JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Legacy Meridian Park Medical Center

2 / 5

At a glance

Legacy Meridian Park Medical Center carries a 2-star CMS overall rating — below the national norm.

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 Limit0.026Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.573Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2816Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.917Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.522Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.133Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.630Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3571Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.512Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.796Same as national
SSI - Colon Surgery: Lower Confidence Limit0.499Same as national
SSI - Colon Surgery: Upper Confidence Limit3.021Same as national
SSI - Colon Surgery: Number of Procedures147Same as national
SSI - Colon Surgery: Predicted Cases3.669Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery1.363Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures51Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.412Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days34456Not available
MRSA Bacteremia: Predicted Cases0.907Not available
MRSA Bacteremia: Observed Cases2Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.405Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.215Same as national
Clostridium Difficile (C.Diff): Patient Days34456Same as national
Clostridium Difficile (C.Diff): Predicted Cases17.838Same as national
Clostridium Difficile (C.Diff): Observed Cases13Same as national
Clostridium Difficile (C.Diff)0.729Same 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 patients4.5Same as national56
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national821
Death rate for heart attack patients12.7Same as national50
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.1Same as national43
Death rate for heart failure patients13.4Same as national183
Death rate for pneumonia patients15.6Same as national157
Death rate for stroke patients13.4Same as national157
Pressure ulcer rate0.27Same as national2368
Death rate among surgical inpatients with serious treatable complications205.52Same as national30
Iatrogenic pneumothorax rate0.17Same as national3119
In-hospital fall-associated fracture rate0.24Same as national2974
Postoperative hemorrhage or hematoma rate2.59Same as national722
Postoperative acute kidney injury requiring dialysis rate2.01Same as national328
Postoperative respiratory failure rate10.49Same as national344
Perioperative pulmonary embolism or deep vein thrombosis rate3.74Same as national751
Postoperative sepsis rate5.09Same as national315
Postoperative wound dehiscence rate2.01Same as national196
Abdominopelvic accidental puncture or laceration rate1.13Same as national578
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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 patients-46.6Not available50
Hospital return days for heart failure patients22.7Not available202
Hospital return days for pneumonia patients-5.1Not available153
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national1245
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14Same as national710
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 surgery1.1Same as national514
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national50
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national41
Heart failure (HF) 30-Day Readmission Rate19.5Same as national202
Rate of readmission after hip/knee replacement6.1Same as national53
Pneumonia (PN) 30-Day Readmission Rate15.1Same as national153

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 rating41141
Doctor communication - star rating31141
Communication about medicines - star rating31141
Discharge information - star rating31141
Cleanliness - star rating31141
Quietness - star rating31141
Overall hospital rating - star rating31141
Recommend hospital - star rating41141
Summary star rating31141

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 volumehigh
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 Hypoglycemia12006
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination551781
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 better176403
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 better175389
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen244621
Head CT results7427
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9279
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5850
Safe Use of Opioids - Concurrent Prescribing121885
Appropriate care for severe sepsis and septic shock2298
Septic Shock 3-Hour Bundle2623
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle5098
Severe Sepsis 6-Hour Bundle7827
Discharged on Antithrombotic Therapy99169
Anticoagulation Therapy for Atrial Fibrillation/Flutter6945
Antithrombotic Therapy by End of Hospital Day 299135
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 MeasureYes

Frequently asked questions

How is Legacy Meridian Park Medical Center rated?
Legacy Meridian Park Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Legacy Meridian Park Medical Center have emergency services?
Yes. Legacy Meridian Park Medical Center operates a 24/7 emergency department.
Where is Legacy Meridian Park Medical Center located?
Legacy Meridian Park Medical Center is located at 19300 Sw 65th Avenue, Tualatin, OR 97062.
What type of hospital is Legacy Meridian Park Medical Center?
Legacy Meridian Park Medical Center 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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