Acute Care Hospitals · Voluntary non-profit - Private
Jefferson Hospital
- 565 Coal Valley Road, Jefferson Hills, PA 15025
- (412) 469-5000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Jefferson 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 18 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 | 0.033 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.653 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 9913 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 10.115 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 2 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.198 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.026 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.506 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 10790 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 13.064 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 2 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.153 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.206 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.203 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 150 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 3.706 | Same as national |
| SSI - Colon Surgery: Observed Cases | 3 | Same as national |
| SSI - Colon Surgery | 0.809 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 17 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.148 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.012 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.137 | Same as national |
| MRSA Bacteremia: Patient Days | 76685 | Same as national |
| MRSA Bacteremia: Predicted Cases | 4.337 | Same as national |
| MRSA Bacteremia: Observed Cases | 1 | Same as national |
| MRSA Bacteremia | 0.231 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.155 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.543 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 74020 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 32.854 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 10 | Better than national |
| Clostridium Difficile (C.Diff) | 0.304 | 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 | 3.4 | Same as national | 40 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.6 | Same as national | 832 |
| Death rate for heart attack patients | 12.9 | Same as national | 126 |
| Death rate for CABG surgery patients | 2.5 | Same as national | 55 |
| Death rate for COPD patients | 9.1 | Same as national | 67 |
| Death rate for heart failure patients | 10.1 | Same as national | 314 |
| Death rate for pneumonia patients | 19.6 | Same as national | 271 |
| Death rate for stroke patients | 14.5 | Same as national | 83 |
| Pressure ulcer rate | 1.70 | Worse than national | 2957 |
| Death rate among surgical inpatients with serious treatable complications | 174.99 | Same as national | 38 |
| Iatrogenic pneumothorax rate | 0.29 | Same as national | 3417 |
| In-hospital fall-associated fracture rate | 0.24 | Same as national | 3527 |
| Postoperative hemorrhage or hematoma rate | 2.07 | Same as national | 899 |
| Postoperative acute kidney injury requiring dialysis rate | 1.36 | Same as national | 378 |
| Postoperative respiratory failure rate | 5.61 | Same as national | 379 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.29 | Same as national | 927 |
| Postoperative sepsis rate | 4.78 | Same as national | 369 |
| Postoperative wound dehiscence rate | 1.69 | Same as national | 180 |
| Abdominopelvic accidental puncture or laceration rate | 0.92 | Same as national | 619 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.17 | 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 | 23.5 | Not available | 115 |
| Hospital return days for heart failure patients | -4.2 | Not available | 362 |
| Hospital return days for pneumonia patients | 17.5 | Not available | 272 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.4 | Same as national | 1399 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.6 | Same as national | 545 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.9 | Same as national | 58 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.5 | Same as national | 58 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 488 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 15.5 | Same as national | 115 |
| Rate of readmission for CABG | 11.7 | Same as national | 53 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.1 | Same as national | 76 |
| Heart failure (HF) 30-Day Readmission Rate | 18.8 | Same as national | 362 |
| Rate of readmission after hip/knee replacement | 6.1 | Same as national | 38 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.8 | Same as national | 272 |
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 | 4 | 613 |
| Doctor communication - star rating | 3 | 613 |
| Communication about medicines - star rating | 3 | 613 |
| Discharge information - star rating | 3 | 613 |
| Cleanliness - star rating | 4 | 613 |
| Quietness - star rating | 2 | 613 |
| Overall hospital rating - star rating | 4 | 613 |
| Recommend hospital - star rating | 4 | 613 |
| Summary star rating | 3 | 613 |
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 | 1 | 3097 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 39 | 1826 |
| 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 | 176 | 499 |
| 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 | 172 | 467 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 273 | 17 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 232 | 17 |
| Left before being seen | 0 | 52440 |
| Head CT results | 74 | 27 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 98 | 64 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 14 | 2775 |
| Appropriate care for severe sepsis and septic shock | 70 | 161 |
| Septic Shock 3-Hour Bundle | 83 | 69 |
| Septic Shock 6-Hour Bundle | 86 | 49 |
| Severe Sepsis 3-Hour Bundle | 85 | 161 |
| Severe Sepsis 6-Hour Bundle | 96 | 105 |
| Discharged on Antithrombotic Therapy | 98 | 156 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 95 | 129 |
| 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 Jefferson Hospital rated?
- Jefferson Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Jefferson Hospital have emergency services?
- Yes. Jefferson Hospital operates a 24/7 emergency department.
- Where is Jefferson Hospital located?
- Jefferson Hospital is located at 565 Coal Valley Road, Jefferson Hills, PA 15025.
- What type of hospital is Jefferson Hospital?
- Jefferson 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.