Acute Care Hospitals · Voluntary non-profit - Private
Legacy Good Samaritan Medical Center
- 1015 Nw 22nd Avenue, W121, Portland, OR 97210
- (503) 413-7682
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Legacy Good Samaritan Medical Center 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.010 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.021 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 4614 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 4.831 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 1 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.207 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.250 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.899 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 4079 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 5.082 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 4 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.787 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.102 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.092 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 281 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 7.479 | Same as national |
| SSI - Colon Surgery: Observed Cases | 3 | Same as national |
| SSI - Colon Surgery | 0.401 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.449 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 4.803 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 193 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.700 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 3 | Same as national |
| SSI - Abdominal Hysterectomy | 1.765 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.211 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 2.260 | Same as national |
| MRSA Bacteremia: Patient Days | 50429 | Same as national |
| MRSA Bacteremia: Predicted Cases | 3.612 | Same as national |
| MRSA Bacteremia: Observed Cases | 3 | Same as national |
| MRSA Bacteremia | 0.831 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.136 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.556 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 49350 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 27.347 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 8 | Better than national |
| Clostridium Difficile (C.Diff) | 0.293 | 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 | 4.1 | Same as national | 71 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.6 | Same as national | 642 |
| Death rate for heart attack patients | 13.2 | Same as national | 89 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 8.8 | Same as national | 58 |
| Death rate for heart failure patients | 11 | Same as national | 167 |
| Death rate for pneumonia patients | 14.8 | Same as national | 100 |
| Death rate for stroke patients | 13.1 | Same as national | 49 |
| Pressure ulcer rate | 0.70 | Same as national | 2398 |
| Death rate among surgical inpatients with serious treatable complications | 198.64 | Same as national | 56 |
| Iatrogenic pneumothorax rate | 0.28 | Same as national | 2944 |
| In-hospital fall-associated fracture rate | 0.28 | Same as national | 3108 |
| Postoperative hemorrhage or hematoma rate | 1.94 | Same as national | 1031 |
| Postoperative acute kidney injury requiring dialysis rate | 1.44 | Same as national | 472 |
| Postoperative respiratory failure rate | 8.89 | Same as national | 499 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.88 | Same as national | 1072 |
| Postoperative sepsis rate | 4.99 | Same as national | 514 |
| Postoperative wound dehiscence rate | 1.87 | Same as national | 408 |
| Abdominopelvic accidental puncture or laceration rate | 1.18 | Same as national | 953 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.97 | 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 | -31.4 | Not available | 98 |
| Hospital return days for heart failure patients | -9.1 | Not available | 188 |
| Hospital return days for pneumonia patients | 19.5 | Not available | 97 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.1 | Same as national | 987 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.6 | Same as national | 259 |
| 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 | 0.9 | Same as national | 518 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.2 | Same as national | 98 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.5 | Same as national | 62 |
| Heart failure (HF) 30-Day Readmission Rate | 19.9 | Same as national | 188 |
| Rate of readmission after hip/knee replacement | 3.9 | Same as national | 62 |
| Pneumonia (PN) 30-Day Readmission Rate | 16.4 | Same as national | 97 |
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 | 1008 |
| Doctor communication - star rating | 4 | 1008 |
| Communication about medicines - star rating | 3 | 1008 |
| Discharge information - star rating | 4 | 1008 |
| Cleanliness - star rating | 4 | 1008 |
| Quietness - star rating | 3 | 1008 |
| Overall hospital rating - star rating | 4 | 1008 |
| Recommend hospital - star rating | 4 | 1008 |
| Summary star rating | 4 | 1008 |
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 | medium | — |
| 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 | 2577 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 62 | 2578 |
| 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 | 183 | 397 |
| 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 | 186 | 364 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 158 | 31 |
| 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 | 4 | 32287 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 92 | 61 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 15 | 2592 |
| Appropriate care for severe sepsis and septic shock | 21 | 73 |
| Septic Shock 3-Hour Bundle | — | — |
| Septic Shock 6-Hour Bundle | — | — |
| Severe Sepsis 3-Hour Bundle | 41 | 73 |
| Severe Sepsis 6-Hour Bundle | 61 | 18 |
| Discharged on Antithrombotic Therapy | 95 | 64 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 94 | 54 |
| 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 Good Samaritan Medical Center rated?
- Legacy Good Samaritan Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
- Does Legacy Good Samaritan Medical Center have emergency services?
- Yes. Legacy Good Samaritan Medical Center operates a 24/7 emergency department.
- Where is Legacy Good Samaritan Medical Center located?
- Legacy Good Samaritan Medical Center is located at 1015 Nw 22nd Avenue, W121, Portland, OR 97210.
- What type of hospital is Legacy Good Samaritan Medical Center?
- Legacy Good Samaritan 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.