JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Jacobi Medical Center

2 / 5

At a glance

Jacobi Medical Center 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.

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 Limit0.686Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.974Same as national
Central Line Associated Bloodstream Infection: Number of Device Days9750Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases11.617Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases14Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.205Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.221Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.001Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9627Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases13.836Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.506Same as national
SSI - Colon Surgery: Lower Confidence Limit0.124Same as national
SSI - Colon Surgery: Upper Confidence Limit2.437Same as national
SSI - Colon Surgery: Number of Procedures88Same as national
SSI - Colon Surgery: Predicted Cases2.711Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.738Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures71Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.667Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.415Same as national
MRSA Bacteremia: Upper Confidence Limit1.561Same as national
MRSA Bacteremia: Patient Days124370Same as national
MRSA Bacteremia: Predicted Cases10.582Same as national
MRSA Bacteremia: Observed Cases9Same as national
MRSA Bacteremia0.851Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.172Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.476Better than national
Clostridium Difficile (C.Diff): Patient Days114130Better than national
Clostridium Difficile (C.Diff): Predicted Cases50.812Better than national
Clostridium Difficile (C.Diff): Observed Cases15Better than national
Clostridium Difficile (C.Diff)0.295Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national740
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.9Same as national55
Death rate for heart failure patients9.2Same as national170
Death rate for pneumonia patients15.7Same as national191
Death rate for stroke patients12.5Same as national74
Pressure ulcer rate0.76Same as national3944
Death rate among surgical inpatients with serious treatable complications178.55Same as national39
Iatrogenic pneumothorax rate0.17Same as national4547
In-hospital fall-associated fracture rate0.35Same as national4477
Postoperative hemorrhage or hematoma rate3.34Same as national444
Postoperative acute kidney injury requiring dialysis rate1.66Same as national50
Postoperative respiratory failure rate11.02Same as national54
Perioperative pulmonary embolism or deep vein thrombosis rate4.86Same as national450
Postoperative sepsis rate4.90Same as national49
Postoperative wound dehiscence rate1.71Same as national70
Abdominopelvic accidental puncture or laceration rate0.95Same as national586
CMS Medicare PSI 90: Patient safety and adverse events composite1.14Same 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 patients24.5Not available194
Hospital return days for pneumonia patients39Not available180
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.3Same as national1272
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national60
Heart failure (HF) 30-Day Readmission Rate20.2Same as national194
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.7Same as national180

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 rating1698
Doctor communication - star rating2698
Communication about medicines - star rating1698
Discharge information - star rating1698
Cleanliness - star rating3698
Quietness - star rating2698
Overall hospital rating - star rating2698
Recommend hospital - star rating2698
Summary star rating2698

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 volumevery 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
Healthcare workers given influenza vaccination298623
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 better219374
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 better217366
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 seen2165398
Head CT results1712
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9587
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing62847
Appropriate care for severe sepsis and septic shock40133
Septic Shock 3-Hour Bundle8730
Septic Shock 6-Hour Bundle9225
Severe Sepsis 3-Hour Bundle60133
Severe Sepsis 6-Hour Bundle7071
Discharged on Antithrombotic Therapy97222
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 290239
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis961620

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 Jacobi Medical Center rated?
Jacobi Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Jacobi Medical Center have emergency services?
Yes. Jacobi Medical Center operates a 24/7 emergency department.
Where is Jacobi Medical Center located?
Jacobi Medical Center is located at 1400 Pelham Parkway South, Bronx, NY 10461.
What type of hospital is Jacobi Medical Center?
Jacobi Medical Center is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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