Acute Care Hospitals · Voluntary non-profit - Private
Highland Hospital
- 1000 South Avenue, Rochester, NY 14617
- (585) 341-6711
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Highland 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 12 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.817 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 2.351 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 9753 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 9.755 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 14 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 1.435 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.147 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.891 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 9766 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 12.441 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 5 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.402 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.190 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.034 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 151 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 4.014 | Same as national |
| SSI - Colon Surgery: Observed Cases | 3 | Same as national |
| SSI - Colon Surgery | 0.747 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.165 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 3.242 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 246 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 2.038 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 2 | Same as national |
| SSI - Abdominal Hysterectomy | 0.981 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.450 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 2.310 | Same as national |
| MRSA Bacteremia: Patient Days | 113455 | Same as national |
| MRSA Bacteremia: Predicted Cases | 5.403 | Same as national |
| MRSA Bacteremia: Observed Cases | 6 | Same as national |
| MRSA Bacteremia | 1.110 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.199 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.551 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 108739 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 43.902 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 15 | Better than national |
| Clostridium Difficile (C.Diff) | 0.342 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.2 | Same as national | 128 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.8 | Same as national | 1060 |
| Death rate for heart attack patients | — | Not available | — |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 7 | Same as national | 59 |
| Death rate for heart failure patients | 10.9 | Same as national | 274 |
| Death rate for pneumonia patients | 11.3 | Better than national | 270 |
| Death rate for stroke patients | 13 | Same as national | 54 |
| Pressure ulcer rate | 0.85 | Same as national | 4325 |
| Death rate among surgical inpatients with serious treatable complications | 187.77 | Same as national | 30 |
| Iatrogenic pneumothorax rate | 0.17 | Same as national | 5126 |
| In-hospital fall-associated fracture rate | 0.37 | Same as national | 4950 |
| Postoperative hemorrhage or hematoma rate | 2.76 | Same as national | 937 |
| Postoperative acute kidney injury requiring dialysis rate | 1.55 | Same as national | 450 |
| Postoperative respiratory failure rate | 6.05 | Same as national | 445 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.82 | Same as national | 965 |
| Postoperative sepsis rate | 4.22 | Same as national | 441 |
| Postoperative wound dehiscence rate | 1.98 | Same as national | 213 |
| Abdominopelvic accidental puncture or laceration rate | 1.37 | Same as national | 827 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.97 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | — | Not available | — |
| Hospital return days for heart failure patients | 17 | Not available | 299 |
| Hospital return days for pneumonia patients | 29.4 | Not available | 274 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.5 | Same as national | 1674 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.9 | Same as national | 1035 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 9.8 | Same as national | 32 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5 | Same as national | 32 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.1 | Same as national | 473 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | — | Not available | — |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.6 | Same as national | 69 |
| Heart failure (HF) 30-Day Readmission Rate | 20.2 | Same as national | 299 |
| Rate of readmission after hip/knee replacement | 5.1 | Same as national | 125 |
| Pneumonia (PN) 30-Day Readmission Rate | 16.5 | Same as national | 274 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 1027 |
| Doctor communication - star rating | 3 | 1027 |
| Communication about medicines - star rating | 2 | 1027 |
| Discharge information - star rating | 2 | 1027 |
| Cleanliness - star rating | 2 | 1027 |
| Quietness - star rating | 2 | 1027 |
| Overall hospital rating - star rating | 3 | 1027 |
| Recommend hospital - star rating | 4 | 1027 |
| Summary star rating | 3 | 1027 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | 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 | 1 | 8861 |
| Healthcare workers given influenza vaccination | 65 | 3885 |
| 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 better | 308 | 408 |
| 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 better | 312 | 395 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | — | — |
| 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 seen | 4 | 47439 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 99 | 96 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 18 | 3903 |
| Appropriate care for severe sepsis and septic shock | 52 | 365 |
| Septic Shock 3-Hour Bundle | 69 | 111 |
| Septic Shock 6-Hour Bundle | 82 | 51 |
| Severe Sepsis 3-Hour Bundle | 84 | 365 |
| Severe Sepsis 6-Hour Bundle | 64 | 216 |
| Discharged on Antithrombotic Therapy | 97 | 115 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 95 | 114 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Highland Hospital rated?
- Highland Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Highland Hospital have emergency services?
- Yes. Highland Hospital operates a 24/7 emergency department.
- Where is Highland Hospital located?
- Highland Hospital is located at 1000 South Avenue, Rochester, NY 14617.
- What type of hospital is Highland Hospital?
- Highland Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.