH_3HR — Sepsis Care
SEP_SH_6HR — Sepsis Care
SEV_SEP_3HR 0.0 Sepsis Care
SEV_SEP_6HR — Sepsis Care
STK_02 — Electronic Clinical Quality Measure
STK_03 — Electronic Clinical Quality Measure
STK_05 — Electronic Clinical Quality Measure
VTE_1 — 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 — Number of Cases Too Small
EDAC_30_PN — Number of Cases Too Small
Hybrid_HWR 15.30 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 — Number of Cases Too Small
READM_30_HIP_KNEE — —
READM_30_PN — Number of Cases Too Small

Medicare Spending Per Beneficiary

MSPB ratio: values > 1.0 mean this hospital's episode spending is higher than the national median hospital.

Value
1.31

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.

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Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.46 — metrics.cost_to_charge_ratio
Cost Report Current Ratio 0.58 — metrics.current_ratio
Cost Report Employees per Bed 3.39 — metrics.employees_per_bed
Cost Report fiscal_year 2,023 — fiscal_year
Cost Report Fund Balance ($) $-72,796,949 — metrics.fund_balance
Cost Report Net Income ($) $-8,467,618 — metrics.net_income
Cost Report Net Patient Revenue ($) $96,180,976 — metrics.net_patient_revenue
Cost Report Operating Margin (%) -15.0% — metrics.operating_margin
Cost Report Total Assets ($) $84,148,320 — metrics.total_assets
Cost Report Total Costs ($) $81,995,028 — metrics.total_costs
Cost Report Total Liabilities ($) $156,945,269 — metrics.total_liabilities
Cost Report Total Margin (%) -8.1% — metrics.total_margin
Cost Report Uncompensated Care (%) 1.4% — metrics.uncompensated_care_pct
General Information Address 9449 SAN FERNANDO RD — Address
General Information City/Town SUN VALLEY — City/Town
General Information Count of Facility MORT Measures Not Available — Count of Facility MORT Measures
General Information Count of Facility Pt Exp Measures 8 — Count of Facility Pt Exp Measures
General Information Count of Facility READM Measures 1 — Count of Facility READM Measures
General Information Count of Facility Safety Measures 4 — Count of Facility Safety Measures
General Information Count of Facility TE Measures 6 — Count of Facility TE Measures
General Information Count of MORT Measures Better Not Available — Count of MORT Measures Better
General Information Count of MORT Measures No Different Not Available — Count of MORT Measures No Different
General Information Count of MORT Measures Worse Not Available — 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 1 — Count of READM Measures No Different
General Information Count of READM Measures Worse 0 — 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 3 — Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 — Count of Safety Measures Worse
General Information County/Parish LOS ANGELES — County/Parish
General Information Emergency Services Yes — Emergency Services
General Information Facility ID 050378 — Facility ID
General Information Facility Name PACIFICA HOSPITAL OF THE VALLEY — Facility Name
General Information Hospital overall rating 1 — Hospital overall rating
General Information Hospital overall rating footnote — — Hospital overall rating footnote
General Information Hospital Ownership Proprietary — Hospital Ownership
General Information Hospital Type Acute Care Hospitals — Hospital Type
General Information Meets criteria for birthing friendly designation — — Meets criteria for birthing friendly designation
General Information MORT Group Footnote 5 — MORT Group Footnote
General Information MORT Group Measure Count 7 — MORT Group Measure Count
General Information Pt Exp Group Footnote — — 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 CA — State
General Information TE Group Footnote — — TE Group Footnote
General Information TE Group Measure Count 12 — TE Group Measure Count
General Information Telephone Number (818) 767-3310 — Telephone Number
General Information ZIP Code 91352 — ZIP Code
HAC Reduction Program fiscal_year 2,026 — fiscal_year
HAC Reduction Program measures — cauti — sir 2.51 — measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.61 — measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 2.60 — measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 2.97 — measures.mrsa.sir
HAC Reduction Program payment_reduction Yes — payment_reduction
HAC Reduction Program total_hac_score 1.51 — 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 1.31 — Value
Methodology

Full methodology →