NPIMap

Upper San Juan Health Service District

Doing business as Pagosa Springs Medical Center

Hospital in Pagosa Springs, CO, Medicare certification number 061328. CMS publishes 13 quality measures for it.

Medicare certification

Provider of Services
CCN
061328The number CMS certifies the facility under, not a provider identifier
Status
Active
Provider type
Hospital – Critical access hospital
Listed by Care Compare as
Critical Access Hospitals
Ownership
Government - Hospital District or Authority
Control type
Hospital district or authority
Participating since
Sep 16, 2008
Last certification
Jun 26, 2024
Beds
11
Address
95 S Pagosa Blvd
Pagosa Springs, CO 81147
(970) 731-3700

NPI records for this facility (CCN to NPI Mapping) 1

Patient survey (HCAHPS) 0

Medicare Care Compare
Measures CMS does not publish for this facility (9)
  • Cleanliness - star rating — 5
  • Communication about medicines - star rating — 5
  • Discharge information - star rating — 5
  • Doctor communication - star rating — 5
  • Nurse communication - star rating — 5
  • Overall hospital rating - star rating — 5
  • Quietness - star rating — 5
  • Recommend hospital - star rating — 5
  • Summary star rating — 5

Affiliated providers 144

Page 1 of 6Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Complications and deaths 0

Medicare Care Compare
Measures CMS does not publish for this facility (20)
  • Abdominopelvic accidental puncture or laceration rate — 5
  • CMS Medicare PSI 90: Patient safety and adverse events composite — 5
  • Death rate among surgical inpatients with serious treatable complications — 5
  • Death rate for CABG surgery patients — 5
  • Death rate for COPD patients — 5
  • Death rate for heart attack patients — 5
  • Death rate for heart failure patients — 5
  • Death rate for pneumonia patients — 5
  • Death rate for stroke patients — 5
  • Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate — 5
  • Iatrogenic pneumothorax rate — 5
  • In-hospital fall-associated fracture rate — 5
  • Perioperative pulmonary embolism or deep vein thrombosis rate — 5
  • Postoperative acute kidney injury requiring dialysis rate — 5
  • Postoperative hemorrhage or hematoma rate — 5
  • Postoperative respiratory failure rate — 5
  • Postoperative sepsis rate — 5
  • Postoperative wound dehiscence rate — 5
  • Pressure ulcer rate — 5
  • Rate of complications for hip/knee replacement patients — 5

Infections 0

Medicare Care Compare
Measures CMS does not publish for this facility (6)
  • Catheter Associated Urinary Tract Infections (ICU + select Wards) — 5
  • Central Line Associated Bloodstream Infection (ICU + select Wards) — 5
  • Clostridium Difficile (C.Diff) — 5
  • MRSA Bacteremia — 5
  • SSI - Abdominal Hysterectomy — 5
  • SSI - Colon Surgery — 5

Outpatient imaging 2

Medicare Care Compare

Spending per patient 0

Medicare Care Compare
Measures CMS does not publish for this facility (1)
  • Medicare hospital spending per patient (Medicare Spending per Beneficiary) — 5

Timely and effective care 9

Medicare Care Compare
Measures CMS does not publish for this facility (21)
  • Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
  • Antithrombotic Therapy by End of Hospital Day 2 — 5
  • Appropriate care for severe sepsis and septic shock — 5
  • Discharged on Antithrombotic Therapy — 5
  • Emergency department volume — low
  • Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients — 5
  • 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
  • Healthcare workers given influenza vaccination — 5
  • Hospital Harm - Severe Hyperglycemia — 5
  • Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
  • Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
  • Septic Shock 3-Hour Bundle — 5
  • Septic Shock 6-Hour Bundle — 5
  • Severe Sepsis 3-Hour Bundle — 5
  • Severe Sepsis 6-Hour Bundle — 5
  • ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 2

Medicare Care Compare
Measures CMS does not publish for this facility (12)
  • Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 5
  • Heart failure (HF) 30-Day Readmission Rate — 5
  • Hospital return days for heart attack patients — 5
  • Hospital return days for heart failure patients — 5
  • Hospital return days for pneumonia patients — 5
  • Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 5
  • Pneumonia (PN) 30-Day Readmission Rate — 5
  • Rate of readmission after hip/knee replacement — 5
  • Rate of readmission for CABG — 5
  • Rate of readmission for chronic obstructive pulmonary disease (COPD) patients — 5
  • Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) — 5
  • Ratio of unplanned hospital visits after hospital outpatient surgery — 5

Other hospitals near Pagosa Springs, CO

No other hospitals are listed in Pagosa Springs, CO; these share its ZIP code area (811xx).

Sources for this page

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.