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Acute Care Hospitals · Voluntary non-profit - Private

Healthalliance Hospital Marys Avenue Campus

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At a glance

Healthalliance Hospital Marys Avenue Campus carries a 1-star CMS overall rating — below 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.204Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2746Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.488Same 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 Limit0.244Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.855Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5273Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.200Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.769Same as national
SSI - Colon Surgery: Lower Confidence Limit0.470Same as national
SSI - Colon Surgery: Upper Confidence Limit5.024Same as national
SSI - Colon Surgery: Number of Procedures64Same as national
SSI - Colon Surgery: Predicted Cases1.625Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.846Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures1Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.012Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.028Same as national
MRSA Bacteremia: Upper Confidence Limit2.757Same as national
MRSA Bacteremia: Patient Days31855Same as national
MRSA Bacteremia: Predicted Cases1.789Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.559Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.192Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.987Better than national
Clostridium Difficile (C.Diff): Patient Days31855Better than national
Clostridium Difficile (C.Diff): Predicted Cases12.644Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.475Better 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 patients4.5Same as national30
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national1035
Death rate for heart attack patients11.5Same as national112
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.3Same as national120
Death rate for heart failure patients12.8Same as national284
Death rate for pneumonia patients16.8Same as national335
Death rate for stroke patients13.4Same as national114
Pressure ulcer rate1.09Same as national3694
Death rate among surgical inpatients with serious treatable complications200.53Same as national25
Iatrogenic pneumothorax rate0.23Same as national4493
In-hospital fall-associated fracture rate0.36Same as national4361
Postoperative hemorrhage or hematoma rate2.44Same as national515
Postoperative acute kidney injury requiring dialysis rate1.65Same as national86
Postoperative respiratory failure rate8.61Same as national87
Perioperative pulmonary embolism or deep vein thrombosis rate3.21Same as national527
Postoperative sepsis rate5.08Same as national77
Postoperative wound dehiscence rate1.67Same as national124
Abdominopelvic accidental puncture or laceration rate0.96Same as national344
CMS Medicare PSI 90: Patient safety and adverse events composite1.11Same 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 patients58.1Not available80
Hospital return days for heart failure patients-3.7Not available331
Hospital return days for pneumonia patients11.8Not available329
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national1599
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national54
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.7Same as national73
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national73
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national217
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.6Same as national80
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.7Same as national122
Heart failure (HF) 30-Day Readmission Rate20.1Same as national331
Rate of readmission after hip/knee replacement5.7Same as national29
Pneumonia (PN) 30-Day Readmission Rate16Same as national329

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 rating2730
Doctor communication - star rating2730
Communication about medicines - star rating1730
Discharge information - star rating1730
Cleanliness - star rating1730
Quietness - star rating2730
Overall hospital rating - star rating1730
Recommend hospital - star rating1730
Summary star rating1730

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 vaccination701572
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 better246396
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 better230336
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better46636
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better41232
Left before being seen233484
Head CT results7121
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9314
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing171082
Appropriate care for severe sepsis and septic shock7971
Septic Shock 3-Hour Bundle9628
Septic Shock 6-Hour Bundle9624
Severe Sepsis 3-Hour Bundle8971
Severe Sepsis 6-Hour Bundle8947
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29978
Venous Thromboembolism Prophylaxis824453
Intensive Care Unit Venous Thromboembolism Prophylaxis87118

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 Healthalliance Hospital Marys Avenue Campus rated?
Healthalliance Hospital Marys Avenue Campus has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Healthalliance Hospital Marys Avenue Campus have emergency services?
Yes. Healthalliance Hospital Marys Avenue Campus operates a 24/7 emergency department.
Where is Healthalliance Hospital Marys Avenue Campus located?
Healthalliance Hospital Marys Avenue Campus is located at 105 Mary's Avenue, Kingston, NY 12401.
What type of hospital is Healthalliance Hospital Marys Avenue Campus?
Healthalliance Hospital Marys Avenue Campus 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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