Acute Care Hospital

Hospital de la Concepción

Road Number 2 Km 173.4 Cain Alto, San German, PR 00683
24/7 Emergency Services
3 out of 5 Stars Why 3 stars? Hospital de la Concepción's 3-star rating reflects below-average performance on Timely Care.

CMS Overall Hospital Quality Star Rating · Hospital de la Concepción

How was Hospital de la Concepción's 3-star rating calculated?

The CMS Overall Hospital Quality Star Rating applies to acute care hospitals like Hospital de la Concepción. CMS standardizes every underlying measure against the national rate, computes a weighted score for each of five domains, sums them by the fixed weights below, and assigns 1–5 stars using k-means clustering across all reporting hospitals.

Domains that fed Hospital de la Concepción's rating
Domain Weight Measures reported Hospital performance vs. national
Mortality 22% 1 of 7 0 better 0 same 1 worse
Safety of Care 22% 5 of 19 1 better 4 same 0 worse
Readmissions 22% 0 of 6 Not reported
Timely & Effective Care 12% 9 of 22 2 better 0 same 7 worse
Patient Experience 22% HCAHPS See HCAHPS detail below

How star meaning varies by hospital type. This CMS Overall Star Rating only applies to acute care hospitals. Children's hospitals (Pediatric Quality), psychiatric hospitals (IPFQR), inpatient rehabilitation facilities (IRF QRP), long-term acute care hospitals (LTACH QRP), and VA medical centers each use separate quality programs designed for their patient populations. Comparing star ratings across these facility types isn't meaningful — see the methodology page for the full mapping of which program applies to which facility.

How CareRanks computes ratings → · CMS official methodology ↗

Quality measures

Mortality

Same as National Average

Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.

Underlying measures: Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Worse Than the National Rate Hospital score: 5.30 95% interval: 4.30 – 6.50 Sample size: 212 Reporting period: 07/01/2023 – 06/30/2024 CMS measure id: Hybrid_HWM Death rate for CABG surgery patients Not Available Hospital score: Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_CABG Death rate for COPD patients Number of Cases Too Small Hospital score: Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_COPD Death rate for heart attack patients Number of Cases Too Small Hospital score: Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_AMI Death rate for heart failure patients Number of Cases Too Small Hospital score: Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_HF Death rate for pneumonia patients Number of Cases Too Small Hospital score: Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_PN Death rate for stroke patients Number of Cases Too Small Hospital score: Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_STK

Safety of Care

Same as National Average

Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.

Underlying measures: Catheter Associated Urinary Tract Infections (ICU + select Wards) Better than the National Benchmark Hospital score: 0.18 SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_2_SIR Clostridium Difficile (C.Diff) No Different than National Benchmark Hospital score: 1.17 SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_6_SIR Central Line Associated Bloodstream Infection (ICU + select Wards) No Different than National Benchmark Hospital score: 0.37 SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_1_SIR Rate of complications for hip/knee replacement patients No Different Than the National Rate Hospital score: 4.00 95% interval: 2.10 – 7.70 Sample size: 31 Reporting period: 04/01/2021 – 03/31/2024 CMS measure id: COMP_HIP_KNEE MRSA Bacteremia No Different than National Benchmark Hospital score: 0.00 SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_5_SIR Abdominopelvic accidental puncture or laceration rate Not Available Hospital score: Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_15 Iatrogenic pneumothorax rate Not Available Hospital score: Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_06 In-hospital fall-associated fracture rate Not Available Hospital score: Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_08 Postoperative hemorrhage or hematoma rate Not Available Hospital score: Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_09 Perioperative pulmonary embolism or deep vein thrombosis rate Not Available Hospital score: Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_12 Postoperative acute kidney injury requiring dialysis rate Not Available Hospital score: Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_10 Postoperative respiratory failure rate Not Available Hospital score: Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_11 Postoperative sepsis rate Not Available Hospital score: Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_13 Pressure ulcer rate Not Available Hospital score: Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_03 CMS Medicare PSI 90: Patient safety and adverse events composite Not Available Hospital score: Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_90 SSI - Abdominal Hysterectomy Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_4_SIR SSI - Colon Surgery Not Available Hospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_3_SIR Death rate among surgical inpatients with serious treatable complications Not Available Hospital score: Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_04 Postoperative wound dehiscence rate Not Available Hospital score: Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_14

Readmissions

Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.

Patient Experience

Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.

Patient survey detail — the questions feeding the Patient Experience domain above expand ↓

CMS computes the Patient Experience domain from the federal HCAHPS survey. Each bar below is one survey question; the percentage is the share of Hospital's recent patients who gave the most positive response. HCAHPS percentages aren't directly comparable across all measures — see the methodology page for how CMS weights them.

  • Communication with Nurses N/A
  • Communication with Doctors N/A
  • Hospital Cleanliness N/A
  • Hospital Quietness N/A
  • Staff Responsiveness N/A
  • Discharge Information N/A
  • Overall Hospital Rating (9 or 10) N/A
  • Would Recommend Hospital N/A

Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.

Timely & Effective Care

Below National Average

Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.

Underlying measures: Safe Use of Opioids - Concurrent Prescribing Better than ~75% of hospitals Hospital score: 2.00 % National median: 15.00 % (lower is better) Sample size: 548 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: SAFE_USE_OF_OPIOIDS Hospital Harm - Opioid Related Adverse Events Better than ~75% of hospitals Hospital score: 0.00 % National median: 0.00 % (lower is better) Sample size: 3,566 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: HH_ORAE Antithrombotic Therapy by End of Hospital Day 2 Worse than ~75% of hospitals Hospital score: 72.00 % National median: 94.00 % (higher is better) Sample size: 123 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: STK_05 Intensive Care Unit Venous Thromboembolism Prophylaxis Worse than ~75% of hospitals Hospital score: 69.00 % National median: 97.00 % (higher is better) Sample size: 536 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: VTE_2 Appropriate care for severe sepsis and septic shock Worse than ~75% of hospitals Hospital score: 12.00 % National median: 64.00 % (higher is better) Sample size: 86 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEP_1 Hospital Harm - Severe Hypoglycemia Worse than ~75% of hospitals Hospital score: 4.00 % National median: 1.00 % (lower is better) Sample size: 2,804 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: HH_HYPO Severe Sepsis 3-Hour Bundle Worse than ~75% of hospitals Hospital score: 20.00 % National median: 81.00 % (higher is better) Sample size: 86 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEV_SEP_3HR Healthcare workers given influenza vaccination Worse than ~75% of hospitals Hospital score: 56.00 % National median: 79.00 % (higher is better) Sample size: 652 Reporting period: 10/01/2024 – 03/31/2025 CMS measure id: IMM_3 Venous Thromboembolism Prophylaxis Worse than ~75% of hospitals Hospital score: 70.00 % National median: 90.00 % (higher is better) Sample size: 5,264 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: VTE_1

Clinical Staff

Hospital de la Concepción has 50 CMS-affiliated clinicians on its roster — physicians, advanced practice providers, and other Medicare-enrolled professionals who list this hospital as an affiliated facility.

Top specialties

  • Internal Medicine 18
  • Nephrology 4
  • General Surgery 4
  • Cardiovascular Disease (Cardiology) 3
  • Gastroenterology 3
  • Orthopedic Surgery 3
  • Physical Medicine And Rehabilitation 3
  • General Practice 2

Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.

Practice characteristics

Accept Medicare assignment
49 (98%)

Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.

Offer telehealth
3 (6%)

Indicated by the clinician in their CMS profile as routinely providing virtual visits.

Source: CMS Doctors and Clinicians (Care Compare) national downloadable file and MIPS Performance Year final scores, as of 2026-05-27. Affiliations from the CMS Facility Affiliations dataset. About 16% of small facilities (critical access, rural emergency, freestanding psych, IRF/LTCH) do not appear in the affiliations file and therefore have no panel.

Find a Doctor

Search the 50 clinicians affiliated with Hospital de la Concepción. Each name links to that clinician's official Medicare Care Compare profile, where you can see their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.

Showing 30 of 50 clinicians (alphabetical)

Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27. A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS profile, not that they exclusively work here.

Pricing & Costs

Facility Information

Facility type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Emergency services
Yes — 24/7

Nearby Hospitals

About this data

Quality and ratings data are sourced from the U.S. Centers for Medicare & Medicaid Services (CMS) Hospital Compare program. Star ratings are CMS's own calculation; CareRanks does not modify or re-weight them. Facility-level details (address, beds, ownership, teaching status) come from CMS provider files and the CMS Provider of Services file.

Pricing data, where shown, is drawn from the hospital's own Machine-Readable File (MRF) published under the federal Hospital Price Transparency Rule. See our methodology for the full update cadence and limitations.

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