JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

John T Mather Memorial Hospital of Port Jefferson

5 / 5

At a glance

John T Mather Memorial Hospital of Port Jefferson carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.749Better than national
Central Line Associated Bloodstream Infection: Number of Device Days3860Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.997Better 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 Limit0.051Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.005Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5393Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.573Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.304Same as national
SSI - Colon Surgery: Lower Confidence Limit0.015Same as national
SSI - Colon Surgery: Upper Confidence Limit1.495Same as national
SSI - Colon Surgery: Number of Procedures127Same as national
SSI - Colon Surgery: Predicted Cases3.298Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.303Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures53Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.403Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.105Same as national
MRSA Bacteremia: Upper Confidence Limit2.078Same as national
MRSA Bacteremia: Patient Days48289Same as national
MRSA Bacteremia: Predicted Cases3.180Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.629Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.002Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.231Better than national
Clostridium Difficile (C.Diff): Patient Days48289Better than national
Clostridium Difficile (C.Diff): Predicted Cases21.312Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.047Better 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 patients2.6Same as national81
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2.8Better than national1964
Death rate for heart attack patients11.2Same as national182
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.2Same as national159
Death rate for heart failure patients9Better than national455
Death rate for pneumonia patients9.8Better than national797
Death rate for stroke patients11.9Same as national178
Pressure ulcer rate0.56Same as national7124
Death rate among surgical inpatients with serious treatable complications172.68Same as national67
Iatrogenic pneumothorax rate0.14Same as national8028
In-hospital fall-associated fracture rate0.27Same as national8188
Postoperative hemorrhage or hematoma rate2.33Same as national1559
Postoperative acute kidney injury requiring dialysis rate1.91Same as national483
Postoperative respiratory failure rate8.76Same as national486
Perioperative pulmonary embolism or deep vein thrombosis rate3.09Same as national1615
Postoperative sepsis rate4.96Same as national441
Postoperative wound dehiscence rate1.57Same as national563
Abdominopelvic accidental puncture or laceration rate1.11Same as national1699
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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 patients12.3Not available149
Hospital return days for heart failure patients1.6Not available497
Hospital return days for pneumonia patients-4.3Not available839
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)12.2Better than national3193
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national672
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 national505
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national149
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.3Same as national172
Heart failure (HF) 30-Day Readmission Rate19Same as national497
Rate of readmission after hip/knee replacement4.8Same as national83
Pneumonia (PN) 30-Day Readmission Rate14.4Same as national839

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 rating4527
Doctor communication - star rating4527
Communication about medicines - star rating3527
Discharge information - star rating4527
Cleanliness - star rating5527
Quietness - star rating3527
Overall hospital rating - star rating4527
Recommend hospital - star rating4527
Summary star rating4527

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 vaccination733116
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 better250378
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 better245311
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25522
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better31846
Left before being seen139075
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9656
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing242308
Appropriate care for severe sepsis and septic shock74119
Septic Shock 3-Hour Bundle8826
Septic Shock 6-Hour Bundle9417
Severe Sepsis 3-Hour Bundle82119
Severe Sepsis 6-Hour Bundle9562
Discharged on Antithrombotic Therapy10099
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29585
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is John T Mather Memorial Hospital of Port Jefferson rated?
John T Mather Memorial Hospital of Port Jefferson has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does John T Mather Memorial Hospital of Port Jefferson have emergency services?
Yes. John T Mather Memorial Hospital of Port Jefferson operates a 24/7 emergency department.
Where is John T Mather Memorial Hospital of Port Jefferson located?
John T Mather Memorial Hospital of Port Jefferson is located at 75 North Country Road, Port Jefferson, NY 11777.
What type of hospital is John T Mather Memorial Hospital of Port Jefferson?
John T Mather Memorial Hospital of Port Jefferson 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.

Report an issue with this page