Acute Care HospitalsFor-profitEmergency services

WEST HENDERSON HOSPITAL

1155 RAIDERS WAY, HENDERSON, NV, 89052 · (702) 369-7612

CMS facility ID 290062

CMS overall rating
Not rated
CMS did not publish a rating
Measures reported
101
across 5 measure groups
Patient survey rows
68
HCAHPS responses

This hospital has no CMS overall rating

“Not rated” is not the same as zero stars, and it is not a judgement about quality.

A null overall rating means CMS did not rate this hospital — most often because too few cases were reported for a reliable score. It does not mean zero stars: the rating scale is 1 to 5 and has no zero. "Not rated" is not a judgement about quality.

CMS footnote for this hospital: 5

Healthcare-associated infections

Infections patients acquired while in hospital. 36 measures.

MeasureCompared to nationalScore95% intervalCasesPeriod
Catheter Associated Urinary Tract Infections (ICU + select Wards)—Not reported——2024-10-01 → 2025-09-30
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit—Not reported——2024-10-01 → 2025-09-30
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days—357——2024-10-01 → 2025-09-30
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases—0——2024-10-01 → 2025-09-30
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases—0.271——2024-10-01 → 2025-09-30
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit—Not reported——2024-10-01 → 2025-09-30
Central Line Associated Bloodstream Infection (ICU + select Wards)—Not reported——2024-10-01 → 2025-09-30
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit—Not reported——2024-10-01 → 2025-09-30
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases—0——2024-10-01 → 2025-09-30
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases—0.428——2024-10-01 → 2025-09-30
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit—Not reported——2024-10-01 → 2025-09-30
Central Line Associated Bloodstream Infection: Number of Device Days—598——2024-10-01 → 2025-09-30
Clostridium Difficile (C.Diff)Better than the National Benchmark0.197——2024-10-01 → 2025-09-30
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than the National Benchmark0.01——2024-10-01 → 2025-09-30
Clostridium Difficile (C.Diff): Observed CasesBetter than the National Benchmark1——2024-10-01 → 2025-09-30
Clostridium Difficile (C.Diff): Patient DaysBetter than the National Benchmark14163——2024-10-01 → 2025-09-30
Clostridium Difficile (C.Diff): Predicted CasesBetter than the National Benchmark5.082——2024-10-01 → 2025-09-30
Clostridium Difficile (C.Diff): Upper Confidence LimitBetter than the National Benchmark0.97——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—0——2024-10-01 → 2025-09-30
MRSA Bacteremia: Patient Days—14163——2024-10-01 → 2025-09-30
MRSA Bacteremia: Predicted Cases—0.359——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—1——2024-10-01 → 2025-09-30
SSI - Abdominal Hysterectomy: Observed Cases—0——2024-10-01 → 2025-09-30
SSI - Abdominal Hysterectomy: Predicted Cases—0.007——2024-10-01 → 2025-09-30
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not reported——2024-10-01 → 2025-09-30
SSI - Colon SurgeryNo different from national0——2024-10-01 → 2025-09-30
SSI - Colon Surgery: Lower Confidence LimitNo different from nationalNot reported——2024-10-01 → 2025-09-30
SSI - Colon Surgery: Number of ProceduresNo different from national42——2024-10-01 → 2025-09-30
SSI - Colon Surgery: Observed CasesNo different from national0——2024-10-01 → 2025-09-30
SSI - Colon Surgery: Predicted CasesNo different from national1.123——2024-10-01 → 2025-09-30
SSI - Colon Surgery: Upper Confidence LimitNo different from national2.668——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 rate—Not reported——2022-07-01 → 2024-06-30
CMS Medicare PSI 90: Patient safety and adverse events composite—Not reported——2022-07-01 → 2024-06-30
Death rate among surgical inpatients with serious treatable complications—Not reported——2022-07-01 → 2024-06-30
Death rate for CABG surgery patients—Not reported——2022-07-01 → 2025-06-30
Death rate for COPD patientsNumber of Cases Too SmallNot reported——2022-07-01 → 2025-06-30
Death rate for heart attack patientsNumber of Cases Too SmallNot reported——2022-07-01 → 2025-06-30
Death rate for heart failure patientsNo different from national10.26.8 – 15272022-07-01 → 2025-06-30
Death rate for pneumonia patientsNo different from national13.18.8 – 18.8572022-07-01 → 2025-06-30
Death rate for stroke patientsNo different from national146.9 – 27.4252023-07-01 → 2025-06-30
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo different from national3.73 – 4.58712024-07-01 → 2025-06-30
Iatrogenic pneumothorax rate—Not reported——2022-07-01 → 2024-06-30
In-hospital fall-associated fracture rate—Not reported——2022-07-01 → 2024-06-30
Perioperative pulmonary embolism or deep vein thrombosis rate—Not reported——2022-07-01 → 2024-06-30
Postoperative acute kidney injury requiring dialysis rate—Not reported——2022-07-01 → 2024-06-30
Postoperative hemorrhage or hematoma rate—Not reported——2022-07-01 → 2024-06-30
Postoperative respiratory failure rate—Not reported——2022-07-01 → 2024-06-30
Postoperative sepsis rate—Not reported——2022-07-01 → 2024-06-30
Postoperative wound dehiscence rate—Not reported——2022-07-01 → 2024-06-30
Pressure ulcer rate—Not reported——2022-07-01 → 2024-06-30
Rate of complications for hip/knee replacement patientsNumber of Cases Too SmallNot reported——2023-04-01 → 2025-03-31

Medicare spending per beneficiary

What Medicare paid per patient, relative to the national average. This is a Medicare figure — not what a patient pays. 1 measures.

MeasureCompared to nationalScore95% intervalCasesPeriod
Medicare hospital spending per patient (Medicare Spending per Beneficiary)—Not reported——2024-01-01 → 2024-12-31

Timely and effective care

How quickly and reliably the hospital delivered recommended care. 30 measures.

MeasureCompared to nationalScore95% intervalCasesPeriod
Anticoagulation Therapy for Atrial Fibrillation/FlutterElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Antithrombotic Therapy by End of Hospital Day 2Electronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Appropriate care for severe sepsis and septic shockSepsis Care—89—732024-10-01 → 2025-09-30
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 betterEmergency Department—156—3012024-10-01 → 2025-09-30
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is betterEmergency Department—Not reported——2024-10-01 → 2025-09-30
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 betterEmergency Department—155—2792024-10-01 → 2025-09-30
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterEmergency Department—213—202024-10-01 → 2025-09-30
Discharged on Antithrombotic TherapyElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Emergency department volumeEmergency Department—Not reported——2024-01-01 → 2024-12-31
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsColonoscopy care—Not reported——2024-01-01 → 2024-12-31
Global Malnutrition Composite ScoreElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Global Malnutrition Composite Score: Malnutrition Diagnosis DocumentedElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Global Malnutrition Composite Score: Malnutrition Risk ScreeningElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Global Malnutrition Composite Score: Nutrition AssessmentElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Global Malnutrition Composite Score: Nutritional Care PlanElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Head CT resultsEmergency Department—Not reported——2024-10-01 → 2025-09-30
Healthcare workers given influenza vaccinationHealthcare Personnel Vaccination—57—1,2532024-10-01 → 2025-03-31
Hospital Harm - Opioid Related Adverse EventsElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Hospital Harm - Severe HyperglycemiaElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Hospital Harm - Severe HypoglycemiaElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Improvement in Patient's Visual Function within 90 Days Following Cataract SurgeryCataract surgery outcome—Not reported——2024-01-01 → 2024-12-31
Intensive Care Unit Venous Thromboembolism ProphylaxisElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Left before being seenEmergency Department—Not reported——2024-01-01 → 2024-12-31
ST-Segment Elevation Myocardial Infarction (STEMI)Electronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Safe Use of Opioids - Concurrent PrescribingElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31
Septic Shock 3-Hour BundleSepsis Care—85—202024-10-01 → 2025-09-30
Septic Shock 6-Hour BundleSepsis Care—100—152024-10-01 → 2025-09-30
Severe Sepsis 3-Hour BundleSepsis Care—96—732024-10-01 → 2025-09-30
Severe Sepsis 6-Hour BundleSepsis Care—96—482024-10-01 → 2025-09-30
Venous Thromboembolism ProphylaxisElectronic Clinical Quality Measure—Not reported——2024-01-01 → 2024-12-31

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 RateNumber of Cases Too SmallNot reported——2023-07-01 → 2025-06-30
Heart failure (HF) 30-Day Readmission RateNo different from national2117.6 – 24.7572023-07-01 → 2025-06-30
Hospital return days for heart attack patientsNumber of Cases Too SmallNot reported——2022-07-01 → 2025-06-30
Hospital return days for heart failure patientsAverage Days per 100 Discharges6.2-27.6 – 51.7312022-07-01 → 2025-06-30
Hospital return days for pneumonia patientsMore Days Than Average per 100 Discharges24.90.8 – 53.7622022-07-01 → 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 national17.514.6 – 20.71452023-07-01 → 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 national20.116.9 – 23.6432023-07-01 → 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

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Cleanliness - linear mean score

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Cleanliness - star rating

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Patients who reported that their nurses "Always" communicated well

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Nurse communication - linear mean score

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Nurse communication - star rating

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Patients who reported that their nurses "Usually" communicated well

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Patients who reported that their doctors "Always" communicated well

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Doctor communication - linear mean score

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Doctor communication - star rating

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Patients who reported that their doctors "Usually" communicated well

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Communication about medicines - linear mean score

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Communication about medicines - star rating

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Discharge information - linear mean score

Not rated

No answer breakdown reported.

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 answer breakdown reported.

2024-10-01 → 2025-09-30

Discharge information - star rating

Not rated

No answer breakdown reported.

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

No answer breakdown reported.

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 answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

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

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

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

No answer breakdown reported.

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

No answer breakdown reported.

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

No answer breakdown reported.

2024-10-01 → 2025-09-30

Overall hospital rating - linear mean score

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Overall hospital rating - star rating

Not rated

No answer breakdown reported.

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

No answer breakdown reported.

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

No answer breakdown reported.

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

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

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

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Quietness - linear mean score

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Quietness - star rating

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Patients who reported YES, they would definitely recommend the hospital

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Recommend hospital - linear mean score

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Patients who reported YES, they would probably recommend the hospital

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Recommend hospital - star rating

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

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

No answer breakdown reported.

2024-10-01 → 2025-09-30

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

Not rated

No answer breakdown reported.

2024-10-01 → 2025-09-30

Summary star rating

Not rated

No answer breakdown reported.

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 answer breakdown reported.

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

No answer breakdown reported.

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 Hospitals in NV

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