Acute Care - Veterans AdministrationVeterans Health Admin.Emergency services

INDIANAPOLIS VA MEDICAL CENTER

1481 W. TENTH STREET, INDIANAPOLIS, IN, 46202 · (317) 554-0000

CMS facility ID 15003F

CMS overall rating
3 / 5
Rating 3 of 5
Measures reported
70
across 3 measure groups
Patient survey rows
68
HCAHPS responses

How this hospital compares, by group

Counts published by CMS: how many of its measures were better, no different, or worse than the national average.

Measure group comparison counts
GroupBetterNo differentWorseMeasures reported
Mortality2305
Safety0404
Readmission1416

"Compared to National" labels are published by CMS itself. This site displays them as issued and does not derive or re-rank them.

Healthcare-associated infections

Infections patients acquired while in hospital. 36 measures.

MeasureCompared to nationalScore95% intervalCasesPeriod
Catheter Associated Urinary Tract Infections (ICU + select Wards)No different from national1.719——2024-10-01 → 2025-09-30
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNo different from national0.546——2024-10-01 → 2025-09-30
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter DaysNo different from national2869——2024-10-01 → 2025-09-30
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed CasesNo different from national4——2024-10-01 → 2025-09-30
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted CasesNo different from national2.327——2024-10-01 → 2025-09-30
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNo different from national4.146——2024-10-01 → 2025-09-30
Central Line Associated Bloodstream Infection (ICU + select Wards)No different from national2.08——2024-10-01 → 2025-09-30
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNo different from national0.843——2024-10-01 → 2025-09-30
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed CasesNo different from national6——2024-10-01 → 2025-09-30
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted CasesNo different from national2.885——2024-10-01 → 2025-09-30
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNo different from national4.326——2024-10-01 → 2025-09-30
Central Line Associated Bloodstream Infection: Number of Device DaysNo different from national3158——2024-10-01 → 2025-09-30
Clostridium Difficile (C.Diff)—Not reported——2024-10-01 → 2025-09-30
Clostridium Difficile (C.Diff): Lower Confidence Limit—Not reported——2024-10-01 → 2025-09-30
Clostridium Difficile (C.Diff): Observed Cases—Not reported——2024-10-01 → 2025-09-30
Clostridium Difficile (C.Diff): Patient Days—Not reported——2024-10-01 → 2025-09-30
Clostridium Difficile (C.Diff): Predicted Cases—Not reported——2024-10-01 → 2025-09-30
Clostridium Difficile (C.Diff): Upper Confidence Limit—Not reported——2024-10-01 → 2025-09-30
MRSA Bacteremia—Not reported——2024-10-01 → 2025-09-30
MRSA Bacteremia: Lower Confidence Limit—Not reported——2024-10-01 → 2025-09-30
MRSA Bacteremia: Observed Cases—Not reported——2024-10-01 → 2025-09-30
MRSA Bacteremia: Patient Days—Not reported——2024-10-01 → 2025-09-30
MRSA Bacteremia: Predicted Cases—Not reported——2024-10-01 → 2025-09-30
MRSA Bacteremia: Upper Confidence Limit—Not reported——2024-10-01 → 2025-09-30
SSI - Abdominal Hysterectomy—Not reported——2024-10-01 → 2025-09-30
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not reported——2024-10-01 → 2025-09-30
SSI - Abdominal Hysterectomy: Number of Procedures—Not reported——2024-10-01 → 2025-09-30
SSI - Abdominal Hysterectomy: Observed Cases—Not reported——2024-10-01 → 2025-09-30
SSI - Abdominal Hysterectomy: Predicted Cases—Not reported——2024-10-01 → 2025-09-30
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not reported——2024-10-01 → 2025-09-30
SSI - Colon Surgery—Not reported——2024-10-01 → 2025-09-30
SSI - Colon Surgery: Lower Confidence Limit—Not reported——2024-10-01 → 2025-09-30
SSI - Colon Surgery: Number of Procedures—Not reported——2024-10-01 → 2025-09-30
SSI - Colon Surgery: Observed Cases—Not reported——2024-10-01 → 2025-09-30
SSI - Colon Surgery: Predicted Cases—Not reported——2024-10-01 → 2025-09-30
SSI - Colon Surgery: Upper Confidence Limit—Not reported——2024-10-01 → 2025-09-30

Complications and deaths

Rates of death and serious complications for common conditions, compared with the national average. 20 measures.

MeasureCompared to nationalScore95% intervalCasesPeriod
Abdominopelvic accidental puncture or laceration rateNo different from national10.06 – 1.941,4562022-07-01 → 2024-06-30
CMS Medicare PSI 90: Patient safety and adverse events compositeNo different from national0.950.68 – 1.23—2022-07-01 → 2024-06-30
Death rate among surgical inpatients with serious treatable complicationsNo different from national203.28143.93 – 262.63562022-07-01 → 2024-06-30
Death rate for CABG surgery patients—Not reported——2022-07-01 → 2025-06-30
Death rate for COPD patientsNo different from national8.55 – 13.65522022-07-01 → 2025-06-30
Death rate for heart attack patientsNo different from national10.87.7 – 151192022-07-01 → 2025-06-30
Death rate for heart failure patientsBetter Than the National Rate6.94.5 – 10.85392022-07-01 → 2025-06-30
Death rate for pneumonia patientsNo different from national11.68 – 16.13502022-07-01 → 2025-06-30
Death rate for stroke patients—Not reported——2023-07-01 → 2025-06-30
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo different from national3.32.7 – 4.12,1552024-07-01 → 2025-06-30
Iatrogenic pneumothorax rateNo different from national0.320.11 – 0.538,8942022-07-01 → 2024-06-30
In-hospital fall-associated fracture rateNo different from national0.280.09 – 0.479,4642022-07-01 → 2024-06-30
Perioperative pulmonary embolism or deep vein thrombosis rateNo different from national3.111.04 – 5.191,4942022-07-01 → 2024-06-30
Postoperative acute kidney injury requiring dialysis rateNo different from national1.720.33 – 3.117892022-07-01 → 2024-06-30
Postoperative hemorrhage or hematoma rateNo different from national1.860.49 – 3.221,4412022-07-01 → 2024-06-30
Postoperative respiratory failure rateNo different from national10.634.89 – 16.387192022-07-01 → 2024-06-30
Postoperative sepsis rateNo different from national5.262.12 – 8.47712022-07-01 → 2024-06-30
Postoperative wound dehiscence rateNo different from national1.540.11 – 2.982972022-07-01 → 2024-06-30
Pressure ulcer rateNo different from national0.390 – 0.976,2772022-07-01 → 2024-06-30
Rate of complications for hip/knee replacement patientsNumber of Cases Too SmallNot reported——2023-04-01 → 2025-03-31

Unplanned hospital visits

How often patients came back to hospital unexpectedly after discharge. 14 measures.

MeasureCompared to nationalScore95% intervalCasesPeriod
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNo different from national16.113.1 – 19.4872023-07-01 → 2025-06-30
Heart failure (HF) 30-Day Readmission RateNo different from national20.417 – 24.24502023-07-01 → 2025-06-30
Hospital return days for heart attack patientsAverage Days per 100 Discharges36.5-32.4 – 171.91242022-07-01 → 2025-06-30
Hospital return days for heart failure patientsAverage Days per 100 Discharges-20.2-54.8 – 346482022-07-01 → 2025-06-30
Hospital return days for pneumonia patientsAverage Days per 100 Discharges9.5-24.8 – 53.73822022-07-01 → 2025-06-30
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)—Not reported——2024-07-01 → 2025-06-30
Pneumonia (PN) 30-Day Readmission RateNo different from national17.714.8 – 20.92632023-07-01 → 2025-06-30
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy—Not reported——2024-01-01 → 2024-12-31
Rate of inpatient admissions for patients receiving outpatient chemotherapy—Not reported——2024-01-01 → 2024-12-31
Rate of readmission after hip/knee replacementNumber of Cases Too SmallNot reported——2023-07-01 → 2025-06-30
Rate of readmission for CABG—Not reported——2023-07-01 → 2025-06-30
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNo different from national2218.5 – 264522023-07-01 → 2025-06-30
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)—Not reported——2022-01-01 → 2024-12-31
Ratio of unplanned hospital visits after hospital outpatient surgery—Not reported——2024-01-01 → 2024-12-31

Score units differ between measures (rates, ratios, and Medicare dollars per beneficiary). Each measure is shown with its own name and reporting period; do not compare scores across measures.

Patient experience (HCAHPS)

Survey responses from patients, as published by CMS. Star ratings are 1–5; a blank means CMS withheld it.

Patients who reported that their room and bathroom were "Always" clean

Not rated
Room was "always" clean65%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their room and bathroom were "Sometimes" or "Never" clean

Not rated
Room was "sometimes" or "never" clean15%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their room and bathroom were "Usually" clean

Not rated
Room was "usually" clean20%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Cleanliness - linear mean score

Not rated

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Cleanliness - star rating

2 / 5 — Rating 2 of 5

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their nurses "Always" communicated well

Not rated
Nurses "always" communicated well75%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Nurse communication - linear mean score

Not rated

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their nurses "Sometimes" or "Never" communicated well

Not rated
Nurses "sometimes" or "never" communicated well5%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Nurse communication - star rating

3 / 5 — Rating 3 of 5

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their nurses "Usually" communicated well

Not rated
Nurses "usually" communicated well20%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their doctors "Always" communicated well

Not rated
Doctors "always" communicated well80%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Doctor communication - linear mean score

Not rated

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their doctors "Sometimes" or "Never" communicated well

Not rated
Doctors "sometimes" or "never" communicated well4%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Doctor communication - star rating

4 / 5 — Rating 4 of 5

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their doctors "Usually" communicated well

Not rated
Doctors "usually" communicated well16%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that staff "Always" explained about medicines before giving it to them

Not rated
Staff "always" explained65%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Communication about medicines - linear mean score

Not rated

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them

Not rated
Staff "sometimes" or "never" explained19%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Communication about medicines - star rating

3 / 5 — Rating 3 of 5

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that staff "Usually" explained about medicines before giving it to them

Not rated
Staff "usually" explained16%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Discharge information - linear mean score

Not rated

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that NO, they were not given information about what to do during their recovery at home

Not rated
No, staff "did not" give patients this information11%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Discharge information - star rating

4 / 5 — Rating 4 of 5

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that YES, they were given information about what to do during their recovery at home

Not rated
Yes, staff "did" give patients this information89%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that NO, they did not discuss whether they would need help after discharge

Not rated
No, staff "did not" give patients information about help after discharge14%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that YES, they did discuss whether they would need help after discharge

Not rated
Yes, staff "did" give patients information about help after discharge86%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their doctors "Always" explained things in a way they could understand

Not rated
Doctors "always" explained things so they could understand74%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand

Not rated
Doctors "sometimes" or "never" explained things so they could understand7%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their doctors "Usually" explained things in a way they could understand

Not rated
Doctors "usually" explained things so they could understand19%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their doctors "Always" listened carefully to them

Not rated
Doctors "always" listened carefully78%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them

Not rated
Doctors "sometimes" or "never" listened carefully6%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their doctors "Usually" listened carefully to them

Not rated
Doctors "usually" listened carefully16%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their doctors "Always" treated them with courtesy and respect

Not rated
Doctors "always" treated them with courtesy and respect86%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect

Not rated
Doctors "sometimes" or "never" treated them with courtesy and respect3%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their doctors "Usually" treated them with courtesy and respect

Not rated
Doctors "usually" treated them with courtesy and respect11%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest)

Not rated
Patients who gave a rating of "6" or lower (low)7%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest)

Not rated
Patients who gave a rating of "7" or "8" (medium)19%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest)

Not rated
Patients who gave a rating of "9" or "10" (high)74%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Overall hospital rating - linear mean score

Not rated

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Overall hospital rating - star rating

4 / 5 — Rating 4 of 5

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for

Not rated
Staff "always" explained new medications75%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for

Not rated
Staff "sometimes" or "never" explained new medications9%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for.

Not rated
Staff "usually" explained new medications16%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their nurses "Always" explained things in a way they could understand

Not rated
Nurses "always" explained things so they could understand73%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand

Not rated
Nurses "sometimes" or "never" explained things so they could understand6%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their nurses "Usually" explained things in a way they could understand

Not rated
Nurses "usually" explained things so they could understand21%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their nurses "Always" listened carefully to them

Not rated
Nurses "always" listened carefully75%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them

Not rated
Nurses "sometimes" or "never" listened carefully5%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their nurses "Usually" listened carefully to them

Not rated
Nurses "usually" listened carefully20%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their nurses "Always" treated them with courtesy and respect

Not rated
Nurses "always" treated them with courtesy and respect84%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect

Not rated
Nurses "sometimes" or "never" treated them with courtesy and respect3%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that their nurses "Usually" treated them with courtesy and respect

Not rated
Nurses "usually" treated them with courtesy and respect13%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that the area around their room was "Always" quiet at night

Not rated
"Always" quiet at night48%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night

Not rated
"Sometimes" or "never" quiet at night14%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that the area around their room was "Usually" quiet at night

Not rated
"Usually" quiet at night38%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Quietness - linear mean score

Not rated

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Quietness - star rating

2 / 5 — Rating 2 of 5

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported NO, they would probably not or definitely not recommend the hospital

Not rated
"NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it)3%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported YES, they would definitely recommend the hospital

Not rated
"YES", patients would definitely recommend the hospital70%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Recommend hospital - linear mean score

Not rated

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported YES, they would probably recommend the hospital

Not rated
"YES", patients would probably recommend the hospital27%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Recommend hospital - star rating

4 / 5 — Rating 4 of 5

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that when receiving new medication the staff "Always" discussed possible side effects

Not rated
Staff "always" explained possible side effects52%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects

Not rated
Staff "sometimes" or "never" explained possible side effects29%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects

Not rated
Staff "usually" explained possible side effects19%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Summary star rating

3 / 5 — Rating 3 of 5

No answer breakdown reported.

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge

Not rated
No, staff "did not" give patients information about possible symptoms12%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge

Not rated
Yes, staff "did" give patients information about possible symptoms88%

603 completed surveys · response rate 32% · 2024-10-01 → 2025-09-30

Missing measures are not poor results

CMS suppresses a measure when too few cases were reported for the result to be reliable — common for smaller hospitals. A blank means not reported, which is different from a poor result. Hospitals with more blanks are not necessarily worse.

This is not medical advice

These are historical, aggregate measures about an institution. They do not describe the care any individual will receive, and they cannot account for your condition.

Talk to a clinician about your own care. In an emergency, call your local emergency number.

Other Acute Care - Veterans Administration in IN

Source: Centers for Medicare & Medicaid Services (CMS), Provider Data Catalog (data updated 2026-07-22) — https://data.cms.gov/provider-data/ · Data last updated 2026-09-27