JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Holy Family Hospital

2 / 5

At a glance

Holy Family 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 6 and worse on 0. For 30-day readmissions, it beats the national rate on 0 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 Limit0.046Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.516Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1388Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.092Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.916Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.507Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.849Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2993Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.507Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.596Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures28Not available
SSI - Colon Surgery: Predicted Cases0.738Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures15Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.129Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.027Same as national
MRSA Bacteremia: Upper Confidence Limit2.697Same as national
MRSA Bacteremia: Patient Days44602Same as national
MRSA Bacteremia: Predicted Cases1.829Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.547Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.066Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.503Better than national
Clostridium Difficile (C.Diff): Patient Days42067Better than national
Clostridium Difficile (C.Diff): Predicted Cases19.176Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.209Better 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 patients4.2Same as national153
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national1233
Death rate for heart attack patients12.9Same as national113
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.5Same as national162
Death rate for heart failure patients10.1Same as national438
Death rate for pneumonia patients14.1Same as national572
Death rate for stroke patients13Same as national158
Pressure ulcer rate0.43Same as national4734
Death rate among surgical inpatients with serious treatable complications167.59Same as national30
Iatrogenic pneumothorax rate0.17Same as national6142
In-hospital fall-associated fracture rate0.26Same as national6115
Postoperative hemorrhage or hematoma rate1.97Same as national749
Postoperative acute kidney injury requiring dialysis rate1.64Same as national127
Postoperative respiratory failure rate12.95Same as national124
Perioperative pulmonary embolism or deep vein thrombosis rate2.62Same as national731
Postoperative sepsis rate5.84Same as national120
Postoperative wound dehiscence rate1.67Same as national184
Abdominopelvic accidental puncture or laceration rate0.92Same as national800
CMS Medicare PSI 90: Patient safety and adverse events composite0.99Same 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 patients14.5Not available70
Hospital return days for heart failure patients20Not available535
Hospital return days for pneumonia patients26.3Not available608
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Same as national1999
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.6Same as national1396
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 surgery1Same as national202
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national70
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.3Same as national182
Heart failure (HF) 30-Day Readmission Rate20.9Same as national535
Rate of readmission after hip/knee replacement7.5Worse than national131
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national608

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 rating2506
Doctor communication - star rating2506
Communication about medicines - star rating1506
Discharge information - star rating3506
Cleanliness - star rating2506
Quietness - star rating1506
Overall hospital rating - star rating1506
Recommend hospital - star rating2506
Summary star rating2506

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 Hyperglycemia128527
Hospital Harm - Severe Hypoglycemia11812
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination462100
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 better238435
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 better233403
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better36022
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 seen557753
Head CT results5012
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10092
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161516
Appropriate care for severe sepsis and septic shock47113
Septic Shock 3-Hour Bundle5428
Septic Shock 6-Hour Bundle6411
Severe Sepsis 3-Hour Bundle73113
Severe Sepsis 6-Hour Bundle8363
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29092
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 Holy Family Hospital rated?
Holy Family Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Holy Family Hospital have emergency services?
Yes. Holy Family Hospital operates a 24/7 emergency department.
Where is Holy Family Hospital located?
Holy Family Hospital is located at 70 East Street, Methuen, MA 01844.
What type of hospital is Holy Family Hospital?
Holy Family Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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