GUADALUPE COUNTY HOSPITAL Review

Get Information, Ratings, Surveys, and Compare GUADALUPE COUNTY HOSPITAL to other hospitals

Overall Hospital Rating: Not Available ; HCAPS approval: 75%

Database data as of January 31, 2024

A Review of the Data

Prepared by Richard Saunders as of January 31, 2024.

The Centers for Medicare & Medicaid Services ("CMS") distributes more than 80 tables of data on hospitals on a quarterly basis. That is a lot of information to pour through to try and build a comprehensive review of GUADALUPE COUNTY HOSPITAL. Luckily, we are here to help! I’ve put together this page to help you to get a better idea of what the hospital does, who is affiliated with it, share any patient survey data and much more. (If you want to jump to a specific section of the review, here are the section headers: General Hospital Data, Ratings, Cost Analysis, Infections, Comparison, Nearby Skilled Nursing Facilities, Doctors Associated with GUADALUPE COUNTY HOSPITAL, Survey Analysis.)

In the briefest summary, GUADALUPE COUNTY HOSPITAL is one of the types of hospitals called Acute Care Hospitals. It is in SANTA ROSA, NM. IT HAS NOT BEEN RATED BY CMS . Its type of ownership is Government - Local. The facility's Medicare ID is 320067. It does provide emergency services. There are 9 medical professionals and 3 doctor groups affiliated with the hospital. On average at GUADALUPE COUNTY HOSPITAL, emergency patients were charged $13,563. This is lower than the state average of $24,642. It is also lower than the national average of $25,828.

According to the Hospital Consumer Assessment of Healthcare Providers and Systems ("HCAHPS") that ended in September 30, 2021, 75% of the patients surveyed definitely recommended GUADALUPE COUNTY HOSPITAL, while only 1% did not recommend going to GUADALUPE COUNTY HOSPITAL.

The information presented below is based on data provided by U.S. Centers for Medicare & Medicaid Services (CMS). It is updated as new data is made available.

General Information for GUADALUPE COUNTY HOSPITAL

Address:

117 CAMINO DE VIDA, SUITE 100
SANTA ROSA, NM 88435
(575) 472-3417
Click for Map

Medicare Provider Number:

320067

Type:

Acute Care Hospitals

Ownership:

Government - Local

Overall Hospital Quality Star Rating for GUADALUPE COUNTY HOSPITAL

Overall Rating: Not Available



The Overall Hospital Quality Star Rating for GUADALUPE COUNTY HOSPITAL summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. Once reporting thresholds are met, a hospital’s Overall Star Rating is calculated using only those measures for which data are available. Hospitals report data to The Centers for Medicare & Medicaid Services ("CMS") through the Hospital Inpatient Quality Reporting (IQR) Program, Hospital Outpatient Quality Reporting (OQR) Program, Hospital Readmission Reduction Program (HRRP), Hospital-Acquired Condition (HAC) Reduction Program, and Hospital Value-Based Purchasing (VBP) Program. Overall Star Ratings aren’t calculated for Veterans Health Administration (VHA) or Department of Defense (DoD) hospitals.

Most hospitals will have an Overall Hospital Quality Star Rating of 3.

National distribution of the Overall Hospital Quality Star Rating The following table shows the national distribution of the Overall Star Rating based on July 2022 results.

Overall rating Number of hospitals / Percentage
1 star 198 (6.34%)
2 stars 702 (22.49%)
3 stars 895 (28.68%)
4 stars 895 (28.68%)
5 stars 431 (13.81%)
N/A 1,368 (30.47%)

Additional detailed on the method for calculating the Overall Hospital Quality Star Rating from this document.

Patient Survey Results

Below is information compiled by CMS on the percentage of patients who respond to specific treatments and a comparison of the results for GUADALUPE COUNTY HOSPITAL to the national results for similar facilities.

Survey Question Response
Patients who reported that their nurses "Always" communicated well 83 %
Patients who reported that their nurses "Sometimes" or "Never" communicated well 3 %
Patients who reported that their nurses "Usually" communicated well 14 %
Nurse communication - linear mean score Not Applicable
Nurse communication - star rating Not Applicable
Patients who reported that their nurses "Always" treated them with courtesy and respect Not Available %
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect Not Available %
Patients who reported that their nurses "Usually" treated them with courtesy and respect Not Available %
Patients who reported that their nurses "Always" listened carefully to them Not Available %
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them Not Available %
Patients who reported that their nurses "Usually" listened carefully to them Not Available %
Patients who reported that their nurses "Always" explained things in a way they could understand Not Available %
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand Not Available %
Patients who reported that their nurses "Usually" explained things in a way they could understand Not Available %
Patients who reported that their doctors "Always" communicated well 90 %
Patients who reported that their doctors "Sometimes" or "Never" communicated well 1 %
Patients who reported that their doctors "Usually" communicated well 9 %
Doctor communication - linear mean score Not Applicable
Doctor communication - star rating Not Applicable
Patients who reported that their doctors "Always" treated them with courtesy and respect Not Available %
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect Not Available %
Patients who reported that their doctors "Usually" treated them with courtesy and respect Not Available %
Patients who reported that their doctors "Always" listened carefully to them Not Available %
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them Not Available %
Patients who reported that their doctors "Usually" listened carefully to them Not Available %
Patients who reported that their doctors "Always" explained things in a way they could understand Not Available %
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand Not Available %
Patients who reported that their doctors "Usually" explained things in a way they could understand Not Available %
Patients who reported that they "Always" received help as soon as they wanted 89 %
Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted 4 %
Patients who reported that they "Usually" received help as soon as they wanted 7 %
Staff responsiveness - linear mean score Not Applicable
Staff responsiveness - star rating Not Applicable
Patients who reported that they "Always" received help after using the call button as soon as they wanted Not Available %
Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wanted Not Available %
Patients who reported that they "Usually" received help after using the call button as soon as they wanted Not Available %
Patients who reported that they "Always" received bathroom help as soon as they wanted Not Available %
Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wanted Not Available %
Patients who reported that they "Usually" received bathroom help as soon as they wanted Not Available %
Patients who reported that staff "Always" explained about medicines before giving it to them 70 %
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them 11 %
Patients who reported that staff "Usually" explained about medicines before giving it to them 19 %
Communication about medicines - linear mean score Not Applicable
Communication about medicines - star rating Not Applicable
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for Not Available %
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for Not Available %
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. Not Available %
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects Not Available %
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects Not Available %
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects Not Available %
Patients who reported that NO, they were not given information about what to do during their recovery at home 24 %
Patients who reported that YES, they were given information about what to do during their recovery at home 76 %
Discharge information - linear mean score Not Applicable
Discharge information - star rating Not Applicable
Patients who reported that NO, they did not discuss whether they would need help after discharge Not Available %
Patients who reported that YES, they did discuss whether they would need help after discharge Not Available %
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge Not Available %
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge Not Available %
Patients who "Agree" they understood their care when they left the hospital 37 %
Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospital 6 %
Patients who "Strongly Agree" they understood their care when they left the hospital 57 %
Care transition - linear mean score Not Applicable
Care transition - star rating Not Applicable
Patients who "Agree" that the staff took my preferences into account when determining my health care needs Not Available %
Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs Not Available %
Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs Not Available %
Patients who "Agree" that they understood their responsiblities in managing their health Not Available %
Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health Not Available %
Patients who "Strongly Agree" that they understood their responsiblities in managing their health Not Available %
Patients who "Agree" that they understood the purposes of their medications when leaving the hospital Not Available %
Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital Not Available %
Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital Not Available %
Patients who reported that their room and bathroom were "Always" clean 61 %
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean 7 %
Patients who reported that their room and bathroom were "Usually" clean 32 %
Cleanliness - linear mean score Not Applicable
Cleanliness - star rating Not Applicable
Patients who reported that the area around their room was "Always" quiet at night 77 %
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night 4 %
Patients who reported that the area around their room was "Usually" quiet at night 19 %
Quietness - linear mean score Not Applicable
Quietness - star rating Not Applicable
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) 4 %
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) 22 %
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) 74 %
Overall hospital rating - linear mean score Not Applicable
Overall hospital rating - star rating Not Applicable
Patients who reported NO, they would probably not or definitely not recommend the hospital 1 %
Patients who reported YES, they would definitely recommend the hospital 75 %
Patients who reported YES, they would probably recommend the hospital 24 %
Recommend hospital - linear mean score Not Applicable
Recommend hospital - star rating Not Applicable
Summary star rating Not Applicable

Cost of GUADALUPE COUNTY HOSPITAL, Compare to National and State Averages

Understanding how much a hospital is going to cost is extremely difficult. Hospitals themselves actively obscure what they charge and have negotiated different rates with different insurers. Then you have the problem of the wide variety of treatments which the GUADALUPE COUNTY HOSPITAL provides.

To provide some standard metric to compare hospital costs, CMS publishes the MSPB (or "Medicare Spending Per Beneficiary"). Even though you may not be on Medicare, this metric may still be useful. The MSPB is expressed as a percentage compared to the national average for costs that Medicare incurs. A percentage higher than 100% means the hospital charges more than the national average while a percentage less than 100% means the hospital charges less than the national average.

MSPB for GUADALUPE COUNTY HOSPITAL: Not Available

Detailed table for spending and period for patients at GUADALUPE COUNTY HOSPITAL:

Type Amount
Home Health Agency (1 to 3 days Prior to Index Hospital Admission) $0
Hospice (1 to 3 days Prior to Index Hospital Admission) $0
Inpatient (1 to 3 days Prior to Index Hospital Admission) $0
Outpatient (1 to 3 days Prior to Index Hospital Admission) $116
Skilled Nursing Facility (1 to 3 days Prior to Index Hospital Admission) $0
Durable Medical Equipment (1 to 3 days Prior to Index Hospital Admission) $0
Carrier (1 to 3 days Prior to Index Hospital Admission) $141
Home Health Agency (During Index Hospital Admission) $0
Hospice (During Index Hospital Admission) $0
Inpatient (During Index Hospital Admission) $6,847
Outpatient (During Index Hospital Admission) $0
Skilled Nursing Facility (During Index Hospital Admission) $0
Durable Medical Equipment (During Index Hospital Admission) $9
Carrier (During Index Hospital Admission) $303
Home Health Agency (1 through 30 days After Discharge from Index Hospital Admission) $0
Hospice (1 through 30 days After Discharge from Index Hospital Admission) $0
Inpatient (1 through 30 days After Discharge from Index Hospital Admission) $3,974
Outpatient (1 through 30 days After Discharge from Index Hospital Admission) $990
Skilled Nursing Facility (1 through 30 days After Discharge from Index Hospital Admission) $0
Durable Medical Equipment (1 through 30 days After Discharge from Index Hospital Admission) $69
Carrier (1 through 30 days After Discharge from Index Hospital Admission) $1,115
Total (Complete Episode) $13,563

Infection Rates at GUADALUPE COUNTY HOSPITAL

These measures show how often patients at GUADALUPE COUNTY HOSPITAL contract certain infections during the course of their medical treatment, when compared to other hospitals nationally.

Infection Type Score / Compare to National Average
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit Not Available / Not Available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit Not Available / Not Available
Central Line Associated Bloodstream Infection: Number of Device Days Not Available / Not Available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases Not Available / Not Available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases Not Available / Not Available
Central Line Associated Bloodstream Infection (ICU + select Wards) Not Available / Not Available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit Not Available / Not Available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit Not Available / Not Available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days 52.00 / Not Available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases 0.03 / Not Available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases 0.00 / Not Available
Catheter Associated Urinary Tract Infections (ICU + select Wards) Not Available / Not Available
SSI - Colon Surgery: Lower Confidence Limit Not Available / Not Available
SSI - Colon Surgery: Upper Confidence Limit Not Available / Not Available
SSI - Colon Surgery: Number of Procedures Not Available / Not Available
SSI - Colon Surgery: Predicted Cases Not Available / Not Available
SSI - Colon Surgery: Observed Cases Not Available / Not Available
SSI - Colon Surgery Not Available / Not Available
SSI - Abdominal Hysterectomy: Lower Confidence Limit Not Available / Not Available
SSI - Abdominal Hysterectomy: Upper Confidence Limit Not Available / Not Available
SSI - Abdominal Hysterectomy: Number of Procedures Not Available / Not Available
SSI - Abdominal Hysterectomy: Predicted Cases Not Available / Not Available
SSI - Abdominal Hysterectomy: Observed Cases Not Available / Not Available
SSI - Abdominal Hysterectomy Not Available / Not Available
MRSA Bacteremia: Lower Confidence Limit Not Available / Not Available
MRSA Bacteremia: Upper Confidence Limit Not Available / Not Available
MRSA Bacteremia: Patient Days 405.00 / Not Available
MRSA Bacteremia: Predicted Cases 0.01 / Not Available
MRSA Bacteremia: Observed Cases 0.00 / Not Available
MRSA Bacteremia Not Available / Not Available
Clostridium Difficile (C.Diff): Lower Confidence Limit Not Available / Not Available
Clostridium Difficile (C.Diff): Upper Confidence Limit Not Available / Not Available
Clostridium Difficile (C.Diff): Patient Days 405.00 / Not Available
Clostridium Difficile (C.Diff): Predicted Cases 0.10 / Not Available
Clostridium Difficile (C.Diff): Observed Cases 0.00 / Not Available
Clostridium Difficile (C.Diff) Not Available / Not Available

How GUADALUPE COUNTY HOSPITAL Compares to Other Similar Facilities

This is how GUADALUPE COUNTY HOSPITAL compares to other similar hospitals nationally based on data provided to CMS.

Top Hospitals in SANTA ROSA, NM

Worst Hospitals in SANTA ROSA, NM

Percentages of Complications and Deaths at GUADALUPE COUNTY HOSPITAL

Measure Score Compared to National Rates
Rate of complications for hip/knee replacement patients NA Not Enough Data
Death rate for heart attack patients NA Not Enough Data
Death rate for CABG surgery patients NA Not Enough Data
Death rate for COPD patients NA Not Enough Data
Death rate for heart failure patients NA Not Enough Data
Death rate for pneumonia patients NA Not Enough Data
Death rate for stroke patients NA Not Enough Data
Pressure ulcer rate 0.57% SAME
Death rate among surgical inpatients with serious treatable complications NA Not Enough Data
Iatrogenic pneumothorax rate 0.25% SAME
In-hospital fall with hip fracture rate 0.09% SAME
Postoperative hemorrhage or hematoma rate NA Not Enough Data
Postoperative acute kidney injury requiring dialysis rate NA Not Enough Data
Postoperative respiratory failure rate NA Not Enough Data
Perioperative pulmonary embolism or deep vein thrombosis rate NA Not Enough Data
Postoperative sepsis rate NA Not Enough Data
Postoperative wound dehiscence rate NA Not Enough Data
Abdominopelvic accidental puncture or laceration rate 1.1% SAME
CMS Medicare PSI 90: Patient safety and adverse events composite NA Not Enough Data

Skilled Nursing Facilities Near GUADALUPE COUNTY HOSPITAL

Many hospital patients are not ready to return home after a hospital visit. If recovery is going to be protracted, doctors will often advise that the patients recuperate at a skilled nursing facility. Below is a list of the skilled nursing homes near GUADALUPE COUNTY HOSPITAL ranked by their CMS 5-Star Overall Rating.

The NursingHomeDatabase database does not show any skilled nursing facilities nearby.

Medical Groups Affiliated with GUADALUPE COUNTY HOSPITAL

There are 9 doctors and 3 medical groups that are affiliated with GUADALUPE COUNTY HOSPITAL.

Affiliated Doctor Groups


Affiliated Doctors