Pomona Valley Hospital Medical Center

Hospital in Pomona, CA, Medicare certification number 050231. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 050231The number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Dec 4, 2023
Beds: 447
Overall star rating: 3 of 5Care Compare
Address: 1798 N Garey Ave
Pomona, CA 91767
(909) 865-9500

NPI records for this facility 1

Pomona Valley Hospital Medical Center
- General Acute Care Hospital
- Pomona, CA
- NPI 1407813660
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.51 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.45 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.08 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 2.69 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 of 5
- State average 2.86 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.05 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 2.2 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.43 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse2 of 5
- State average 2.86 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.85
- State average 1.06 (computed here)
- National average 1.06
- No different than the national rate
- 1,069 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite Better0.64
- State average 0.96 (computed here)
- National average 1
- Better than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected169.52
- State average 170.51 (computed here)
- National average 173.3
- No different than the national rate
- 65 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.7
- State average 2.38 (computed here)
- National average 2.4
- No different than the national rate
- 32 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.1
- State average 8.24 (computed here)
- National average 8.6
- No different than the national rate
- 51 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected10.5
- State average 11.57 (computed here)
- National average 11.9
- No different than the national rate
- 110 patients
- Period from 07/01/2022
Death rate for heart failure patients Better7.2
- State average 10.29 (computed here)
- National average 11.1
- Better than the national rate
- 369 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected11.5
- State average 14.49 (computed here)
- National average 15.2
- No different than the national rate
- 190 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.7
- State average 11.57 (computed here)
- National average 11.9
- No different than the national rate
- 583 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better3.2
- State average 3.81 (computed here)
- National average 3.9
- Better than the national rate
- 3,744 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.15
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 5,235 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.22
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 5,161 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.2
- State average 3.52 (computed here)
- National average 3.52
- No different than the national rate
- 996 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.55
- State average 1.67 (computed here)
- National average 1.67
- No different than the national rate
- 180 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.88
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 911 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected4.99
- State average 9.56 (computed here)
- National average 9.42
- No different than the national rate
- 189 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.25
- State average 5.5 (computed here)
- National average 5.27
- No different than the national rate
- 172 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.6
- State average 1.8 (computed here)
- National average 1.77
- No different than the national rate
- 196 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.1
- State average 0.48 (computed here)
- National average 0.63
- No different than the national rate
- 4,157 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.6
- State average 4.07 (computed here)
- National average 4.1
- No different than the national rate
- 64 patients
- Period from 04/01/2023

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.4
- State average 0.54
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.95
- State average 0.6
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.39
- State average 0.37
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia Better0.16
- State average 0.7
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.44
- State average 0.79
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 5.8
- State average 4.96 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 4.7
- State average 8.42 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.99
- State average 1.02
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 87
- State average 89.93 (computed here)
- National average 92.79 (computed here)
- 455 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 64
- State average 70
- National average 65
- 286 patients
- Period from 10/01/2024
Average (median) time all patients spent in the emergency department before leaving from the visit, including psychiatric/mental health patients and patients who were transferred to another facility. A lower number of minutes is better 207
- State average 180
- National average 168
- 422 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before leaving from the visit, excluding patients transferred to another facility or psychiatric care/mental health patients. A lower number of minutes is better 206
- State average 174
- National average 162
- 406 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 675
- State average 260
- National average 257
- 15 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 97
- State average 93.4 (computed here)
- National average 96.1 (computed here)
- 540 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 97
- State average 93
- National average 93
- 475 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 65
- State average 72
- National average 78
- 5,866 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 91
- State average 94.78 (computed here)
- National average 93.49 (computed here)
- 2,998 patients
- Period from 01/01/2024
Left before being seen 1
- State average 2
- National average 2
- 101,610 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 12
- State average 13
- National average 15
- 5,166 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 83
- State average 77
- National average 73
- 115 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 89
- State average 88
- National average 87
- 79 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 76
- State average 84
- National average 81
- 286 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 97
- State average 95
- National average 93
- 163 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 55
- State average 48.75 (computed here)
- National average 46.51 (computed here)
- 40 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (14)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — very high
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected13.9
- State average 14.43 (computed here)
- National average 14.4
- No different than the national rate
- 278 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected19.8
- State average 21.41 (computed here)
- National average 21.3
- No different than the national rate
- 982 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -1.1
- State average 11.09 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 128 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -51.4
- State average 7.9 (computed here)
- National average 4.02 (computed here)
- Fewer days than average per 100 discharges
- 454 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -29.1
- State average 16.67 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 219 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.1
- State average 17.7 (computed here)
- National average 17.3
- No different than the national rate
- 453 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.1
- State average 5.55 (computed here)
- National average 5.4
- No different than the national rate
- 74 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected13.3
- State average 11.39 (computed here)
- National average 10.7
- No different than the national rate
- 74 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.7
- State average 5.61 (computed here)
- National average 5.8
- No different than the national rate
- 57 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected11.9
- State average 11.19 (computed here)
- National average 11
- No different than the national rate
- 97 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.5
- State average 19.94 (computed here)
- National average 20
- No different than the national rate
- 137 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.5
- State average 12.91 (computed here)
- National average 13
- No different than the national rate
- 319 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 1 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 199 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.