Sutter Delta Medical Center

Hospital in Antioch, CA, Medicare certification number 050523. CMS publishes 58 quality measures for it.

Medicare certification

Provider of Services

CCN: 050523The 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: Feb 2, 1967
Last certification: May 7, 1993
Beds: 111
Overall star rating: 3 of 5Care Compare
Most recent change of ownership: Mar 1, 2018 (2 total)
Address: 3901 Lone Tree Way
Antioch, CA 94509
(925) 779-7200

NPI records for this facility 1

Sutter Bay Hospitals
- General Acute Care Hospital
- Antioch, CA
- NPI 1467808659
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 Worse2 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 Worse2 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 Worse2 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 16

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.98
- State average 1.06 (computed here)
- National average 1.06
- No different than the national rate
- 561 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.88
- State average 0.96 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected176.46
- State average 170.51 (computed here)
- National average 173.3
- No different than the national rate
- 31 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.5
- State average 8.24 (computed here)
- National average 8.6
- No different than the national rate
- 113 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12
- State average 11.57 (computed here)
- National average 11.9
- No different than the national rate
- 100 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.3
- State average 10.29 (computed here)
- National average 11.1
- No different than the national rate
- 260 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.2
- State average 14.49 (computed here)
- National average 15.2
- No different than the national rate
- 259 patients
- Period from 07/01/2022
Death rate for stroke patients As expected12.5
- State average 11.57 (computed here)
- National average 11.9
- No different than the national rate
- 56 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.8
- State average 3.81 (computed here)
- National average 3.9
- No different than the national rate
- 1,274 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.24
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 3,285 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.24
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 3,374 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.47
- State average 3.52 (computed here)
- National average 3.52
- No different than the national rate
- 364 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.16
- State average 2.31 (computed here)
- National average 2.34
- No different than the national rate
- 323 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected8.63
- State average 9.56 (computed here)
- National average 9.42
- No different than the national rate
- 26 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.71
- State average 1.8 (computed here)
- National average 1.77
- No different than the national rate
- 81 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.24
- State average 0.48 (computed here)
- National average 0.63
- No different than the national rate
- 2,713 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (4)

Death rate for CABG surgery patients — 5
Postoperative acute kidney injury requiring dialysis rate — 1
Postoperative sepsis rate — 1
Rate of complications for hip/knee replacement patients — 1

Infections 4

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0
- State average 0.54
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0
- State average 0.6
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.17
- State average 0.37
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.96
- 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 (2)

MRSA Bacteremia — 13
SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 2.2
- State average 4.96 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 2.6
- 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) 0.98
- State average 1.02
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 78
- State average 70
- National average 65
- 179 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 184
- State average 180
- National average 168
- 389 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 535
- State average 398
- National average 287
- 13 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 180
- State average 174
- National average 162
- 363 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 347
- State average 260
- National average 257
- 15 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 97
- State average 93
- National average 93
- 115 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 74
- State average 72
- National average 78
- 1,238 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 2
- State average 1.01 (computed here)
- National average 1.09 (computed here)
- 2,126 patients
- Period from 01/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 99
- State average 94.78 (computed here)
- National average 93.49 (computed here)
- 807 patients
- Period from 01/01/2024
Left before being seen 2
- State average 2
- National average 2
- 58,129 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 14
- State average 13
- National average 15
- 1,748 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 78
- State average 77
- National average 73
- 51 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 90
- State average 88
- National average 87
- 29 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 89
- State average 84
- National average 81
- 180 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 98
- State average 95
- National average 93
- 128 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 71
- State average 48.75 (computed here)
- National average 46.51 (computed here)
- 35 patients
- Period from 01/01/2024
Venous Thromboembolism Prophylaxis 98
- State average 86.9 (computed here)
- National average 82.23 (computed here)
- 3,352 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Discharged on Antithrombotic Therapy — 5
Emergency department volume — 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
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5

Unplanned visits 9

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.1
- State average 14.43 (computed here)
- National average 14.4
- No different than the national rate
- 116 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20
- State average 21.41 (computed here)
- National average 21.3
- No different than the national rate
- 316 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 20
- State average 11.09 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 83 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 7.1
- State average 7.9 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 298 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 27.3
- State average 16.67 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 269 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.4
- State average 17.7 (computed here)
- National average 17.3
- No different than the national rate
- 283 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.7
- State average 19.94 (computed here)
- National average 20
- No different than the national rate
- 150 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.9
- State average 12.91 (computed here)
- National average 13
- No different than the national rate
- 529 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
- 45 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (5)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 1
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 1
Rate of readmission after hip/knee replacement — 7
Rate of readmission for CABG — 5

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.