JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Jefferson Lansdale Hospital

3 / 5

At a glance

Jefferson Lansdale Hospital carries a 3-star CMS overall rating — in line with 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.201Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1553Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.361Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.991Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3089Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.022Better 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 LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.672Same as national
SSI - Colon Surgery: Number of Procedures42Same as national
SSI - Colon Surgery: Predicted Cases1.121Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures7Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.046Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.743Same as national
MRSA Bacteremia: Patient Days26581Same as national
MRSA Bacteremia: Predicted Cases1.092Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.233Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.195Same as national
Clostridium Difficile (C.Diff): Patient Days26581Same as national
Clostridium Difficile (C.Diff): Predicted Cases10.444Same as national
Clostridium Difficile (C.Diff): Observed Cases6Same as national
Clostridium Difficile (C.Diff)0.574Same as 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 patients4.1Same as national27
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national1008
Death rate for heart attack patients12.4Same as national37
Death rate for CABG surgery patientsNot available
Death rate for COPD patients6.3Same as national105
Death rate for heart failure patients10.8Same as national374
Death rate for pneumonia patients16.6Same as national287
Death rate for stroke patients12Same as national124
Pressure ulcer rate0.23Same as national3497
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national4156
In-hospital fall-associated fracture rate0.24Same as national4220
Postoperative hemorrhage or hematoma rate2.45Same as national396
Postoperative acute kidney injury requiring dialysis rate1.65Same as national73
Postoperative respiratory failure rate8.59Same as national75
Perioperative pulmonary embolism or deep vein thrombosis rate3.74Same as national416
Postoperative sepsis rate4.95Same as national60
Postoperative wound dehiscence rate1.71Same as national105
Abdominopelvic accidental puncture or laceration rate1.20Same as national456
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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 patients24.9Not available411
Hospital return days for pneumonia patients13.6Not available278
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national1622
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national174
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 surgery0.9Same as national546
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national120
Heart failure (HF) 30-Day Readmission Rate20.5Same as national411
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national278

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 rating3682
Doctor communication - star rating3682
Communication about medicines - star rating2682
Discharge information - star rating2682
Cleanliness - star rating3682
Quietness - star rating2682
Overall hospital rating - star rating2682
Recommend hospital - star rating2682
Summary star rating2682

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 Hyperglycemia117717
Hospital Harm - Severe Hypoglycemia11508
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination74611
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 better225398
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 better216354
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better49422
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better30025
Left before being seen226990
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)0
Safe Use of Opioids - Concurrent Prescribing161099
Appropriate care for severe sepsis and septic shock53106
Septic Shock 3-Hour Bundle5922
Septic Shock 6-Hour Bundle7713
Severe Sepsis 3-Hour Bundle65106
Severe Sepsis 6-Hour Bundle10037
Discharged on Antithrombotic Therapy99105
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis853289
Intensive Care Unit Venous Thromboembolism Prophylaxis83707

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Jefferson Lansdale Hospital rated?
Jefferson Lansdale Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Jefferson Lansdale Hospital have emergency services?
Yes. Jefferson Lansdale Hospital operates a 24/7 emergency department.
Where is Jefferson Lansdale Hospital located?
Jefferson Lansdale Hospital is located at 100 Medical Campus Drive, Lansdale, PA 19446.
What type of hospital is Jefferson Lansdale Hospital?
Jefferson Lansdale 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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