JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Emerson Hospital -

5 / 5

At a glance

Emerson Hospital - carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.578Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2790Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.899Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.019Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.894Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3839Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.604Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.384Same as national
SSI - Colon Surgery: Lower Confidence Limit0.042Same as national
SSI - Colon Surgery: Upper Confidence Limit4.113Same as national
SSI - Colon Surgery: Number of Procedures48Same as national
SSI - Colon Surgery: Predicted Cases1.199Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.834Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures23Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.169Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.033Same as national
MRSA Bacteremia: Upper Confidence Limit3.277Same as national
MRSA Bacteremia: Patient Days39882Same as national
MRSA Bacteremia: Predicted Cases1.505Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.664Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.028Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.561Better than national
Clostridium Difficile (C.Diff): Patient Days34989Better than national
Clostridium Difficile (C.Diff): Predicted Cases11.769Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.170Better 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 patients2.8Same as national191
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national1180
Death rate for heart attack patients11.9Same as national52
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.2Same as national66
Death rate for heart failure patients9.8Same as national285
Death rate for pneumonia patients12.4Better than national364
Death rate for stroke patients13.7Same as national129
Pressure ulcer rate0.63Same as national2870
Death rate among surgical inpatients with serious treatable complications147.76Same as national29
Iatrogenic pneumothorax rate0.18Same as national4387
In-hospital fall-associated fracture rate0.23Same as national4398
Postoperative hemorrhage or hematoma rate2.01Same as national631
Postoperative acute kidney injury requiring dialysis rate1.52Same as national242
Postoperative respiratory failure rate10.31Same as national250
Perioperative pulmonary embolism or deep vein thrombosis rate3.59Same as national665
Postoperative sepsis rate4.49Same as national225
Postoperative wound dehiscence rate2.00Same as national181
Abdominopelvic accidental puncture or laceration rate1.13Same as national751
CMS Medicare PSI 90: Patient safety and adverse events composite0.98Same 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-7.4Not available352
Hospital return days for pneumonia patients6.3Not available418
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.5Better than national1801
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national980
Rate of inpatient admissions for patients receiving outpatient chemotherapy14.2Same as national233
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.8Same as national233
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national694
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.8Same as national76
Heart failure (HF) 30-Day Readmission Rate19Same as national352
Rate of readmission after hip/knee replacement4.3Same as national169
Pneumonia (PN) 30-Day Readmission Rate16.2Same as national418

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 rating4543
Doctor communication - star rating4543
Communication about medicines - star rating3543
Discharge information - star rating4543
Cleanliness - star rating3543
Quietness - star rating2543
Overall hospital rating - star rating4543
Recommend hospital - star rating5543
Summary star rating4543

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination883166
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 better215384
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 better210350
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25420
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better23814
Left before being seen236298
Head CT results8816
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9990
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141766
Appropriate care for severe sepsis and septic shock69167
Septic Shock 3-Hour Bundle7166
Septic Shock 6-Hour Bundle9330
Severe Sepsis 3-Hour Bundle84167
Severe Sepsis 6-Hour Bundle9680
Discharged on Antithrombotic Therapy9893
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis953546
Intensive Care Unit Venous Thromboembolism Prophylaxis98578

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 Emerson Hospital - rated?
Emerson Hospital - has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Emerson Hospital - have emergency services?
Yes. Emerson Hospital - operates a 24/7 emergency department.
Where is Emerson Hospital - located?
Emerson Hospital - is located at 133 Old Road to 9 Acre Corner, W Concord, MA 01742.
What type of hospital is Emerson Hospital -?
Emerson 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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