Legacy Salmon Creek Hospital

Doing business as Legacy Salmon Creek Medical Center

Hospital in Vancouver, WA, Medicare certification number 500150. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 500150The 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: Aug 22, 2005
Last certification: Dec 11, 2025
Beds: 220
Overall star rating: 4 of 5Care Compare
Address: 2211 NE 139TH Street
Vancouver, WA 98686
(360) 487-1000

NPI records for this facility (CCN to NPI Mapping) 2

Legacy Salmon Creek Hospital

dba Legacy Salmon Creek Providers
- Clinic/Center
- Vancouver, WA
- NPI 1356357784
Medicare enrollment
Legacy Salmon Creek Hospital
- General Acute Care Hospital
- Vancouver, WA
- NPI 1700809829
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.53 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better4 of 5
- State average 2.85 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.55 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Better4 of 5
- State average 3.2 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Better4 of 5
- State average 3.35 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Better4 of 5
- State average 3.2 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Better4 of 5
- State average 2.72 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Better5 of 5
- State average 3.8 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Better4 of 5
- State average 3.23 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Affiliated providers 669

Page 1 of 27Medicare Care Compare

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

Kathleen Beth Abbasi, D.O.
- Hospitalist Physician
- Vancouver, WA
- NPI 1215137450
Mayank Agrawal, M.D.
- Interventional Cardiology Physician
- Vancouver, WA
- NPI 1831308063
Deborah E Agustin, CAA
- Anesthesiologist Assistant
- Portland, OR
- NPI 1649618166
Jonas Aharoni, MD
- Internal Medicine Physician
- Ridgefield, WA
- NPI 1164659488
Lisa M. Alberts, M.D.
- Internal Medicine Physician
- Vancouver, WA
- NPI 1144289125
Bashar Alkinj, MD
- Critical Care Medicine (Internal Medicine) Physician
- Vancouver, WA
- NPI 1497986871
Chloe A Allen Maycock, MD
- Anesthesiology Physician
- Vancouver, WA
- NPI 1730384991
Camilla T Allen, MD
- Anatomic Pathology & Clinical Pathology Physician
- Vancouver, WA
- NPI 1225048762
Stephen Killefer Allison, M.D.
- Diagnostic Radiology Physician
- Seattle, WA
- NPI 1508058280
Jacob Anderson, M.D.
- Anesthesiology Physician
- Portland, OR
- NPI 1639533557
Micah Franklin Anderson, NP
- Family Nurse Practitioner
- Vancouver, WA
- NPI 1295373959
Nashreen Anderson, DO
- Internal Medicine Physician
- Vancouver, WA
- NPI 1083076178
Philemon Lynn Anderson, M.D.
- Otolaryngology Physician
- Vancouver, WA
- NPI 1609836840
Raleigh Frances Anderson, M.D.
- Anesthesiology Physician
- Aurora, CO
- NPI 1821451543
Robert Joaquin Andrews, M.D.
- Gastroenterology Physician
- Bend, OR
- NPI 1568805836
Ersilia Anghel, MD
- Plastic Surgery Physician
- Vancouver, WA
- NPI 1619409968
Jonathan Armstrong
- Family Medicine Physician
- Vancouver, WA
- NPI 1437511888
Lani Brooke Astorga, APRN, FNP-C
- Family Nurse Practitioner
- Hillsboro, KS
- NPI 1285115881
Vincent Au, M.D.
- Internal Medicine Physician
- Vancouver, WA
- NPI 1104112051
Frederic J Auerbach, MD
- Anesthesiology Physician
- Vancouver, WA
- NPI 1275799959
Kelley Michelle Aurand, DO
- Family Medicine Physician
- Camas, WA
- NPI 1306043880
Michael Shawn Axley, M.D.
- Anesthesiology Physician
- Portland, OR
- NPI 1588823710
Rebecca L Babcock, PA-C
- Surgical Physician Assistant
- Vancouver, WA
- NPI 1578508552
Michael Bai
- Anesthesiology Physician
- West Hollywood, CA
- NPI 1710449913
Jill Kaspar Baird, M.D.
- Neurology Physician
- Vancouver, WA
- NPI 1326381500

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.84
- State average 1.2 (computed here)
- National average 1.06
- No different than the national rate
- 756 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.17
- State average 1.03 (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 expected160.37
- State average 182.9 (computed here)
- National average 173.3
- No different than the national rate
- 38 patients
- Period from 07/01/2022
Death rate for COPD patients As expected8.8
- State average 9.49 (computed here)
- National average 8.6
- No different than the national rate
- 93 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13
- State average 12.48 (computed here)
- National average 11.9
- No different than the national rate
- 93 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected13.4
- State average 12.56 (computed here)
- National average 11.1
- No different than the national rate
- 338 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.2
- State average 16.02 (computed here)
- National average 15.2
- No different than the national rate
- 265 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.5
- State average 11.33 (computed here)
- National average 11.9
- No different than the national rate
- 181 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better2.9
- State average 3.81 (computed here)
- National average 3.9
- Better than the national rate
- 2,730 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.28
- State average 0.2 (computed here)
- National average 0.21
- No different than the national rate
- 3,925 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.27
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 3,911 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.42
- State average 3.51 (computed here)
- National average 3.52
- No different than the national rate
- 887 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.39
- State average 1.65 (computed here)
- National average 1.67
- No different than the national rate
- 266 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.15
- State average 2.47 (computed here)
- National average 2.34
- No different than the national rate
- 843 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected11.16
- State average 9.5 (computed here)
- National average 9.42
- No different than the national rate
- 277 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5
- State average 5.28 (computed here)
- National average 5.27
- No different than the national rate
- 257 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.59
- State average 1.84 (computed here)
- National average 1.77
- No different than the national rate
- 257 patients
- Period from 07/01/2022
Pressure ulcer rate As expected1.14
- State average 0.7 (computed here)
- National average 0.63
- No different than the national rate
- 3,201 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected3.8
- State average 4.31 (computed here)
- National average 4.1
- No different than the national rate
- 62 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected1.63
- State average 0.57
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.18
- State average 0.68
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.26
- State average 0.41
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.18
- State average 0.68
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0.42
- State average 1.08
- 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 4.1
- State average 4.95 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 5.1
- State average 5.57 (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) 0.86
- State average 0.92
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 72
- State average 78.43 (computed here)
- National average 74.05 (computed here)
- 40 patients
- Period from 01/01/2024
Antithrombotic Therapy by End of Hospital Day 2 97
- State average 94.15 (computed here)
- National average 92.79 (computed here)
- 131 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 20
- State average 60
- National average 65
- 151 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 264
- State average 156
- National average 168
- 381 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 260
- State average 151
- National average 162
- 354 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 328
- State average 238
- National average 257
- 20 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 100
- State average 97.47 (computed here)
- National average 96.1 (computed here)
- 150 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 96
- State average 95
- National average 93
- 75 patients
- Period from 01/01/2024
Head CT results 65
- State average 62
- National average 69
- 17 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 46
- State average 79
- National average 78
- 3,192 patients
- Period from 10/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 0.92 (computed here)
- National average 1.09 (computed here)
- 3,583 patients
- Period from 01/01/2024
Left before being seen 1
- State average 3
- National average 2
- 73,903 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 12
- State average 13
- National average 15
- 3,620 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 39
- State average 70
- National average 73
- 36 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 42
- State average 79
- National average 81
- 151 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 77
- State average 91
- National average 93
- 39 patients
- Period from 10/01/2024
ST-Segment Elevation Myocardial Infarction (STEMI) 35
- State average 40.75 (computed here)
- National average 46.51 (computed here)
- 60 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

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
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
Septic Shock 6-Hour Bundle — 1, 2, 3
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected15.7
- State average 13.95 (computed here)
- National average 14.4
- No different than the national rate
- 183 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected18.9
- State average 20.97 (computed here)
- National average 21.3
- No different than the national rate
- 661 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 7.9
- State average 3.35 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 85 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 12
- State average 3.2 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 377 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients -41.6
- State average -3.1 (computed here)
- National average 5.65 (computed here)
- Fewer days than average per 100 discharges
- 265 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected16.5
- State average 16.86 (computed here)
- National average 17.3
- No different than the national rate
- 498 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected4.5
- State average 5.66 (computed here)
- National average 5.4
- No different than the national rate
- 201 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.8
- State average 10.36 (computed here)
- National average 10.7
- No different than the national rate
- 201 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.4
- State average 5.58 (computed here)
- National average 5.8
- No different than the national rate
- 71 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected18.5
- State average 19.93 (computed here)
- National average 20
- No different than the national rate
- 210 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.1
- State average 13.05 (computed here)
- National average 13
- No different than the national rate
- 129 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 1.05 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 526 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission for CABG — 1

Other hospitals in Vancouver, WA

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, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

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.