VA Southern Nevada Healthcare System

Hospital in Las Vegas, NV, Medicare certification number 29004F. CMS publishes 34 quality measures for it.

Medicare certification

Provider of Services

CCN: 29004FThe number CMS certifies the facility under, not a provider identifier
Status: Active
Provider type: Hospital
Listed by Care Compare as: Acute Care - Veterans Administration
Ownership: Veterans Health Administration
Participating since: Apr 10, 2000
Last certification: Apr 10, 2000
Beds: 100
Overall star rating: 5 of 5Care Compare
Address: 1700 Vegas Drive
Las Vegas, NV 89106
(702) 636-3000

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.42 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better4 of 5
- State average 2.42 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 of 5
- State average 2.77 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 2.35 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 2.77 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 2.92 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 3.23 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 2.92 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 18

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.92
- State average 0.94 (computed here)
- National average 1.06
- No different than the national rate
- 839 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.81
- 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 expected177.96
- State average 170.67 (computed here)
- National average 173.3
- No different than the national rate
- 32 patients
- Period from 07/01/2022
Death rate for COPD patients As expected6.1
- State average 8.86 (computed here)
- National average 8.6
- No different than the national rate
- 497 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.1
- State average 11.77 (computed here)
- National average 11.9
- No different than the national rate
- 30 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected7.7
- State average 10.14 (computed here)
- National average 11.1
- No different than the national rate
- 633 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected11.8
- State average 15.13 (computed here)
- National average 15.2
- No different than the national rate
- 364 patients
- Period from 07/01/2022
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.4
- State average 4.18 (computed here)
- National average 3.9
- No different than the national rate
- 2,098 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.24
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 8,518 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.25
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 9,005 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.25
- State average 3.48 (computed here)
- National average 3.52
- No different than the national rate
- 1,221 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.49
- State average 1.88 (computed here)
- National average 1.67
- No different than the national rate
- 761 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.08
- State average 2.22 (computed here)
- National average 2.34
- No different than the national rate
- 1,176 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected6.37
- State average 10.39 (computed here)
- National average 9.42
- No different than the national rate
- 772 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.78
- State average 6.11 (computed here)
- National average 5.27
- No different than the national rate
- 709 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2.02
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 178 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.4
- State average 0.35 (computed here)
- National average 0.63
- No different than the national rate
- 5,504 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.4
- State average 4.2 (computed here)
- National average 4.1
- No different than the national rate
- 303 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (2)

Death rate for CABG surgery patients — 5
Death rate for stroke patients — 5

Infections 1

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0
- State average 0.28
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (5)

Central Line Associated Bloodstream Infection (ICU + select Wards) — 13
Clostridium Difficile (C.Diff) — 5
MRSA Bacteremia — 5
SSI - Abdominal Hysterectomy — 5
SSI - Colon Surgery — 5

Unplanned visits 6

Medicare Care Compare

Heart failure (HF) 30-Day Readmission Rate As expected23.5
- State average 21.81 (computed here)
- National average 21.3
- No different than the national rate
- 511 patients
- Period from 07/01/2023
Hospital return days for heart failure patients 1.1
- State average 1.49 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 807 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 1.9
- State average 8.35 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 411 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.6
- State average 17.88 (computed here)
- National average 17.3
- No different than the national rate
- 249 patients
- Period from 07/01/2023
Rate of readmission after hip/knee replacement As expected4.7
- State average 5.48 (computed here)
- National average 5.8
- No different than the national rate
- 338 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.3
- State average 19.83 (computed here)
- National average 20
- No different than the national rate
- 381 patients
- Period from 07/01/2023

Measures CMS does not publish for this facility (8)

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 1
Hospital return days for heart attack patients — 1
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 5
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 5
Rate of readmission for CABG — 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 in Las Vegas, NV

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.

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.