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LUTHERAN MEDICAL CENTER — Quality & Patient Safety

WHEAT RIDGE, CO · Acute Care Hospitals · Emergency services available

Source: CMS Hospital Compare, HCAHPS Survey

By BillRazor Research · Last updated June 1, 2026 · View pricing data

CMS Overall Hospital Quality

4

Out of 5 stars · CMS Hospital Compare rating

N/A

Patients recommend

1,130

Survey responses

Patient Satisfaction

3.0/5

Overall HCAHPS score

Avg Readmission Ratio

0.93

At or below average

Quality Measures

48

CMS-tracked metrics

Quality Score

80

Composite index

Patient Satisfaction — HCAHPS Survey Scores

Score out of 5.0 based on patient survey responses. Source: CMS HCAHPS.

Excess Readmission Ratios by Condition

Ratio vs national average (1.0 = average). Below 1.0 is better, above 1.0 indicates higher-than-expected readmissions.

Below average (better) Above average

Healthcare-Associated Infections (HAI)

Performance vs national benchmarks on hospital-acquired infection measures.

17

Better than average

Lower infection rates

12

Same as average

Near national rate

0

Worse than average

Higher infection rates

MeasureScorevs National
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.01Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.98Better than the National Benchmark
Central Line Associated Bloodstream Infection: Number of Device Days6284.00Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.04Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1.00Better than the National Benchmark
Central Line Associated Bloodstream Infection (ICU + select Wards)0.20Better than the National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.22No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.69No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5160.00No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.72No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4.00No Different than National Benchmark
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.70No Different than National Benchmark
SSI - Colon Surgery: Lower Confidence Limit0.29No Different than National Benchmark
SSI - Colon Surgery: Upper Confidence Limit3.16No Different than National Benchmark
SSI - Colon Surgery: Number of Procedures101.00No Different than National Benchmark
SSI - Colon Surgery: Predicted Cases2.59No Different than National Benchmark
SSI - Colon Surgery: Observed Cases3.00No Different than National Benchmark
SSI - Colon Surgery1.16No Different than National Benchmark
SSI - Abdominal Hysterectomy: Number of Procedures52.00Not Available
SSI - Abdominal Hysterectomy: Predicted Cases0.39Not Available
SSI - Abdominal Hysterectomy: Observed Cases1.00Not Available
MRSA Bacteremia: Upper Confidence Limit0.99Better than the National Benchmark
MRSA Bacteremia: Patient Days61256.00Better than the National Benchmark
MRSA Bacteremia: Predicted Cases3.02Better than the National Benchmark
MRSA Bacteremia: Observed Cases0.00Better than the National Benchmark
MRSA Bacteremia0.00Better than the National Benchmark
Clostridium Difficile (C.Diff): Lower Confidence Limit0.10Better than the National Benchmark
Clostridium Difficile (C.Diff): Upper Confidence Limit0.48Better than the National Benchmark
Clostridium Difficile (C.Diff): Patient Days57290.00Better than the National Benchmark
Clostridium Difficile (C.Diff): Predicted Cases25.72Better than the National Benchmark
Clostridium Difficile (C.Diff): Observed Cases6.00Better than the National Benchmark
Clostridium Difficile (C.Diff)0.23Better than the National Benchmark

What quality scores mean for patients at LUTHERAN MEDICAL CENTER

LUTHERAN MEDICAL CENTER holds a CMS overall rating of 4 out of 5 stars, based on publicly reported quality measures. This places it at #29 out of 45 hospitals in CO. Quality ratings aggregate dozens of individual measures — from nurse communication and cleanliness to surgical complication rates and timely care — into a single composite. While no single number captures the full patient experience, the star rating provides a useful starting point for understanding whether a hospital consistently meets or falls short of national performance standards.

Readmission data offers a particularly important signal. LUTHERAN MEDICAL CENTER's average excess readmission ratio is 0.93x the national average, indicating readmission rates at or below the national norm. This hospital reports readmission data across 4 conditions, and performance varies by diagnosis. High readmission rates can indicate issues with discharge planning, follow-up care coordination, or the initial quality of treatment — all factors that may also correlate with the complexity and accuracy of the resulting hospital bill.

Research consistently shows a correlation between hospital operational quality and billing accuracy. Hospitals that perform well on patient safety, infection control, and care coordination tend to have more robust administrative processes, including medical coding and billing. Conversely, facilities with lower quality scores — particularly those with higher-than-average infection rates (0 measures worse than average at LUTHERAN MEDICAL CENTER) or elevated readmission ratios — often exhibit higher rates of billing discrepancies. If you have received a bill from a hospital with mixed quality indicators, a line-by-line review against regional benchmarks can identify charges that may not align with the care actually delivered.

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Data from CMS Hospital Compare, HCAHPS Patient Survey, Hospital-Acquired Infection (HAI) reports, and Hospital Readmissions Reduction Program (HRRP). All data is publicly available.

Star ratings and quality measures are published by the Centers for Medicare & Medicaid Services (CMS). This page is for informational purposes only and does not constitute medical advice.

Frequently Asked Questions About LUTHERAN MEDICAL CENTER Quality

What is LUTHERAN MEDICAL CENTER's CMS star rating?

LUTHERAN MEDICAL CENTER has an overall CMS star rating of 4 out of 5, based on the Hospital Compare quality rating system. This rating incorporates patient experience, safety, readmission rates, mortality outcomes, and timely & effective care. Star ratings are updated annually by the Centers for Medicare & Medicaid Services.

How do patients rate LUTHERAN MEDICAL CENTER?

Patient satisfaction data for LUTHERAN MEDICAL CENTER is based on the HCAHPS patient survey, which measures experience across dimensions including nurse and doctor communication, staff responsiveness, and cleanliness. Detailed scores are available on this page.

Does LUTHERAN MEDICAL CENTER have higher-than-average readmission rates?

LUTHERAN MEDICAL CENTER's average excess readmission ratio is 0.93. A ratio above 1.0 means readmission rates are higher than the national average for the measured conditions. This hospital's readmission rate is at or below the national average. Source: CMS Hospital Readmissions Reduction Program.

How does LUTHERAN MEDICAL CENTER compare to other CO hospitals?

LUTHERAN MEDICAL CENTER's quality metrics, including star rating, patient satisfaction, readmission rates, and infection data, can be compared against other CO hospitals on this page. The state peers section shows the top-rated hospitals in CO for context.

Data sourced from CMS Hospital Compare and HCAHPS Patient Survey. All information is for educational purposes only.