JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Heights University Hospital

2 / 5

At a glance

Heights University Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 0 and worse on 6.

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 Limit0.708Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit5.372Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2449Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.796Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)2.227Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit1.137Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit8.630Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1777Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.118Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Worse than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)3.578Worse than national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures18Not available
SSI - Colon Surgery: Predicted Cases0.463Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures24Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.182Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days17582Not available
MRSA Bacteremia: Predicted Cases0.709Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.410Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.106Same as national
Clostridium Difficile (C.Diff): Patient Days17582Same as national
Clostridium Difficile (C.Diff): Predicted Cases5.925Same as national
Clostridium Difficile (C.Diff): Observed Cases6Same as national
Clostridium Difficile (C.Diff)1.013Same as 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 Rate4.1Same as national214
Death rate for heart attack patients10.9Same as national52
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.9Same as national31
Death rate for heart failure patients12.6Same as national71
Death rate for pneumonia patients15.5Same as national68
Death rate for stroke patients12.8Same as national44
Pressure ulcer rate1.58Same as national1238
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1323
In-hospital fall-associated fracture rate0.26Same as national1392
Postoperative hemorrhage or hematoma rate2.19Same as national190
Postoperative acute kidney injury requiring dialysis rate1.64Same as national36
Postoperative respiratory failure rate7.53Same as national37
Perioperative pulmonary embolism or deep vein thrombosis rate4.20Same as national177
Postoperative sepsis rate5.06Same as national33
Postoperative wound dehiscence rate1.74Same as national43
Abdominopelvic accidental puncture or laceration rate1.01Same as national244
CMS Medicare PSI 90: Patient safety and adverse events composite1.24Same 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 patients68.2Not available73
Hospital return days for pneumonia patients28.2Not available60
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national366
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national194
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national47
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national43
Heart failure (HF) 30-Day Readmission Rate20.2Same as national73
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.4Same as national60

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 rating2173
Doctor communication - star rating2173
Communication about medicines - star rating2173
Discharge information - star rating2173
Cleanliness - star rating3173
Quietness - star rating2173
Overall hospital rating - star rating2173
Recommend hospital - star rating2173
Summary star rating2173

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 vaccination841035
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 better168411
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 better161375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24030
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 seen329765
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients95126
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing12223
Appropriate care for severe sepsis and septic shock9355
Septic Shock 3-Hour Bundle10019
Septic Shock 6-Hour Bundle10013
Severe Sepsis 3-Hour Bundle9655
Severe Sepsis 6-Hour Bundle9648
Discharged on Antithrombotic Therapy8891
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29480
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Heights University Hospital rated?
Heights University Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Heights University Hospital have emergency services?
According to CMS records, Heights University Hospital does not report a 24/7 emergency department.
Where is Heights University Hospital located?
Heights University Hospital is located at 176 Palisade Ave, Jersey City, NJ 07306.
What type of hospital is Heights University Hospital?
Heights University Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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