JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Glens Falls Hospital

3 / 5

At a glance

Glens Falls 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 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 Limit0.117Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.310Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4187Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.861Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.699Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.359Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.726Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4959Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.540Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.130Same as national
SSI - Colon Surgery: Lower Confidence Limit0.088Same as national
SSI - Colon Surgery: Upper Confidence Limit1.743Same as national
SSI - Colon Surgery: Number of Procedures149Same as national
SSI - Colon Surgery: Predicted Cases3.791Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.528Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures11Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.103Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.015Same as national
MRSA Bacteremia: Upper Confidence Limit1.460Same as national
MRSA Bacteremia: Patient Days53283Same as national
MRSA Bacteremia: Predicted Cases3.378Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.296Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.209Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.787Better than national
Clostridium Difficile (C.Diff): Patient Days51493Better than national
Clostridium Difficile (C.Diff): Predicted Cases20.996Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.429Better 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 national1110
Death rate for heart attack patients13.6Same as national123
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11.4Same as national154
Death rate for heart failure patients13.6Same as national308
Death rate for pneumonia patients17.3Same as national353
Death rate for stroke patients10.6Same as national175
Pressure ulcer rate1.65Worse than national4293
Death rate among surgical inpatients with serious treatable complications194.04Same as national28
Iatrogenic pneumothorax rate0.16Same as national4982
In-hospital fall-associated fracture rate0.38Same as national4965
Postoperative hemorrhage or hematoma rate2.65Same as national754
Postoperative acute kidney injury requiring dialysis rate1.98Same as national204
Postoperative respiratory failure rate10.24Same as national204
Perioperative pulmonary embolism or deep vein thrombosis rate3.70Same as national788
Postoperative sepsis rate5.98Same as national189
Postoperative wound dehiscence rate1.98Same as national218
Abdominopelvic accidental puncture or laceration rate0.86Same as national730
CMS Medicare PSI 90: Patient safety and adverse events composite1.38Worse 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 patients56.4Not available93
Hospital return days for heart failure patients-15.3Not available333
Hospital return days for pneumonia patients-13.2Not available346
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national1681
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national924
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national436
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.2Same as national436
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national510
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.6Same as national93
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.5Same as national179
Heart failure (HF) 30-Day Readmission Rate18.3Same as national333
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national346

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 rating41767
Doctor communication - star rating31767
Communication about medicines - star rating21767
Discharge information - star rating31767
Cleanliness - star rating31767
Quietness - star rating21767
Overall hospital rating - star rating31767
Recommend hospital - star rating31767
Summary star rating31767

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 vaccination973323
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 better260407
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 better255361
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27340
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 seen447633
Head CT results7928
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10068
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing13745
Appropriate care for severe sepsis and septic shock59702
Septic Shock 3-Hour Bundle77278
Septic Shock 6-Hour Bundle75158
Severe Sepsis 3-Hour Bundle79702
Severe Sepsis 6-Hour Bundle90338
Discharged on Antithrombotic Therapy96222
Anticoagulation Therapy for Atrial Fibrillation/Flutter7260
Antithrombotic Therapy by End of Hospital Day 299179
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 Glens Falls Hospital rated?
Glens Falls Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Glens Falls Hospital have emergency services?
Yes. Glens Falls Hospital operates a 24/7 emergency department.
Where is Glens Falls Hospital located?
Glens Falls Hospital is located at 100 Park Street, Glens Falls, NY 12801.
What type of hospital is Glens Falls Hospital?
Glens Falls 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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