JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Englewood Hospital and Medical Center

4 / 5

At a glance

Englewood Hospital and Medical Center carries a 4-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.

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 Limit0.209Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.261Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8671Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.786Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.569Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.387Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.581Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days7983Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases9.608Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.833Same as national
SSI - Colon Surgery: Lower Confidence Limit0.399Same as national
SSI - Colon Surgery: Upper Confidence Limit2.046Same as national
SSI - Colon Surgery: Number of Procedures235Same as national
SSI - Colon Surgery: Predicted Cases6.099Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery0.984Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures77Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.633Not available
SSI - Abdominal Hysterectomy: Observed Cases4Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.096Same as national
MRSA Bacteremia: Upper Confidence Limit1.898Same as national
MRSA Bacteremia: Patient Days75475Same as national
MRSA Bacteremia: Predicted Cases3.482Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.574Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.236Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.656Better than national
Clostridium Difficile (C.Diff): Patient Days60688Better than national
Clostridium Difficile (C.Diff): Predicted Cases36.870Better than national
Clostridium Difficile (C.Diff): Observed Cases15Better than national
Clostridium Difficile (C.Diff)0.407Better 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 patients3.7Same as national267
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national2359
Death rate for heart attack patients10.1Same as national214
Death rate for CABG surgery patients1.8Same as national133
Death rate for COPD patients6.6Same as national116
Death rate for heart failure patients10.2Same as national568
Death rate for pneumonia patients15.9Same as national699
Death rate for stroke patients17Same as national253
Pressure ulcer rate0.13Same as national7125
Death rate among surgical inpatients with serious treatable complications166.48Same as national56
Iatrogenic pneumothorax rate0.21Same as national8934
In-hospital fall-associated fracture rate0.24Same as national9067
Postoperative hemorrhage or hematoma rate2.17Same as national2327
Postoperative acute kidney injury requiring dialysis rate1.19Same as national1242
Postoperative respiratory failure rate4.99Same as national1213
Perioperative pulmonary embolism or deep vein thrombosis rate2.95Same as national2277
Postoperative sepsis rate5.31Same as national1143
Postoperative wound dehiscence rate1.62Same as national476
Abdominopelvic accidental puncture or laceration rate0.71Same as national1591
CMS Medicare PSI 90: Patient safety and adverse events composite0.68Better 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 patients17.4Not available241
Hospital return days for heart failure patients-15.4Not available637
Hospital return days for pneumonia patients14Not available702
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national3933
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national1436
Rate of inpatient admissions for patients receiving outpatient chemotherapy13.3Same as national301
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national301
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national902
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national241
Rate of readmission for CABG9.5Same as national132
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.5Same as national138
Heart failure (HF) 30-Day Readmission Rate17.9Same as national637
Rate of readmission after hip/knee replacement5.3Same as national250
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national702

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 rating41668
Doctor communication - star rating31668
Communication about medicines - star rating21668
Discharge information - star rating21668
Cleanliness - star rating31668
Quietness - star rating31668
Overall hospital rating - star rating41668
Recommend hospital - star rating51668
Summary star rating31668

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination975973
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 better186442
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 better182420
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22121
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 seen160189
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients76109
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5927
Safe Use of Opioids - Concurrent Prescribing143134
Appropriate care for severe sepsis and septic shock79130
Septic Shock 3-Hour Bundle8745
Septic Shock 6-Hour Bundle9133
Severe Sepsis 3-Hour Bundle92130
Severe Sepsis 6-Hour Bundle9392
Discharged on Antithrombotic Therapy98179
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis988038
Intensive Care Unit Venous Thromboembolism Prophylaxis1001203

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 Englewood Hospital and Medical Center rated?
Englewood Hospital and Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Englewood Hospital and Medical Center have emergency services?
Yes. Englewood Hospital and Medical Center operates a 24/7 emergency department.
Where is Englewood Hospital and Medical Center located?
Englewood Hospital and Medical Center is located at 350 Engle St, Englewood, NJ 07631.
What type of hospital is Englewood Hospital and Medical Center?
Englewood Hospital and Medical 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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