JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Deborah Heart and Lung Center

3 / 5

At a glance

Deborah Heart and Lung 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 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 Limit0.254Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.713Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3509Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.009Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.997Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit—Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.095Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2710Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.736Same 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 Limit—Not available
SSI - Colon Surgery: Upper Confidence Limit—Not available
SSI - Colon Surgery: Number of Procedures—Not available
SSI - Colon Surgery: Predicted Cases—Not available
SSI - Colon Surgery: Observed Cases—Not available
SSI - Colon Surgery—Not available
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures—Not available
SSI - Abdominal Hysterectomy: Predicted Cases—Not available
SSI - Abdominal Hysterectomy: Observed Cases—Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit—Not available
MRSA Bacteremia: Upper Confidence Limit—Not available
MRSA Bacteremia: Patient Days15776Not available
MRSA Bacteremia: Predicted Cases0.813Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA Bacteremia—Not available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.044Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.873Better than national
Clostridium Difficile (C.Diff): Patient Days15776Better than national
Clostridium Difficile (C.Diff): Predicted Cases7.568Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.264Better 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.1Same as national569
Death rate for heart attack patients11.5Same as national102
Death rate for CABG surgery patients2.5Same as national103
Death rate for COPD patients8.4Same as national36
Death rate for heart failure patients10Same as national350
Death rate for pneumonia patients15.2Same as national87
Death rate for stroke patients—Not available—
Pressure ulcer rate1.14Same as national1601
Death rate among surgical inpatients with serious treatable complications200.05Same as national60
Iatrogenic pneumothorax rate0.20Same as national2324
In-hospital fall-associated fracture rate0.25Same as national2622
Postoperative hemorrhage or hematoma rate2.86Same as national978
Postoperative acute kidney injury requiring dialysis rate2.38Same as national245
Postoperative respiratory failure rate20.29Worse than national296
Perioperative pulmonary embolism or deep vein thrombosis rate4.12Same as national1048
Postoperative sepsis rate9.60Worse than national257
Postoperative wound dehiscence rate—Not available—
Abdominopelvic accidental puncture or laceration rate0.99Same as national202
CMS Medicare PSI 90: Patient safety and adverse events composite1.64Worse 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 patients23.1Not available190
Hospital return days for heart failure patients25.9Not available493
Hospital return days for pneumonia patients11.4Not available96
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national966
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)—Not available—
Rate of inpatient admissions for patients receiving outpatient chemotherapy—Not available—
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy—Not available—
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national184
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national190
Rate of readmission for CABG11.3Same as national101
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national39
Heart failure (HF) 30-Day Readmission Rate20.9Same as national493
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate16Same as national96

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 rating4967
Doctor communication - star rating4967
Communication about medicines - star rating3967
Discharge information - star rating5967
Cleanliness - star rating2967
Quietness - star rating2967
Overall hospital rating - star rating4967
Recommend hospital - star rating5967
Summary star rating4967

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 volume——
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 Hyperglycemia06735
Hospital Harm - Severe Hypoglycemia01247
Hospital Harm - Opioid Related Adverse Events01188
Healthcare workers given influenza vaccination991379
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 better——
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 better——
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better——
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 seen——
Head CT results——
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients——
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing20646
Appropriate care for severe sepsis and septic shock5413
Septic Shock 3-Hour Bundle——
Septic Shock 6-Hour Bundle——
Severe Sepsis 3-Hour Bundle9213
Severe Sepsis 6-Hour Bundle——
Discharged on Antithrombotic Therapy——
Anticoagulation Therapy for Atrial Fibrillation/Flutter—0
Antithrombotic Therapy by End of Hospital Day 2—0
Venous Thromboembolism Prophylaxis492386
Intensive Care Unit Venous Thromboembolism Prophylaxis—0

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 Deborah Heart and Lung Center rated?
Deborah Heart and Lung Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Deborah Heart and Lung Center have emergency services?
According to CMS records, Deborah Heart and Lung Center does not report a 24/7 emergency department.
Where is Deborah Heart and Lung Center located?
Deborah Heart and Lung Center is located at 200 Trenton Road, Browns Mills, NJ 08015.
What type of hospital is Deborah Heart and Lung Center?
Deborah Heart and Lung 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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