JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Jefferson Einstein Montgomery Hospital

4 / 5

At a glance

Jefferson Einstein Montgomery Hospital carries a 4-star CMS overall rating — above 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 Limit0.088Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.728Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3906Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.823Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.523Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.883Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.322Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4939Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.972Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases9Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.810Same as national
SSI - Colon Surgery: Lower Confidence Limit0.034Same as national
SSI - Colon Surgery: Upper Confidence Limit3.383Same as national
SSI - Colon Surgery: Number of Procedures55Same as national
SSI - Colon Surgery: Predicted Cases1.458Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.686Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.998Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit7.573Same as national
SSI - Abdominal Hysterectomy: Number of Procedures160Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.274Same as national
SSI - Abdominal Hysterectomy: Observed Cases4Same as national
SSI - Abdominal Hysterectomy3.140Same as national
MRSA Bacteremia: Lower Confidence Limit0.494Same as national
MRSA Bacteremia: Upper Confidence Limit2.986Same as national
MRSA Bacteremia: Patient Days59163Same as national
MRSA Bacteremia: Predicted Cases3.711Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia1.347Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.062Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.374Better than national
Clostridium Difficile (C.Diff): Patient Days53668Better than national
Clostridium Difficile (C.Diff): Predicted Cases29.623Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.169Better 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 Rate3.7Same as national1282
Death rate for heart attack patients10.5Same as national141
Death rate for CABG surgery patients2.3Same as national67
Death rate for COPD patients6.8Same as national141
Death rate for heart failure patients12.7Same as national462
Death rate for pneumonia patients13.1Same as national312
Death rate for stroke patients11.7Same as national199
Pressure ulcer rate0.17Same as national4986
Death rate among surgical inpatients with serious treatable complications163.83Same as national47
Iatrogenic pneumothorax rate0.15Same as national5476
In-hospital fall-associated fracture rate0.26Same as national5823
Postoperative hemorrhage or hematoma rate2.16Same as national773
Postoperative acute kidney injury requiring dialysis rate1.10Same as national287
Postoperative respiratory failure rate4.84Same as national330
Perioperative pulmonary embolism or deep vein thrombosis rate3.25Same as national828
Postoperative sepsis rate4.29Same as national257
Postoperative wound dehiscence rate1.99Same as national190
Abdominopelvic accidental puncture or laceration rate0.92Same as national760
CMS Medicare PSI 90: Patient safety and adverse events composite0.66Better than 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 patients21Not available144
Hospital return days for heart failure patients33.4Not available548
Hospital return days for pneumonia patients-4.8Not available319
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national2261
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national910
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national98
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national98
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national386
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national144
Rate of readmission for CABG10.6Same as national66
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national160
Heart failure (HF) 30-Day Readmission Rate20.7Same as national548
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national319

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 rating3667
Doctor communication - star rating3667
Communication about medicines - star rating2667
Discharge information - star rating3667
Cleanliness - star rating3667
Quietness - star rating3667
Overall hospital rating - star rating2667
Recommend hospital - star rating3667
Summary star rating3667

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 vaccination911689
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 better296383
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 better293357
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better37916
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 seen337372
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10028
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)1166
Safe Use of Opioids - Concurrent Prescribing121502
Appropriate care for severe sepsis and septic shock78116
Septic Shock 3-Hour Bundle8461
Septic Shock 6-Hour Bundle9735
Severe Sepsis 3-Hour Bundle90116
Severe Sepsis 6-Hour Bundle9679
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis815145
Intensive Care Unit Venous Thromboembolism Prophylaxis85918

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 Jefferson Einstein Montgomery Hospital rated?
Jefferson Einstein Montgomery Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Jefferson Einstein Montgomery Hospital have emergency services?
Yes. Jefferson Einstein Montgomery Hospital operates a 24/7 emergency department.
Where is Jefferson Einstein Montgomery Hospital located?
Jefferson Einstein Montgomery Hospital is located at 559 West Germantown Pike, East Norriton, PA 19403.
What type of hospital is Jefferson Einstein Montgomery Hospital?
Jefferson Einstein Montgomery Hospital 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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