JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Clifton Springs Hospital and Clinic

2 / 5

At a glance

Clifton Springs Hospital and Clinic carries a 2-star CMS overall rating — below 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1489Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.889Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1315Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.944Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures2Not available
SSI - Colon Surgery: Predicted Cases0.055Not 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 ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days19919Not available
MRSA Bacteremia: Predicted Cases0.611Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.491Better than national
Clostridium Difficile (C.Diff): Patient Days19919Better than national
Clostridium Difficile (C.Diff): Predicted Cases6.096Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 Rate3.9Same as national137
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients11.1Same as national46
Death rate for pneumonia patients15.6Same as national31
Death rate for stroke patientsNot available
Pressure ulcer rate1.65Same as national583
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national798
In-hospital fall-associated fracture rate0.31Same as national800
Postoperative hemorrhage or hematoma rate2.21Same as national127
Postoperative acute kidney injury requiring dialysis rate1.66Same as national75
Postoperative respiratory failure rate8.15Same as national79
Perioperative pulmonary embolism or deep vein thrombosis rate3.36Same as national131
Postoperative sepsis rate5.08Same as national74
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rate1.05Same as national98
CMS Medicare PSI 90: Patient safety and adverse events composite1.25Same 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 patientsNot available
Hospital return days for heart failure patients24Not available45
Hospital return days for pneumonia patients247.4Not available27
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.1Same as national220
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.1Same as national445
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national55
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national55
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national162
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate20Same as national45
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.3Same as national27

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 rating3422
Doctor communication - star rating4422
Communication about medicines - star rating3422
Discharge information - star rating4422
Cleanliness - star rating1422
Quietness - star rating2422
Overall hospital rating - star rating3422
Recommend hospital - star rating4422
Summary star rating3422

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 volumelow
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 vaccination77926
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 better1748902
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 better1688066
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better228510
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better335339
Left before being seen112305
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10050
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing18424
Appropriate care for severe sepsis and septic shock5765
Septic Shock 3-Hour Bundle5016
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle8665
Severe Sepsis 6-Hour Bundle8049
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Clifton Springs Hospital and Clinic rated?
Clifton Springs Hospital and Clinic has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Clifton Springs Hospital and Clinic have emergency services?
Yes. Clifton Springs Hospital and Clinic operates a 24/7 emergency department.
Where is Clifton Springs Hospital and Clinic located?
Clifton Springs Hospital and Clinic is located at 2 Coulter Road, Clifton Springs, NY 14432.
What type of hospital is Clifton Springs Hospital and Clinic?
Clifton Springs Hospital and Clinic 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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