JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Elliot Hospital

2 / 5

At a glance

Elliot Hospital carries a 2-star CMS overall rating — below 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 Limit0.463Better than national
Central Line Associated Bloodstream Infection: Number of Device Days7617Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.472Better 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 Limit0.468Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.400Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6069Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.200Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.154Same as national
SSI - Colon Surgery: Lower Confidence Limit0.399Same as national
SSI - Colon Surgery: Upper Confidence Limit3.031Same as national
SSI - Colon Surgery: Number of Procedures113Same as national
SSI - Colon Surgery: Predicted Cases3.183Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery1.257Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.251Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.946Same as national
SSI - Abdominal Hysterectomy: Number of Procedures145Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.336Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.497Same as national
MRSA Bacteremia: Lower Confidence Limit0.014Same as national
MRSA Bacteremia: Upper Confidence Limit1.371Same as national
MRSA Bacteremia: Patient Days82212Same as national
MRSA Bacteremia: Predicted Cases3.596Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.278Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.248Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.742Better than national
Clostridium Difficile (C.Diff): Patient Days69354Better than national
Clostridium Difficile (C.Diff): Predicted Cases29.213Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.445Better 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 patients3Same as national145
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national1503
Death rate for heart attack patients13.8Same as national115
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10Same as national153
Death rate for heart failure patients13.4Same as national383
Death rate for pneumonia patients17Same as national543
Death rate for stroke patients15.6Same as national150
Pressure ulcer rate0.89Same as national5257
Death rate among surgical inpatients with serious treatable complications178.60Same as national62
Iatrogenic pneumothorax rate0.22Same as national6429
In-hospital fall-associated fracture rate0.30Same as national6330
Postoperative hemorrhage or hematoma rate2.27Same as national1328
Postoperative acute kidney injury requiring dialysis rate1.97Same as national556
Postoperative respiratory failure rate12.15Same as national554
Perioperative pulmonary embolism or deep vein thrombosis rate5.08Same as national1369
Postoperative sepsis rate7.24Same as national500
Postoperative wound dehiscence rate1.63Same as national245
Abdominopelvic accidental puncture or laceration rate1.33Same as national988
CMS Medicare PSI 90: Patient safety and adverse events composite1.31Same 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-5.1Not available94
Hospital return days for heart failure patients-21.3Not available441
Hospital return days for pneumonia patients-3Not available547
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national2425
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.9Same as national910
Rate of inpatient admissions for patients receiving outpatient chemotherapy11Same as national248
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national248
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national499
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national94
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national164
Heart failure (HF) 30-Day Readmission Rate18.5Same as national441
Rate of readmission after hip/knee replacement6.1Same as national138
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national547

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 rating4525
Doctor communication - star rating4525
Communication about medicines - star rating3525
Discharge information - star rating4525
Cleanliness - star rating2525
Quietness - star rating1525
Overall hospital rating - star rating4525
Recommend hospital - star rating5525
Summary star rating4525

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 volumehigh
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 vaccination946209
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 better287408
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 better283374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better41330
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 seen1159794
Head CT results6015
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98151
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing192126
Appropriate care for severe sepsis and septic shock50330
Septic Shock 3-Hour Bundle57117
Septic Shock 6-Hour Bundle5137
Severe Sepsis 3-Hour Bundle74333
Severe Sepsis 6-Hour Bundle96159
Discharged on Antithrombotic Therapy9697
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 296114
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis90823

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 Elliot Hospital rated?
Elliot Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Elliot Hospital have emergency services?
Yes. Elliot Hospital operates a 24/7 emergency department.
Where is Elliot Hospital located?
Elliot Hospital is located at 1 Elliot Way, Manchester, NH 03103.
What type of hospital is Elliot Hospital?
Elliot 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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