JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Clara Maass Medical Center

3 / 5

At a glance

Clara Maass Medical Center 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 12 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.930Better than national
Central Line Associated Bloodstream Infection: Number of Device Days3888Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.220Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.018Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3423Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.942Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.350Same as national
SSI - Colon Surgery: Number of Procedures81Same as national
SSI - Colon Surgery: Predicted Cases2.219Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures90Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.737Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.304Same as national
MRSA Bacteremia: Upper Confidence Limit2.305Same as national
MRSA Bacteremia: Patient Days77263Same as national
MRSA Bacteremia: Predicted Cases4.186Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.956Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.076Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.391Better than national
Clostridium Difficile (C.Diff): Patient Days70085Better than national
Clostridium Difficile (C.Diff): Predicted Cases31.914Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.188Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national964
Death rate for heart attack patients14.2Same as national121
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.2Same as national113
Death rate for heart failure patients10.9Same as national332
Death rate for pneumonia patients18Same as national262
Death rate for stroke patients10.8Same as national88
Pressure ulcer rate0.62Same as national3881
Death rate among surgical inpatients with serious treatable complications204.96Same as national32
Iatrogenic pneumothorax rate0.17Same as national4213
In-hospital fall-associated fracture rate0.23Same as national4326
Postoperative hemorrhage or hematoma rate2.12Same as national798
Postoperative acute kidney injury requiring dialysis rate1.61Same as national139
Postoperative respiratory failure rate9.09Same as national162
Perioperative pulmonary embolism or deep vein thrombosis rate4.18Same as national814
Postoperative sepsis rate4.36Same as national135
Postoperative wound dehiscence rate1.69Same as national163
Abdominopelvic accidental puncture or laceration rate0.88Same as national771
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 patients22.8Not available88
Hospital return days for heart failure patients33.4Not available359
Hospital return days for pneumonia patients7.9Not available241
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.1Same as national1543
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.5Same as national418
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national206
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national88
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national117
Heart failure (HF) 30-Day Readmission Rate20.4Same as national359
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national241

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 rating3868
Doctor communication - star rating3868
Communication about medicines - star rating3868
Discharge information - star rating3868
Cleanliness - star rating3868
Quietness - star rating2868
Overall hospital rating - star rating2868
Recommend hospital - star rating3868
Summary star rating3868

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 volumevery high
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 vaccination971961
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 better142426
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 better138404
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27622
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen080156
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9186
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing101686
Appropriate care for severe sepsis and septic shock79235
Septic Shock 3-Hour Bundle9487
Septic Shock 6-Hour Bundle8566
Severe Sepsis 3-Hour Bundle88235
Severe Sepsis 6-Hour Bundle97144
Discharged on Antithrombotic Therapy96437
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 288429
Venous Thromboembolism Prophylaxis497372
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Clara Maass Medical Center rated?
Clara Maass Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Clara Maass Medical Center have emergency services?
Yes. Clara Maass Medical Center operates a 24/7 emergency department.
Where is Clara Maass Medical Center located?
Clara Maass Medical Center is located at One Clara Maass Drive, Belleville, NJ 07109.
What type of hospital is Clara Maass Medical Center?
Clara Maass Medical Center 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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