JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Hackensack University Medical Center

5 / 5

At a glance

Hackensack University Medical Center carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 2 measures and trails on 1.

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 Limit0.142Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.644Better than national
Central Line Associated Bloodstream Infection: Number of Device Days19222Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases21.498Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.326Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.257Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.771Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days19658Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases28.118Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases13Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.462Better than national
SSI - Colon Surgery: Lower Confidence Limit0.314Same as national
SSI - Colon Surgery: Upper Confidence Limit1.182Same as national
SSI - Colon Surgery: Number of Procedures526Same as national
SSI - Colon Surgery: Predicted Cases13.968Same as national
SSI - Colon Surgery: Observed Cases9Same as national
SSI - Colon Surgery0.644Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.087Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.717Same as national
SSI - Abdominal Hysterectomy: Number of Procedures468Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.849Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy0.520Same as national
MRSA Bacteremia: Lower Confidence Limit0.369Same as national
MRSA Bacteremia: Upper Confidence Limit1.063Same as national
MRSA Bacteremia: Patient Days267405Same as national
MRSA Bacteremia: Predicted Cases21.581Same as national
MRSA Bacteremia: Observed Cases14Same as national
MRSA Bacteremia0.649Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.293Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.510Better than national
Clostridium Difficile (C.Diff): Patient Days242665Better than national
Clostridium Difficile (C.Diff): Predicted Cases128.169Better than national
Clostridium Difficile (C.Diff): Observed Cases50Better than national
Clostridium Difficile (C.Diff)0.390Better 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 patients3.2Same as national116
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.2Better than national3697
Death rate for heart attack patients9.8Better than national355
Death rate for CABG surgery patients1.6Same as national248
Death rate for COPD patients6.3Better than national223
Death rate for heart failure patients8.1Better than national990
Death rate for pneumonia patients10.1Better than national1089
Death rate for stroke patients10.4Better than national482
Pressure ulcer rate0.58Same as national15623
Death rate among surgical inpatients with serious treatable complications163.25Same as national238
Iatrogenic pneumothorax rate0.16Same as national15346
In-hospital fall-associated fracture rate0.22Same as national16531
Postoperative hemorrhage or hematoma rate1.65Same as national3764
Postoperative acute kidney injury requiring dialysis rate1.44Same as national1630
Postoperative respiratory failure rate4.88Better than national1627
Perioperative pulmonary embolism or deep vein thrombosis rate2.13Same as national4288
Postoperative sepsis rate4.25Same as national1599
Postoperative wound dehiscence rate1.28Same as national1101
Abdominopelvic accidental puncture or laceration rate0.88Same as national3345
CMS Medicare PSI 90: Patient safety and adverse events composite0.72Better 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 patients14.1Not available435
Hospital return days for heart failure patients17.5Not available1119
Hospital return days for pneumonia patients30.4Not available1118
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national6342
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national706
Rate of inpatient admissions for patients receiving outpatient chemotherapy14.3Worse than national1195
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy3.6Better than national1195
Ratio of unplanned hospital visits after hospital outpatient surgery0.7Better than national2075
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national435
Rate of readmission for CABG8.9Same as national245
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17Same as national249
Heart failure (HF) 30-Day Readmission Rate18Same as national1119
Rate of readmission after hip/knee replacement4.2Same as national103
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national1118

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 rating33784
Doctor communication - star rating33784
Communication about medicines - star rating23784
Discharge information - star rating33784
Cleanliness - star rating33784
Quietness - star rating23784
Overall hospital rating - star rating33784
Recommend hospital - star rating43784
Summary star rating33784

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 vaccination9710071
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 better197398
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 better197384
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20412
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 seen1150754
Head CT results9212
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients93149
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing178529
Appropriate care for severe sepsis and septic shock72194
Septic Shock 3-Hour Bundle7576
Septic Shock 6-Hour Bundle9540
Severe Sepsis 3-Hour Bundle88194
Severe Sepsis 6-Hour Bundle93113
Discharged on Antithrombotic Therapy95725
Anticoagulation Therapy for Atrial Fibrillation/Flutter80226
Antithrombotic Therapy by End of Hospital Day 291658
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 Hackensack University Medical Center rated?
Hackensack University Medical Center has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Hackensack University Medical Center have emergency services?
Yes. Hackensack University Medical Center operates a 24/7 emergency department.
Where is Hackensack University Medical Center located?
Hackensack University Medical Center is located at 30 Prospect Ave, Hackensack, NJ 07601.
What type of hospital is Hackensack University Medical Center?
Hackensack University 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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