JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Columbia Memorial Hospital

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At a glance

Columbia Memorial Hospital carries a 1-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 Limit0.241Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.740Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2308Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.394Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.435Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.966Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4609Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.101Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.807Same as national
SSI - Colon Surgery: Number of Procedures64Same as national
SSI - Colon Surgery: Predicted Cases1.658Same 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 Procedures43Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.336Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days24289Not available
MRSA Bacteremia: Predicted Cases0.892Not available
MRSA Bacteremia: Observed Cases4Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.249Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.506Same as national
Clostridium Difficile (C.Diff): Patient Days24289Same as national
Clostridium Difficile (C.Diff): Predicted Cases7.360Same as national
Clostridium Difficile (C.Diff): Observed Cases5Same as national
Clostridium Difficile (C.Diff)0.679Same as 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 patients4Same as national120
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.1Same as national469
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11Same as national100
Death rate for heart failure patients14.4Same as national156
Death rate for pneumonia patients16.4Same as national138
Death rate for stroke patients12.3Same as national42
Pressure ulcer rate4.50Worse than national1825
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.26Same as national2041
In-hospital fall-associated fracture rate0.34Same as national1988
Postoperative hemorrhage or hematoma rate2.89Same as national331
Postoperative acute kidney injury requiring dialysis rate1.65Same as national163
Postoperative respiratory failure rate8.10Same as national172
Perioperative pulmonary embolism or deep vein thrombosis rate3.91Same as national352
Postoperative sepsis rate6.65Same as national163
Postoperative wound dehiscence rate1.71Same as national67
Abdominopelvic accidental puncture or laceration rate0.97Same as national220
CMS Medicare PSI 90: Patient safety and adverse events composite2.17Worse than 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 patients55.6Not available162
Hospital return days for pneumonia patients38.1Not available136
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national663
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.4Same as national901
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national37
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national37
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national365
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.5Same as national105
Heart failure (HF) 30-Day Readmission Rate20.3Same as national162
Rate of readmission after hip/knee replacement5Same as national115
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national136

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 rating2307
Doctor communication - star rating2307
Communication about medicines - star rating2307
Discharge information - star rating3307
Cleanliness - star rating3307
Quietness - star rating2307
Overall hospital rating - star rating2307
Recommend hospital - star rating2307
Summary star rating2307

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 Hypoglycemia1838
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination961502
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 better245414
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 better234362
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better69137
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better31917
Left before being seen423011
Head CT results3321
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9777
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing22848
Appropriate care for severe sepsis and septic shock56326
Septic Shock 3-Hour Bundle70109
Septic Shock 6-Hour Bundle7854
Severe Sepsis 3-Hour Bundle74326
Severe Sepsis 6-Hour Bundle94177
Discharged on Antithrombotic Therapy9737
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 28136
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 Columbia Memorial Hospital rated?
Columbia Memorial Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Columbia Memorial Hospital have emergency services?
Yes. Columbia Memorial Hospital operates a 24/7 emergency department.
Where is Columbia Memorial Hospital located?
Columbia Memorial Hospital is located at 71 Prospect Avenue, Hudson, NY 12534.
What type of hospital is Columbia Memorial Hospital?
Columbia Memorial Hospital 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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