JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Holy Name Medical Center

5 / 5

At a glance

Holy Name 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 24 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.620Better than national
Central Line Associated Bloodstream Infection: Number of Device Days5879Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.831Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.837Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4214Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.577Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitBetter than national
SSI - Colon Surgery: Upper Confidence Limit0.894Better than national
SSI - Colon Surgery: Number of Procedures140Better than national
SSI - Colon Surgery: Predicted Cases3.351Better than national
SSI - Colon Surgery: Observed Cases0Better than national
SSI - Colon Surgery0.000Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.235Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.640Same as national
SSI - Abdominal Hysterectomy: Number of Procedures181Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.424Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.404Same as national
MRSA Bacteremia: Lower Confidence Limit0.169Same as national
MRSA Bacteremia: Upper Confidence Limit3.334Same as national
MRSA Bacteremia: Patient Days70856Same as national
MRSA Bacteremia: Predicted Cases1.982Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.009Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.116Better than national
Clostridium Difficile (C.Diff): Patient Days67358Better than national
Clostridium Difficile (C.Diff): Predicted Cases25.908Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patients4.8Same as national32
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1557
Death rate for heart attack patients11.9Same as national142
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.7Same as national118
Death rate for heart failure patients10.4Same as national464
Death rate for pneumonia patients14.8Same as national603
Death rate for stroke patients12.7Same as national168
Pressure ulcer rate0.16Same as national5404
Death rate among surgical inpatients with serious treatable complications157.54Same as national53
Iatrogenic pneumothorax rate0.15Same as national6134
In-hospital fall-associated fracture rate0.21Same as national6315
Postoperative hemorrhage or hematoma rate1.80Same as national1024
Postoperative acute kidney injury requiring dialysis rate1.56Same as national232
Postoperative respiratory failure rate6.51Same as national241
Perioperative pulmonary embolism or deep vein thrombosis rate2.33Same as national1053
Postoperative sepsis rate5.34Same as national227
Postoperative wound dehiscence rate1.96Same as national253
Abdominopelvic accidental puncture or laceration rate1.05Same as national1104
CMS Medicare PSI 90: Patient safety and adverse events composite0.71Same 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 patients14.8Not available118
Hospital return days for heart failure patients-2Not available523
Hospital return days for pneumonia patients38.8Not available615
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national2657
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national586
Rate of inpatient admissions for patients receiving outpatient chemotherapy11Same as national162
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.2Same as national162
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national530
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national118
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national137
Heart failure (HF) 30-Day Readmission Rate18.5Same as national523
Rate of readmission after hip/knee replacement5Same as national29
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national615

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 rating3873
Doctor communication - star rating3873
Communication about medicines - star rating2873
Discharge information - star rating3873
Cleanliness - star rating4873
Quietness - star rating2873
Overall hospital rating - star rating4873
Recommend hospital - star rating4873
Summary star rating3873

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination965361
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 better2091175
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 better2051132
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better36141
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 seen150494
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100213
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing162380
Appropriate care for severe sepsis and septic shock8761
Septic Shock 3-Hour Bundle9626
Septic Shock 6-Hour Bundle9314
Severe Sepsis 3-Hour Bundle9361
Severe Sepsis 6-Hour Bundle9736
Discharged on Antithrombotic Therapy100148
Anticoagulation Therapy for Atrial Fibrillation/Flutter10033
Antithrombotic Therapy by End of Hospital Day 2100125
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 Name Medical Center rated?
Holy Name Medical Center has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Holy Name Medical Center have emergency services?
Yes. Holy Name Medical Center operates a 24/7 emergency department.
Where is Holy Name Medical Center located?
Holy Name Medical Center is located at 718 Teaneck Rd, Teaneck, NJ 07666.
What type of hospital is Holy Name Medical Center?
Holy Name 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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