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Overview

Address
1701 SANTA ANITA AVE, SOUTH EL MONTE, CA 91733
Phone
(626) 350-7975
Hospital Type
Acute Care
Ownership
Non-Profit
Emergency Services
No
2 /5
CMS Overall Rating
p7
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 3 of 7 measures reported
3
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 4 of 8 measures reported
4
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 3 of 11 measures reported
3
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 7 of 12 measures reported
7 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 has excess readmissions in at least one condition and is subject to HRRP payment reduction.
Acute Myocardial Infarction (Heart Attack)
— Not reported
Heart Failure
1.0163 p61
Pneumonia 151 discharges
1.0141 p61
COPD
0.9734 p27
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)
Penalized
Worst ERR: 1.0163
Value-Based Purchasing
HAC Reduction
No Reduction
HAC Score: -0.3057

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 4.60 No Different Than the National Rate 148
MORT_30_AMI 11.90 No Different Than the National Rate 27
MORT_30_CABG
MORT_30_COPD Number of Cases Too Small
MORT_30_HF 13.20 No Different Than the National Rate 33
MORT_30_PN 16.40 No Different Than the National Rate 152
MORT_30_STK Number of Cases Too Small
PSI_03 0.39 No Different Than the National Rate 857
PSI_04 Number of Cases Too Small
PSI_06 0.20 No Different Than the National Rate 1,005
PSI_08 0.26 No Different Than the National Rate 1,022
PSI_09 2.32 No Different Than the National Rate 35
PSI_10
PSI_11
PSI_12 3.96 No Different Than the National Rate 36
PSI_13
PSI_14 Number of Cases Too Small
PSI_15 1.04 No Different Than the National Rate 109
PSI_90 0.95 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 77%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 4%
H_COMP_1_U_P: Nurses "usually" communicated well 19%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 3
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 83%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 2%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 15%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 72%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 6%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 22%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 77%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 5%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 18%
H_COMP_2_A_P: Doctors "always" communicated well 78%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 5%
H_COMP_2_U_P: Doctors "usually" communicated well 17%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 3
H_DOCTOR_RESPECT_A_P: Doctors "always" treated them with courtesy and respect 85%
H_DOCTOR_RESPECT_SN_P: Doctors "sometimes" or "never" treated them with courtesy and respect 3%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 12%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 78%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 5%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 17%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 72%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 7%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 21%
H_COMP_5_A_P: Staff "always" explained 65%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 18%
H_COMP_5_U_P: Staff "usually" explained 17%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 3
H_MED_FOR_A_P: Staff "always" explained new medications 75%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 10%
H_MED_FOR_U_P: Staff "usually" explained new medications 15%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 56%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 27%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 17%
H_COMP_6_N_P: No, staff "did not" give patients this information 18%
H_COMP_6_Y_P: Yes, staff "did" give patients this information 82%
H_COMP_6_LINEAR_SCORE: Discharge information - linear mean score
H_COMP_6_STAR_RATING: Discharge information - star rating 2
H_DISCH_HELP_N_P: No, staff "did not" give patients information about help after discharge 20%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 80%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 16%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 84%
H_CLEAN_HSP_A_P: Room was "always" clean 73%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 6%
H_CLEAN_HSP_U_P: Room was "usually" clean 21%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 4
H_QUIET_HSP_A_P: "Always" quiet at night 52%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 19%
H_QUIET_HSP_U_P: "Usually" quiet at night 29%
H_QUIET_LINEAR_SCORE: Quietness - linear mean score
H_QUIET_STAR_RATING: Quietness - star rating 2
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) 21%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 67%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 3
H_RECMND_DN: "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) 10%
H_RECMND_DY: "YES", patients would definitely recommend the hospital 63%
H_RECMND_PY: "YES", patients would probably recommend the hospital 27%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 2
H_STAR_RATING: Summary star rating 3

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 0.268 No Different than National Benchmark
HAI_1_CIUPPER 5.286 No Different than National Benchmark
HAI_1_DOPC 2068.000 No Different than National Benchmark
HAI_1_ELIGCASES 1.250 No Different than National Benchmark
HAI_1_NUMERATOR 2.000 No Different than National Benchmark
HAI_1_SIR 1.600 No Different than National Benchmark
HAI_2_CILOWER 0.021 No Different than National Benchmark
HAI_2_CIUPPER 2.035 No Different than National Benchmark
HAI_2_DOPC 4773.000 No Different than National Benchmark
HAI_2_ELIGCASES 2.424 No Different than National Benchmark
HAI_2_NUMERATOR 1.000 No Different than National Benchmark
HAI_2_SIR 0.413 No Different than National Benchmark
HAI_3_CILOWER
HAI_3_CIUPPER
HAI_3_DOPC 8.000
HAI_3_ELIGCASES 0.118
HAI_3_NUMERATOR 0.000
HAI_3_SIR
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 3.000
HAI_4_ELIGCASES 0.017
HAI_4_NUMERATOR 0.000
HAI_4_SIR
HAI_5_CILOWER
HAI_5_CIUPPER
HAI_5_DOPC 11261.000
HAI_5_ELIGCASES 0.530
HAI_5_NUMERATOR 0.000
HAI_5_SIR
HAI_6_CILOWER 0.398 No Different than National Benchmark
HAI_6_CIUPPER 2.044 No Different than National Benchmark
HAI_6_DOPC 11261.000 No Different than National Benchmark
HAI_6_ELIGCASES 6.104 No Different than National Benchmark
HAI_6_NUMERATOR 6.000 No Different than National Benchmark
HAI_6_SIR 0.983 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 medium 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 63.0 Healthcare Personnel Vaccination
OP_18a 80.0 Emergency Department
OP_18b 79.0 Emergency Department
OP_18c Emergency Department
OP_18d Emergency Department
OP_22 0.0 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 22.0 Electronic Clinical Quality Measure
SEP_1 57.0 Sepsis Care
SEP_SH_3HR 80.0 Sepsis Care
SEP_SH_6HR 83.0 Sepsis Care
SEV_SEP_3HR 80.0 Sepsis Care
SEV_SEP_6HR 90.0 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 51.80 More Days Than Average per 100 Discharges
EDAC_30_PN 15.40 Average Days per 100 Discharges
Hybrid_HWR 15.30 No Different Than the National Rate
OP_32 Number of Cases Too Small
OP_35_ADM
OP_35_ED
OP_36
READM_30_AMI Number of Cases Too Small
READM_30_CABG
READM_30_COPD 17.70 No Different Than the National Rate
READM_30_HF 20.00 No Different Than the National Rate
READM_30_HIP_KNEE
READM_30_PN 16.20 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
1.43

Financial Health (Cost Report — FY 2024)

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 per Discharge ($) $262,477 metrics.cost_per_discharge
Cost Report Cost-to-Charge Ratio 0.18 metrics.cost_to_charge_ratio
Cost Report Current Ratio 1.50 metrics.current_ratio
Cost Report Employees per Bed 2.26 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $23,254,855 metrics.fund_balance
Cost Report Net Income ($) $-6,573,305 metrics.net_income
Cost Report Net Patient Revenue ($) $60,203,872 metrics.net_patient_revenue
Cost Report Operating Margin (%) -12.1% metrics.operating_margin
Cost Report Total Assets ($) $46,657,369 metrics.total_assets
Cost Report Total Costs ($) $57,219,890 metrics.total_costs
Cost Report Total Liabilities ($) $23,402,514 metrics.total_liabilities
Cost Report Total Margin (%) -10.8% metrics.total_margin
Cost Report Uncompensated Care (%) 3.9% metrics.uncompensated_care_pct
General Information Address 1701 SANTA ANITA AVE Address
General Information City/Town SOUTH EL MONTE City/Town
General Information Count of Facility MORT Measures 3 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 3 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 7 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 3 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 3 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 4 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 0 Count of Safety Measures Worse
General Information County/Parish LOS ANGELES County/Parish
General Information Emergency Services No Emergency Services
General Information Facility ID 050738 Facility ID
General Information Facility Name GREATER EL MONTE COMMUNITY HOSPITAL Facility Name
General Information Hospital overall rating 2 Hospital overall rating
General Information Hospital overall rating footnote Hospital overall rating footnote
General Information Hospital Ownership Voluntary non-profit - Private 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 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 (626) 350-7975 Telephone Number
General Information ZIP Code 91733 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.25 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.47 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.35 measures.clabsi.sir
HAC Reduction Program payment_reduction No payment_reduction
HAC Reduction Program total_hac_score -0.31 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 1.43 Value
Readmissions (HRRP) COPD — Excess readmission ratio 0.97 0.9969 p27 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 20.7% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Predicted readmission rate 20.2% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.02 0.9983 p61 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 19.2% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Predicted readmission rate 19.5% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 1.01 0.9955 p61 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 19.6% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 151 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 31 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 19.9% READM-30-PN-HRRP.predicted_readmission_rate
Methodology

Full methodology →