JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Lehigh Valley Hospital - Hazleton

2 / 5

At a glance

Lehigh Valley Hospital - Hazleton 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1524Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.883Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1502Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.773Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit0.170Same as national
SSI - Colon Surgery: Upper Confidence Limit3.356Same as national
SSI - Colon Surgery: Number of Procedures74Same as national
SSI - Colon Surgery: Predicted Cases1.969Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.016Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures17Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.191Not 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 Days21291Not available
MRSA Bacteremia: Predicted Cases0.637Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.072Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.427Same as national
Clostridium Difficile (C.Diff): Patient Days20261Same as national
Clostridium Difficile (C.Diff): Predicted Cases4.630Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.432Same 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 patients5.1Same as national51
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national741
Death rate for heart attack patients11.4Same as national28
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.5Same as national99
Death rate for heart failure patients12.5Same as national328
Death rate for pneumonia patients15.5Same as national242
Death rate for stroke patients12.8Same as national92
Pressure ulcer rate0.58Same as national2536
Death rate among surgical inpatients with serious treatable complications188.43Same as national34
Iatrogenic pneumothorax rate0.18Same as national2985
In-hospital fall-associated fracture rate0.28Same as national3052
Postoperative hemorrhage or hematoma rate2.09Same as national420
Postoperative acute kidney injury requiring dialysis rate1.59Same as national141
Postoperative respiratory failure rate9.09Same as national136
Perioperative pulmonary embolism or deep vein thrombosis rate4.08Same as national444
Postoperative sepsis rate7.00Same as national122
Postoperative wound dehiscence rate1.63Same as national138
Abdominopelvic accidental puncture or laceration rate1.16Same as national396
CMS Medicare PSI 90: Patient safety and adverse events composite1.05Same 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 patients-34.2Not available325
Hospital return days for pneumonia patients-2.6Not available233
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national1229
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national107
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.9Same as national119
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national119
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national171
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national105
Heart failure (HF) 30-Day Readmission Rate17.6Same as national325
Rate of readmission after hip/knee replacement4.5Same as national51
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national233

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 rating3294
Doctor communication - star rating3294
Communication about medicines - star rating2294
Discharge information - star rating3294
Cleanliness - star rating3294
Quietness - star rating2294
Overall hospital rating - star rating2294
Recommend hospital - star rating2294
Summary star rating3294

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 vaccination66737
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 better200381
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 better194354
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better47213
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better45615
Left before being seen135688
Head CT results7121
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9238
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing131136
Appropriate care for severe sepsis and septic shock54268
Septic Shock 3-Hour Bundle57101
Septic Shock 6-Hour Bundle8738
Severe Sepsis 3-Hour Bundle78269
Severe Sepsis 6-Hour Bundle88128
Discharged on Antithrombotic Therapy9986
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis992775
Intensive Care Unit Venous Thromboembolism Prophylaxis99552

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 Lehigh Valley Hospital - Hazleton rated?
Lehigh Valley Hospital - Hazleton has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Lehigh Valley Hospital - Hazleton have emergency services?
Yes. Lehigh Valley Hospital - Hazleton operates a 24/7 emergency department.
Where is Lehigh Valley Hospital - Hazleton located?
Lehigh Valley Hospital - Hazleton is located at 700 East Broad Street, Hazleton, PA 18201.
What type of hospital is Lehigh Valley Hospital - Hazleton?
Lehigh Valley Hospital - Hazleton is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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