Mountain View Regional Medical Center

Hospital in Las Cruces, NM, Medicare certification number 320085. CMS publishes 61 quality measures for it.

Medicare certification

Provider of Services

CCN: 320085The 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: Proprietary
Control type: Private (for profit)
Participating since: Aug 27, 2002
Last certification: Jun 6, 2024
Beds: 168
Overall star rating: 2 of 5Care Compare
Address: 4311 East Lohman Avenue
Las Cruces, NM 88011
(575) 525-2700

NPI records for this facility 1

Las Cruces Medical Center LLC
- General Acute Care Hospital
- Las Cruces, NM
- NPI 1205882503
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse1 of 5
- State average 3.15 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse1 of 5
- State average 2.73 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse1 of 5
- State average 2.58 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 2.88 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 of 5
- State average 2.92 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse2 of 5
- State average 2.88 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.27 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse2 of 5
- State average 3.15 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse2 of 5
- State average 2.92 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.88
- State average 1.03 (computed here)
- National average 1.06
- No different than the national rate
- 760 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.82
- State average 1.08 (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 expected164.75
- State average 175.16 (computed here)
- National average 173.3
- No different than the national rate
- 49 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.3
- National average 2.4
- No different than the national rate
- 48 patients
- Period from 07/01/2022
Death rate for COPD patients As expected9.9
- State average 9.14 (computed here)
- National average 8.6
- No different than the national rate
- 60 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected12.7
- State average 11.59 (computed here)
- National average 11.9
- No different than the national rate
- 107 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11.1
- State average 11.32 (computed here)
- National average 11.1
- No different than the national rate
- 171 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected16.7
- State average 15.71 (computed here)
- National average 15.2
- No different than the national rate
- 290 patients
- Period from 07/01/2022
Death rate for stroke patients As expected13.9
- State average 12.8 (computed here)
- National average 11.9
- No different than the national rate
- 108 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.9
- State average 4.11 (computed here)
- National average 3.9
- No different than the national rate
- 1,955 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.17
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 3,311 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.28
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 3,389 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.31
- State average 3.58 (computed here)
- National average 3.52
- No different than the national rate
- 772 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.62
- State average 1.73 (computed here)
- National average 1.67
- No different than the national rate
- 145 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.22
- State average 2.4 (computed here)
- National average 2.34
- No different than the national rate
- 754 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected7.43
- State average 9.83 (computed here)
- National average 9.42
- No different than the national rate
- 149 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.8
- State average 5.61 (computed here)
- National average 5.27
- No different than the national rate
- 138 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.64
- State average 1.85 (computed here)
- National average 1.77
- No different than the national rate
- 198 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.2
- State average 0.83 (computed here)
- National average 0.63
- No different than the national rate
- 2,847 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (1)

Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0
- State average 0.65
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0
- State average 0.94
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.34
- State average 0.6
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0
- State average 0.66
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.24
- State average 1.12
- 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 4.7
- State average 6.75 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 11.2
- State average 6.68 (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) 1.04
- State average 0.94
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 15

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 89
- State average 92.2 (computed here)
- National average 92.79 (computed here)
- 72 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 68
- State average 54
- National average 65
- 146 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 168
- State average 170
- National average 168
- 414 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 161
- State average 163
- National average 162
- 382 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 293
- State average 274
- National average 257
- 22 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 97
- State average 95.63 (computed here)
- National average 96.1 (computed here)
- 59 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 89
- State average 87
- National average 93
- 64 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 55
- State average 68
- National average 78
- 1,789 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 3
- State average 1.36 (computed here)
- National average 1.09 (computed here)
- 2,307 patients
- Period from 01/01/2024
Left before being seen 3
- State average 3
- National average 2
- 47,790 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 10
- State average 13
- National average 15
- 1,460 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 75
- State average 67
- National average 73
- 32 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 89
- State average 80
- National average 87
- 18 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 83
- State average 75
- National average 81
- 146 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 87
- State average 88
- National average 93
- 84 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (15)

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 — 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
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 10

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected15.1
- State average 14.15 (computed here)
- National average 14.4
- No different than the national rate
- 172 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.3
- State average 21.13 (computed here)
- National average 21.3
- No different than the national rate
- 255 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 2.7
- State average 2.35 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 116 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 24.3
- State average -3.92 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 181 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -4.8
- State average -4.25 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 299 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.4
- State average 17 (computed here)
- National average 17.3
- No different than the national rate
- 447 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected11.1
- State average 11.06 (computed here)
- National average 11
- No different than the national rate
- 60 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.3
- State average 19.53 (computed here)
- National average 20
- No different than the national rate
- 117 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.9
- State average 13.19 (computed here)
- National average 13
- No different than the national rate
- 431 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 1.06 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 216 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (4)

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 — 1

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.