JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Ellis Hospital

3 / 5

At a glance

Ellis Hospital 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 18 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 Limit0.388Better than national
Central Line Associated Bloodstream Infection: Number of Device Days7193Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases7.726Better 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 Limit0.078Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.833Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6741Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases9.802Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.306Better than national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.153Same as national
SSI - Colon Surgery: Number of Procedures100Same as national
SSI - Colon Surgery: Predicted Cases2.599Same 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 Cases0.365Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.139Same as national
MRSA Bacteremia: Upper Confidence Limit1.483Same as national
MRSA Bacteremia: Patient Days67100Same as national
MRSA Bacteremia: Predicted Cases5.505Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.545Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.140Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.572Better than national
Clostridium Difficile (C.Diff): Patient Days62350Better than national
Clostridium Difficile (C.Diff): Predicted Cases26.571Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.301Better 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 national977
Death rate for heart attack patients11.7Same as national207
Death rate for CABG surgery patients2.4Same as national44
Death rate for COPD patients8.7Same as national109
Death rate for heart failure patients9.7Same as national328
Death rate for pneumonia patients15.7Same as national427
Death rate for stroke patients13.1Same as national158
Pressure ulcer rate1.28Same as national3867
Death rate among surgical inpatients with serious treatable complications192.20Same as national36
Iatrogenic pneumothorax rate0.15Same as national4264
In-hospital fall-associated fracture rate0.27Same as national4618
Postoperative hemorrhage or hematoma rate2.12Same as national905
Postoperative acute kidney injury requiring dialysis rate2.60Same as national364
Postoperative respiratory failure rate13.39Same as national365
Perioperative pulmonary embolism or deep vein thrombosis rate2.94Same as national962
Postoperative sepsis rate7.45Same as national354
Postoperative wound dehiscence rate1.93Same as national191
Abdominopelvic accidental puncture or laceration rate1.12Same as national721
CMS Medicare PSI 90: Patient safety and adverse events composite1.37Worse 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 patients-12.1Not available210
Hospital return days for heart failure patients40.9Not available368
Hospital return days for pneumonia patients9.9Not available407
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1484
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.5Same as national102
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.9Same as national56
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national56
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national357
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national210
Rate of readmission for CABG10Same as national43
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.2Same as national121
Heart failure (HF) 30-Day Readmission Rate20.4Same as national368
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16Same as national407

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 rating21535
Doctor communication - star rating21535
Communication about medicines - star rating21535
Discharge information - star rating31535
Cleanliness - star rating31535
Quietness - star rating11535
Overall hospital rating - star rating21535
Recommend hospital - star rating21535
Summary star rating21535

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 Hyperglycemia418096
Hospital Harm - Severe Hypoglycemia02535
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination952883
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 better242389
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 better232347
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30538
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 seen254146
Head CT results7520
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100155
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing102337
Appropriate care for severe sepsis and septic shock6299
Septic Shock 3-Hour Bundle7322
Septic Shock 6-Hour Bundle7713
Severe Sepsis 3-Hour Bundle7699
Severe Sepsis 6-Hour Bundle9541
Discharged on Antithrombotic Therapy95174
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 MeasureYes

Frequently asked questions

How is Ellis Hospital rated?
Ellis Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Ellis Hospital have emergency services?
Yes. Ellis Hospital operates a 24/7 emergency department.
Where is Ellis Hospital located?
Ellis Hospital is located at 1101 Nott Street, Schenectady, NY 12308.
What type of hospital is Ellis Hospital?
Ellis 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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