JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Lehigh Valley Hospital - Pocono

3 / 5

At a glance

Lehigh Valley Hospital - Pocono 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 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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.099Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2689Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.726Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.018Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.743Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2364Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.829Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.353Same as national
SSI - Colon Surgery: Lower Confidence Limit0.082Same as national
SSI - Colon Surgery: Upper Confidence Limit1.608Same as national
SSI - Colon Surgery: Number of Procedures147Same as national
SSI - Colon Surgery: Predicted Cases4.109Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.487Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures34Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.291Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.531Same as national
MRSA Bacteremia: Upper Confidence Limit5.678Same as national
MRSA Bacteremia: Patient Days34189Same as national
MRSA Bacteremia: Predicted Cases1.438Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia2.086Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.004Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.357Better than national
Clostridium Difficile (C.Diff): Patient Days31997Better than national
Clostridium Difficile (C.Diff): Predicted Cases13.817Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.072Better 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 patients4.2Same as national82
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national923
Death rate for heart attack patients11Same as national108
Death rate for CABG surgery patients2.6Same as national35
Death rate for COPD patients7.5Same as national101
Death rate for heart failure patients11.2Same as national302
Death rate for pneumonia patients14.2Same as national303
Death rate for stroke patients12.9Same as national138
Pressure ulcer rate0.21Same as national3254
Death rate among surgical inpatients with serious treatable complications173.16Same as national43
Iatrogenic pneumothorax rate0.17Same as national3967
In-hospital fall-associated fracture rate0.31Same as national4045
Postoperative hemorrhage or hematoma rate1.84Same as national828
Postoperative acute kidney injury requiring dialysis rate1.48Same as national308
Postoperative respiratory failure rate8.57Same as national316
Perioperative pulmonary embolism or deep vein thrombosis rate4.70Same as national889
Postoperative sepsis rate4.18Same as national294
Postoperative wound dehiscence rate1.67Same as national155
Abdominopelvic accidental puncture or laceration rate1.14Same as national692
CMS Medicare PSI 90: Patient safety and adverse events composite0.86Same 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 patients20.8Not available105
Hospital return days for heart failure patients-16.8Not available341
Hospital return days for pneumonia patients17.3Not available297
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1524
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national504
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.7Same as national176
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national176
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national327
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.6Same as national105
Rate of readmission for CABG10.9Same as national33
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.9Same as national111
Heart failure (HF) 30-Day Readmission Rate18.4Same as national341
Rate of readmission after hip/knee replacement6Same as national80
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national297

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 rating4332
Doctor communication - star rating3332
Communication about medicines - star rating2332
Discharge information - star rating3332
Cleanliness - star rating4332
Quietness - star rating3332
Overall hospital rating - star rating3332
Recommend hospital - star rating3332
Summary star rating3332

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 vaccination561404
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 better251383
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 better239350
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better81020
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better50415
Left before being seen139019
Head CT results7326
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9992
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing161675
Appropriate care for severe sepsis and septic shock60247
Septic Shock 3-Hour Bundle64108
Septic Shock 6-Hour Bundle8249
Severe Sepsis 3-Hour Bundle88247
Severe Sepsis 6-Hour Bundle90137
Discharged on Antithrombotic Therapy99166
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis993737
Intensive Care Unit Venous Thromboembolism Prophylaxis100911

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 - Pocono rated?
Lehigh Valley Hospital - Pocono has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Lehigh Valley Hospital - Pocono have emergency services?
Yes. Lehigh Valley Hospital - Pocono operates a 24/7 emergency department.
Where is Lehigh Valley Hospital - Pocono located?
Lehigh Valley Hospital - Pocono is located at 206 East Brown Street, East Stroudsburg, PA 18301.
What type of hospital is Lehigh Valley Hospital - Pocono?
Lehigh Valley Hospital - Pocono 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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