Acute Care Hospitals · Voluntary non-profit - Private
Legacy Emanuel Medical Center
- 2801 N Gantenbein Avenue, Portland, OR 97227
- (503) 413-2200
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Legacy Emanuel Medical Center 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 12 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 | 0.235 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.826 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 19426 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 21.573 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 10 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.464 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.502 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.392 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 13419 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 17.370 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 15 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.864 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.021 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.032 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 77 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 2.427 | Same as national |
| SSI - Colon Surgery: Observed Cases | 1 | Same as national |
| SSI - Colon Surgery | 0.412 | 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 | 19 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.230 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.318 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.634 | Same as national |
| MRSA Bacteremia: Patient Days | 112137 | Same as national |
| MRSA Bacteremia: Predicted Cases | 7.638 | Same as national |
| MRSA Bacteremia: Observed Cases | 6 | Same as national |
| MRSA Bacteremia | 0.786 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.299 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.629 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 100118 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 63.500 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 28 | Better than national |
| Clostridium Difficile (C.Diff) | 0.441 | 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 | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.2 | Same as national | 742 |
| Death rate for heart attack patients | 12.7 | Same as national | 66 |
| Death rate for CABG surgery patients | 1.8 | Same as national | 68 |
| Death rate for COPD patients | 9.9 | Same as national | 38 |
| Death rate for heart failure patients | 10.7 | Same as national | 107 |
| Death rate for pneumonia patients | 16.9 | Same as national | 72 |
| Death rate for stroke patients | 15.1 | Same as national | 123 |
| Pressure ulcer rate | 0.94 | Same as national | 2977 |
| Death rate among surgical inpatients with serious treatable complications | 220.63 | Worse than national | 79 |
| Iatrogenic pneumothorax rate | 0.40 | Same as national | 3393 |
| In-hospital fall-associated fracture rate | 0.27 | Same as national | 3343 |
| Postoperative hemorrhage or hematoma rate | 2.27 | Same as national | 1240 |
| Postoperative acute kidney injury requiring dialysis rate | 2.09 | Same as national | 443 |
| Postoperative respiratory failure rate | 9.05 | Same as national | 449 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.64 | Same as national | 1262 |
| Postoperative sepsis rate | 5.48 | Same as national | 438 |
| Postoperative wound dehiscence rate | 1.67 | Same as national | 105 |
| Abdominopelvic accidental puncture or laceration rate | 0.93 | Same as national | 426 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.09 | 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 | -3.4 | Not available | 104 |
| Hospital return days for heart failure patients | 36.2 | Not available | 141 |
| Hospital return days for pneumonia patients | 49.9 | Not available | 73 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.7 | Same as national | 1297 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.9 | Same as national | 80 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not available | — |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not available | — |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.2 | Same as national | 166 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.1 | Same as national | 104 |
| Rate of readmission for CABG | 9.2 | Same as national | 68 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.9 | Same as national | 40 |
| Heart failure (HF) 30-Day Readmission Rate | 20.3 | Same as national | 141 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 15.7 | Same as national | 73 |
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 | 3 | 966 |
| Doctor communication - star rating | 3 | 966 |
| Communication about medicines - star rating | 3 | 966 |
| Discharge information - star rating | 3 | 966 |
| Cleanliness - star rating | 3 | 966 |
| Quietness - star rating | 3 | 966 |
| Overall hospital rating - star rating | 3 | 966 |
| Recommend hospital - star rating | 4 | 966 |
| Summary star rating | 3 | 966 |
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 | very 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 | 3953 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 57 | 4948 |
| 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 | 169 | 406 |
| 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 | 166 | 376 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 286 | 29 |
| 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 seen | 3 | 87201 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 100 | 11 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 73 | 48 |
| Safe Use of Opioids - Concurrent Prescribing | 11 | 4833 |
| Appropriate care for severe sepsis and septic shock | 25 | 133 |
| Septic Shock 3-Hour Bundle | 54 | 26 |
| Septic Shock 6-Hour Bundle | 91 | 11 |
| Severe Sepsis 3-Hour Bundle | 43 | 133 |
| Severe Sepsis 6-Hour Bundle | 67 | 33 |
| Discharged on Antithrombotic Therapy | 99 | 205 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | 83 | 60 |
| Antithrombotic Therapy by End of Hospital Day 2 | 88 | 179 |
| 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 Legacy Emanuel Medical Center rated?
- Legacy Emanuel Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Legacy Emanuel Medical Center have emergency services?
- Yes. Legacy Emanuel Medical Center operates a 24/7 emergency department.
- Where is Legacy Emanuel Medical Center located?
- Legacy Emanuel Medical Center is located at 2801 N Gantenbein Avenue, Portland, OR 97227.
- What type of hospital is Legacy Emanuel Medical Center?
- Legacy Emanuel Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
Compare with nearby hospitals
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.