JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Cayuga Medical Center at Ithaca

3 / 5

At a glance

Cayuga Medical Center at Ithaca carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.870Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2317Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.602Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.176Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.467Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2791Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.906Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.049Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures40Not available
SSI - Colon Surgery: Predicted Cases0.921Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures5Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.043Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.203Same as national
MRSA Bacteremia: Patient Days26656Same as national
MRSA Bacteremia: Predicted Cases1.360Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.157Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.949Better than national
Clostridium Difficile (C.Diff): Patient Days25082Better than national
Clostridium Difficile (C.Diff): Predicted Cases11.680Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.428Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patients6.4Worse than national63
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national594
Death rate for heart attack patients11.4Same as national87
Death rate for CABG surgery patientsNot available
Death rate for COPD patients12.3Same as national72
Death rate for heart failure patients11.9Same as national129
Death rate for pneumonia patients20.6Worse than national192
Death rate for stroke patients14.9Same as national101
Pressure ulcer rate0.67Same as national1944
Death rate among surgical inpatients with serious treatable complications180.87Same as national28
Iatrogenic pneumothorax rate0.18Same as national2584
In-hospital fall-associated fracture rate0.29Same as national2551
Postoperative hemorrhage or hematoma rate2.15Same as national458
Postoperative acute kidney injury requiring dialysis rate1.61Same as national115
Postoperative respiratory failure rate7.51Same as national122
Perioperative pulmonary embolism or deep vein thrombosis rate3.30Same as national463
Postoperative sepsis rate5.81Same as national101
Postoperative wound dehiscence rate1.71Same as national80
Abdominopelvic accidental puncture or laceration rate0.97Same as national369
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patients-45.4Not available69
Hospital return days for heart failure patients27.9Not available146
Hospital return days for pneumonia patients-2Not available204
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national904
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)10.9Same as national1360
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.4Same as national207
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.8Same as national207
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national517
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national69
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national72
Heart failure (HF) 30-Day Readmission Rate19.1Same as national146
Rate of readmission after hip/knee replacement5Same as national61
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national204

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating4594
Doctor communication - star rating3594
Communication about medicines - star rating3594
Discharge information - star rating3594
Cleanliness - star rating3594
Quietness - star rating2594
Overall hospital rating - star rating3594
Recommend hospital - star rating4594
Summary star rating3594

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumemedium
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination682671
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 better262391
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 better256348
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better35728
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better48016
Left before being seen230182
Head CT results7512
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98102
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5441
Safe Use of Opioids - Concurrent Prescribing10481
Appropriate care for severe sepsis and septic shock34484
Septic Shock 3-Hour Bundle57169
Septic Shock 6-Hour Bundle3357
Severe Sepsis 3-Hour Bundle66485
Severe Sepsis 6-Hour Bundle81190
Discharged on Antithrombotic Therapy8060
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29063
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis89661

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Cayuga Medical Center at Ithaca rated?
Cayuga Medical Center at Ithaca has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Cayuga Medical Center at Ithaca have emergency services?
Yes. Cayuga Medical Center at Ithaca operates a 24/7 emergency department.
Where is Cayuga Medical Center at Ithaca located?
Cayuga Medical Center at Ithaca is located at 101 Dates Drive, Ithaca, NY 14850.
What type of hospital is Cayuga Medical Center at Ithaca?
Cayuga Medical Center at Ithaca is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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