JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Elmhurst Hospital Center

2 / 5

At a glance

Elmhurst Hospital Center 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 Limit0.330Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.694Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7021Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases7.368Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.814Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.082Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.875Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6619Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases9.335Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.321Better than national
SSI - Colon Surgery: Lower Confidence Limit0.365Same as national
SSI - Colon Surgery: Upper Confidence Limit3.910Same as national
SSI - Colon Surgery: Number of Procedures76Same as national
SSI - Colon Surgery: Predicted Cases2.088Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.437Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures74Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.593Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.342Same as national
MRSA Bacteremia: Upper Confidence Limit1.757Same as national
MRSA Bacteremia: Patient Days108064Same as national
MRSA Bacteremia: Predicted Cases7.104Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia0.845Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.335Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.680Better than national
Clostridium Difficile (C.Diff): Patient Days100277Better than national
Clostridium Difficile (C.Diff): Predicted Cases63.941Better than national
Clostridium Difficile (C.Diff): Observed Cases31Better than national
Clostridium Difficile (C.Diff)0.485Better 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 Rate3.8Same as national579
Death rate for heart attack patients11.6Same as national57
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.3Same as national54
Death rate for heart failure patients9Same as national158
Death rate for pneumonia patients15.5Same as national125
Death rate for stroke patients15.3Same as national90
Pressure ulcer rate1.14Same as national2587
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.37Same as national2940
In-hospital fall-associated fracture rate0.33Same as national2845
Postoperative hemorrhage or hematoma rate2.18Same as national331
Postoperative acute kidney injury requiring dialysis rate1.64Same as national41
Postoperative respiratory failure rate8.01Same as national45
Perioperative pulmonary embolism or deep vein thrombosis rate3.43Same as national322
Postoperative sepsis rate5.01Same as national38
Postoperative wound dehiscence rate1.72Same as national52
Abdominopelvic accidental puncture or laceration rate1.00Same as national273
CMS Medicare PSI 90: Patient safety and adverse events composite1.13Same 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 patients-18.3Not available170
Hospital return days for pneumonia patients-17.9Not available128
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16Same as national976
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national46
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national44
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national60
Heart failure (HF) 30-Day Readmission Rate19.7Same as national170
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15Same as national128

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 rating1682
Doctor communication - star rating2682
Communication about medicines - star rating1682
Discharge information - star rating3682
Cleanliness - star rating3682
Quietness - star rating1682
Overall hospital rating - star rating2682
Recommend hospital - star rating2682
Summary star rating2682

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 volumevery high
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 Hypoglycemia23765
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination626497
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 better260374
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 better256344
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better48626
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 seen2133320
Head CT results6712
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)4827
Safe Use of Opioids - Concurrent Prescribing52010
Appropriate care for severe sepsis and septic shock24164
Septic Shock 3-Hour Bundle4854
Septic Shock 6-Hour Bundle8419
Severe Sepsis 3-Hour Bundle65164
Severe Sepsis 6-Hour Bundle6286
Discharged on Antithrombotic Therapy96200
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis982731

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 Elmhurst Hospital Center rated?
Elmhurst Hospital Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Elmhurst Hospital Center have emergency services?
Yes. Elmhurst Hospital Center operates a 24/7 emergency department.
Where is Elmhurst Hospital Center located?
Elmhurst Hospital Center is located at 79-01 Broadway, Elmhurst, NY 11373.
What type of hospital is Elmhurst Hospital Center?
Elmhurst Hospital Center is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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