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

Overview

Address
1800 W CHARLESTON BLVD, LAS VEGAS, NV 89102
Phone
(702) 383-2000
Hospital Type
Acute Care
Ownership
Non-Profit (Other)
Emergency Services
Yes
Birthing Friendly
Yes
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 7 of 7 measures reported
7
Better No different Worse
30-day death rates for heart attack, heart failure, pneumonia, COPD, stroke, CABG, and kidney disease.
Safety of Care 7 of 8 measures reported
1
5
1
Better No different Worse
Healthcare-associated infections and patient safety indicators (PSI-90 composite).
Readmission 8 of 11 measures reported
7
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 8 of 12 measures reported
8 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)
0.9886 p42
Heart Failure 169 discharges
1.1129 p95
Pneumonia 171 discharges
0.9827 p41
COPD 89 discharges
1.1014 p97
Hip/Knee Replacement
0.8986 p24
CABG Surgery
1.0615 p74
Expected (1.0) National median

Value-Based Purchasing

The Hospital VBP Program adjusts Medicare payments based on clinical quality. The Total Performance Score (TPS) is a weighted composite of four domains, each worth 25%. This hospital's TPS is below the national median, suggesting a negative payment adjustment.

21.1 p19
Total Performance Score
National median: 29.5
Clinical Outcomes 25% weight
7.1 p66
Nat'l median: 5.0
Measures mortality rates for conditions like heart attack, heart failure, pneumonia, and COPD. Based on 30-day risk-standardized mortality.
Safety 25% weight
11.3 p56
Nat'l median: 10.0
Patient safety measures including healthcare-associated infections (CLABSI, CAUTI, SSI, MRSA, C. diff) and perioperative complications.
Person & Community Engagement 25% weight
2.8 p3
Nat'l median: 8.8
Based on HCAHPS patient experience survey results — communication with nurses and doctors, hospital cleanliness, pain management, discharge information.
Efficiency & Cost Reduction 25% weight
0.0 p0
Nat'l median: 2.5
Based on Medicare Spending Per Beneficiary (MSPB). Measures episode-of-care costs from 3 days before admission through 30 days after discharge.

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: 1.1129
Value-Based Purchasing
21.1 TPS
Below national median
HAC Reduction
Payment Reduced
HAC Score: 0.6591

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 3.50 No Different Than the National Rate 32
Hybrid_HWM 4.10 No Different Than the National Rate 932
MORT_30_AMI 12.40 No Different Than the National Rate 33
MORT_30_CABG 2.30 No Different Than the National Rate 62
MORT_30_COPD 7.60 No Different Than the National Rate 70
MORT_30_HF 9.20 No Different Than the National Rate 143
MORT_30_PN 17.30 No Different Than the National Rate 170
MORT_30_STK 12.20 No Different Than the National Rate 100
PSI_03 0.14 No Different Than the National Rate 4,788
PSI_04 177.93 No Different Than the National Rate 95
PSI_06 0.28 No Different Than the National Rate 5,124
PSI_08 0.27 No Different Than the National Rate 4,953
PSI_09 2.14 No Different Than the National Rate 1,328
PSI_10 1.81 No Different Than the National Rate 349
PSI_11 11.16 No Different Than the National Rate 388
PSI_12 4.23 No Different Than the National Rate 1,427
PSI_13 8.24 No Different Than the National Rate 398
PSI_14 1.60 No Different Than the National Rate 297
PSI_15 0.86 No Different Than the National Rate 951
PSI_90 1.04 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 69%
H_COMP_1_SN_P: Nurses "sometimes" or "never" communicated well 8%
H_COMP_1_U_P: Nurses "usually" communicated well 23%
H_COMP_1_LINEAR_SCORE: Nurse communication - linear mean score
H_COMP_1_STAR_RATING: Nurse communication - star rating 2
H_NURSE_RESPECT_A_P: Nurses "always" treated them with courtesy and respect 78%
H_NURSE_RESPECT_SN_P: Nurses "sometimes" or "never" treated them with courtesy and respect 5%
H_NURSE_RESPECT_U_P: Nurses "usually" treated them with courtesy and respect 17%
H_NURSE_LISTEN_A_P: Nurses "always" listened carefully 66%
H_NURSE_LISTEN_SN_P: Nurses "sometimes" or "never" listened carefully 9%
H_NURSE_LISTEN_U_P: Nurses "usually" listened carefully 25%
H_NURSE_EXPLAIN_A_P: Nurses "always" explained things so they could understand 63%
H_NURSE_EXPLAIN_SN_P: Nurses "sometimes" or "never" explained things so they could understand 10%
H_NURSE_EXPLAIN_U_P: Nurses "usually" explained things so they could understand 27%
H_COMP_2_A_P: Doctors "always" communicated well 69%
H_COMP_2_SN_P: Doctors "sometimes" or "never" communicated well 9%
H_COMP_2_U_P: Doctors "usually" communicated well 22%
H_COMP_2_LINEAR_SCORE: Doctor communication - linear mean score
H_COMP_2_STAR_RATING: Doctor communication - star rating 2
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 7%
H_DOCTOR_RESPECT_U_P: Doctors "usually" treated them with courtesy and respect 16%
H_DOCTOR_LISTEN_A_P: Doctors "always" listened carefully 66%
H_DOCTOR_LISTEN_SN_P: Doctors "sometimes" or "never" listened carefully 10%
H_DOCTOR_LISTEN_U_P: Doctors "usually" listened carefully 24%
H_DOCTOR_EXPLAIN_A_P: Doctors "always" explained things so they could understand 63%
H_DOCTOR_EXPLAIN_SN_P: Doctors "sometimes" or "never" explained things so they could understand 11%
H_DOCTOR_EXPLAIN_U_P: Doctors "usually" explained things so they could understand 26%
H_COMP_5_A_P: Staff "always" explained 49%
H_COMP_5_SN_P: Staff "sometimes" or "never" explained 29%
H_COMP_5_U_P: Staff "usually" explained 22%
H_COMP_5_LINEAR_SCORE: Communication about medicines - linear mean score
H_COMP_5_STAR_RATING: Communication about medicines - star rating 1
H_MED_FOR_A_P: Staff "always" explained new medications 63%
H_MED_FOR_SN_P: Staff "sometimes" or "never" explained new medications 17%
H_MED_FOR_U_P: Staff "usually" explained new medications 20%
H_SIDE_EFFECTS_A_P: Staff "always" explained possible side effects 36%
H_SIDE_EFFECTS_SN_P: Staff "sometimes" or "never" explained possible side effects 41%
H_SIDE_EFFECTS_U_P: Staff "usually" explained possible side effects 23%
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 19%
H_DISCH_HELP_Y_P: Yes, staff "did" give patients information about help after discharge 81%
H_SYMPTOMS_N_P: No, staff "did not" give patients information about possible symptoms 18%
H_SYMPTOMS_Y_P: Yes, staff "did" give patients information about possible symptoms 82%
H_CLEAN_HSP_A_P: Room was "always" clean 61%
H_CLEAN_HSP_SN_P: Room was "sometimes" or "never" clean 15%
H_CLEAN_HSP_U_P: Room was "usually" clean 24%
H_CLEAN_LINEAR_SCORE: Cleanliness - linear mean score
H_CLEAN_STAR_RATING: Cleanliness - star rating 2
H_QUIET_HSP_A_P: "Always" quiet at night 42%
H_QUIET_HSP_SN_P: "Sometimes" or "never" quiet at night 21%
H_QUIET_HSP_U_P: "Usually" quiet at night 37%
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) 14%
H_HSP_RATING_7_8: Patients who gave a rating of "7" or "8" (medium) 27%
H_HSP_RATING_9_10: Patients who gave a rating of "9" or "10" (high) 59%
H_HSP_RATING_LINEAR_SCORE: Overall hospital rating - linear mean score
H_HSP_RATING_STAR_RATING: Overall hospital rating - star rating 2
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 61%
H_RECMND_PY: "YES", patients would probably recommend the hospital 28%
H_RECMND_LINEAR_SCORE: Recommend hospital - linear mean score
H_RECMND_STAR_RATING: Recommend hospital - star rating 2
H_STAR_RATING: Summary star rating 2

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 0.532 No Different than National Benchmark
HAI_1_CIUPPER 1.257 No Different than National Benchmark
HAI_1_DOPC 19895.000 No Different than National Benchmark
HAI_1_ELIGCASES 25.105 No Different than National Benchmark
HAI_1_NUMERATOR 21.000 No Different than National Benchmark
HAI_1_SIR 0.836 No Different than National Benchmark
HAI_2_CILOWER 0.198 Better than the National Benchmark
HAI_2_CIUPPER 0.747 Better than the National Benchmark
HAI_2_DOPC 12759.000 Better than the National Benchmark
HAI_2_ELIGCASES 22.112 Better than the National Benchmark
HAI_2_NUMERATOR 9.000 Better than the National Benchmark
HAI_2_SIR 0.407 Better than the National Benchmark
HAI_3_CILOWER 0.136 No Different than National Benchmark
HAI_3_CIUPPER 1.453 No Different than National Benchmark
HAI_3_DOPC 191.000 No Different than National Benchmark
HAI_3_ELIGCASES 5.618 No Different than National Benchmark
HAI_3_NUMERATOR 3.000 No Different than National Benchmark
HAI_3_SIR 0.534 No Different than National Benchmark
HAI_4_CILOWER
HAI_4_CIUPPER
HAI_4_DOPC 92.000
HAI_4_ELIGCASES 0.851
HAI_4_NUMERATOR 3.000
HAI_4_SIR
HAI_5_CILOWER 0.218 No Different than National Benchmark
HAI_5_CIUPPER 1.121 No Different than National Benchmark
HAI_5_DOPC 147366.000 No Different than National Benchmark
HAI_5_ELIGCASES 11.134 No Different than National Benchmark
HAI_5_NUMERATOR 6.000 No Different than National Benchmark
HAI_5_SIR 0.539 No Different than National Benchmark
HAI_6_CILOWER 0.407 Better than the National Benchmark
HAI_6_CIUPPER 0.771 Better than the National Benchmark
HAI_6_DOPC 139000.000 Better than the National Benchmark
HAI_6_ELIGCASES 66.983 Better than the National Benchmark
HAI_6_NUMERATOR 38.000 Better than the National Benchmark
HAI_6_SIR 0.567 Better than the National Benchmark

Timely & Effective Care

Process-of-care measures including ED wait times, treatment timeliness, and preventive care.

Measure Score Condition
EDV very high 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 9.0 Electronic Clinical Quality Measure
HH_HYPO Electronic Clinical Quality Measure
HH_ORAE Electronic Clinical Quality Measure
IMM_3 77.0 Healthcare Personnel Vaccination
OP_18a 238.0 Emergency Department
OP_18b 236.0 Emergency Department
OP_18c 425.0 Emergency Department
OP_18d Emergency Department
OP_22 2.0 Emergency Department
OP_23 Emergency Department
OP_29 68.0 Colonoscopy care
OP_31 Cataract surgery outcome
OP_40 62.0 Electronic Clinical Quality Measure
SAFE_USE_OF_OPIOIDS 12.0 Electronic Clinical Quality Measure
SEP_1 81.0 Sepsis Care
SEP_SH_3HR 93.0 Sepsis Care
SEP_SH_6HR 100.0 Sepsis Care
SEV_SEP_3HR 88.0 Sepsis Care
SEV_SEP_6HR 92.0 Sepsis Care
STK_02 98.0 Electronic Clinical Quality Measure
STK_03 Electronic Clinical Quality Measure
STK_05 Electronic Clinical Quality Measure
VTE_1 Electronic Clinical Quality Measure
VTE_2 92.0 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 82.00 More Days Than Average per 100 Discharges
EDAC_30_PN 14.20 Average Days per 100 Discharges
Hybrid_HWR 15.60 No Different Than the National Rate
OP_32 13.60 No Different Than the National Rate
OP_35_ADM Number of Cases Too Small
OP_35_ED Number of Cases Too Small
OP_36 1.10 No Different than expected
READM_30_AMI 13.40 No Different Than the National Rate
READM_30_CABG 11.60 No Different Than the National Rate
READM_30_COPD 20.10 No Different Than the National Rate
READM_30_HF 21.80 No Different Than the National Rate
READM_30_HIP_KNEE 4.40 No Different Than the National Rate
READM_30_PN 15.70 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
1.08

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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Show 92 rows
Source Metric Value National Median Pctl. Raw key
Cost Report Cost-to-Charge Ratio 0.18 metrics.cost_to_charge_ratio
Cost Report Current Ratio 2.93 metrics.current_ratio
Cost Report Employees per Bed 7.39 metrics.employees_per_bed
Cost Report fiscal_year 2,024 fiscal_year
Cost Report Fund Balance ($) $-202,544,351 metrics.fund_balance
Cost Report Net Income ($) $-12,898,769 metrics.net_income
Cost Report Net Patient Revenue ($) $959,536,679 metrics.net_patient_revenue
Cost Report Operating Margin (%) -4.2% metrics.operating_margin
Cost Report Total Assets ($) $774,286,011 metrics.total_assets
Cost Report Total Costs ($) $797,625,170 metrics.total_costs
Cost Report Total Liabilities ($) $975,460,005 metrics.total_liabilities
Cost Report Total Margin (%) -1.3% metrics.total_margin
Cost Report Uncompensated Care (%) 6.7% metrics.uncompensated_care_pct
General Information Address 1800 W CHARLESTON BLVD Address
General Information City/Town LAS VEGAS City/Town
General Information Count of Facility MORT Measures 7 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 8 Count of Facility READM Measures
General Information Count of Facility Safety Measures 7 Count of Facility Safety Measures
General Information Count of Facility TE Measures 8 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 7 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 7 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 1 Count of Safety Measures Better
General Information Count of Safety Measures No Different 5 Count of Safety Measures No Different
General Information Count of Safety Measures Worse 1 Count of Safety Measures Worse
General Information County/Parish CLARK County/Parish
General Information Emergency Services Yes Emergency Services
General Information Facility ID 290007 Facility ID
General Information Facility Name UNIVERSITY MEDICAL CENTER 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 - Other 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 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 NV State
General Information TE Group Footnote TE Group Footnote
General Information TE Group Measure Count 12 TE Group Measure Count
General Information Telephone Number (702) 383-2000 Telephone Number
General Information ZIP Code 89102 ZIP Code
HAC Reduction Program fiscal_year 2,026 fiscal_year
HAC Reduction Program measures — cauti — sir 0.86 measures.cauti.sir
HAC Reduction Program measures — cdi — sir 0.64 measures.cdi.sir
HAC Reduction Program measures — clabsi — sir 0.93 measures.clabsi.sir
HAC Reduction Program measures — mrsa — sir 0.86 measures.mrsa.sir
HAC Reduction Program measures — ssi — sir 1.28 measures.ssi.sir
HAC Reduction Program payment_reduction Yes payment_reduction
HAC Reduction Program total_hac_score 0.66 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 1.08 Value
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Excess readmission ratio 0.99 0.9995 p42 READM-30-AMI-HRRP.excess_readmission_ratio
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Expected readmission rate 12.5% READM-30-AMI-HRRP.expected_readmission_rate
Readmissions (HRRP) Acute Myocardial Infarction (Heart Attack) — Predicted readmission rate 12.4% READM-30-AMI-HRRP.predicted_readmission_rate
Readmissions (HRRP) CABG Surgery — Excess readmission ratio 1.06 1.0000 p74 READM-30-CABG-HRRP.excess_readmission_ratio
Readmissions (HRRP) CABG Surgery — Expected readmission rate 11.5% READM-30-CABG-HRRP.expected_readmission_rate
Readmissions (HRRP) CABG Surgery — Predicted readmission rate 12.2% READM-30-CABG-HRRP.predicted_readmission_rate
Readmissions (HRRP) COPD — Excess readmission ratio 1.10 0.9969 p97 READM-30-COPD-HRRP.excess_readmission_ratio
Readmissions (HRRP) COPD — Expected readmission rate 19.1% READM-30-COPD-HRRP.expected_readmission_rate
Readmissions (HRRP) COPD — Number of discharges 89 READM-30-COPD-HRRP.num_discharges
Readmissions (HRRP) COPD — Number of readmissions 26 READM-30-COPD-HRRP.num_readmissions
Readmissions (HRRP) COPD — Predicted readmission rate 21.0% READM-30-COPD-HRRP.predicted_readmission_rate
Readmissions (HRRP) Heart Failure — Excess readmission ratio 1.11 0.9983 p95 READM-30-HF-HRRP.excess_readmission_ratio
Readmissions (HRRP) Heart Failure — Expected readmission rate 20.2% READM-30-HF-HRRP.expected_readmission_rate
Readmissions (HRRP) Heart Failure — Number of discharges 169 READM-30-HF-HRRP.num_discharges
Readmissions (HRRP) Heart Failure — Number of readmissions 46 READM-30-HF-HRRP.num_readmissions
Readmissions (HRRP) Heart Failure — Predicted readmission rate 22.5% READM-30-HF-HRRP.predicted_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Excess readmission ratio 0.90 0.9916 p24 READM-30-HIP-KNEE-HRRP.excess_readmission_ratio
Readmissions (HRRP) Hip/Knee Replacement — Expected readmission rate 4.8% READM-30-HIP-KNEE-HRRP.expected_readmission_rate
Readmissions (HRRP) Hip/Knee Replacement — Predicted readmission rate 4.3% READM-30-HIP-KNEE-HRRP.predicted_readmission_rate
Readmissions (HRRP) Pneumonia — Excess readmission ratio 0.98 0.9955 p41 READM-30-PN-HRRP.excess_readmission_ratio
Readmissions (HRRP) Pneumonia — Expected readmission rate 17.4% READM-30-PN-HRRP.expected_readmission_rate
Readmissions (HRRP) Pneumonia — Number of discharges 171 READM-30-PN-HRRP.num_discharges
Readmissions (HRRP) Pneumonia — Number of readmissions 28 READM-30-PN-HRRP.num_readmissions
Readmissions (HRRP) Pneumonia — Predicted readmission rate 17.1% READM-30-PN-HRRP.predicted_readmission_rate
Value-Based Purchasing Clinical Outcomes 7.08 5.00 p66 clinical_outcomes_score
Value-Based Purchasing Efficiency & Cost Reduction 0.00 2.50 p0 efficiency_score
Value-Based Purchasing Person & Community Engagement 2.75 8.75 p3 person_community_score
Value-Based Purchasing Safety 11.25 10.00 p56 safety_score
Value-Based Purchasing Total Performance Score 21.08 29.50 p19 total_performance_score
Methodology

Full methodology →