JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Lincoln Medical & Mental Health Center

2 / 5

At a glance

Lincoln Medical & Mental Health Center carries a 2-star CMS overall rating — below 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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.209Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.265Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8227Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.764Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.571Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.028Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.547Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8470Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases12.075Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.166Better than national
SSI - Colon Surgery: Lower Confidence Limit0.505Same as national
SSI - Colon Surgery: Upper Confidence Limit3.056Same as national
SSI - Colon Surgery: Number of Procedures115Same as national
SSI - Colon Surgery: Predicted Cases3.626Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery1.379Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures48Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.465Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.322Same as national
MRSA Bacteremia: Upper Confidence Limit1.653Same as national
MRSA Bacteremia: Patient Days85652Same as national
MRSA Bacteremia: Predicted Cases7.550Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia0.795Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.319Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.713Better than national
Clostridium Difficile (C.Diff): Patient Days80368Better than national
Clostridium Difficile (C.Diff): Predicted Cases49.302Better than national
Clostridium Difficile (C.Diff): Observed Cases24Better than national
Clostridium Difficile (C.Diff)0.487Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national173
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients9Same as national49
Death rate for pneumonia patients17.8Same as national50
Death rate for stroke patients12.3Same as national30
Pressure ulcer rate0.30Same as national1046
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1457
In-hospital fall-associated fracture rate0.26Same as national1471
Postoperative hemorrhage or hematoma rate2.23Same as national154
Postoperative acute kidney injury requiring dialysis rate1.66Same as national40
Postoperative respiratory failure rate11.56Same as national43
Perioperative pulmonary embolism or deep vein thrombosis rate3.23Same as national154
Postoperative sepsis rate5.17Same as national39
Postoperative wound dehiscence rate1.74Same as national42
Abdominopelvic accidental puncture or laceration rate1.01Same as national190
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 patientsNot available
Hospital return days for heart failure patients19.8Not available65
Hospital return days for pneumonia patients41.3Not available49
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national281
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national39
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 surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate19.4Same as national65
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national49

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 rating1478
Doctor communication - star rating2478
Communication about medicines - star rating1478
Discharge information - star rating1478
Cleanliness - star rating3478
Quietness - star rating1478
Overall hospital rating - star rating2478
Recommend hospital - star rating2478
Summary star rating2478

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 vaccination365694
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 better259357
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 better248311
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better38445
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 seen929063
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99105
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing51961
Appropriate care for severe sepsis and septic shock34161
Septic Shock 3-Hour Bundle6949
Septic Shock 6-Hour Bundle8330
Severe Sepsis 3-Hour Bundle51162
Severe Sepsis 6-Hour Bundle8857
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295215
Venous Thromboembolism Prophylaxis926628
Intensive Care Unit Venous Thromboembolism Prophylaxis971480

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 Lincoln Medical & Mental Health Center rated?
Lincoln Medical & Mental Health Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Lincoln Medical & Mental Health Center have emergency services?
Yes. Lincoln Medical & Mental Health Center operates a 24/7 emergency department.
Where is Lincoln Medical & Mental Health Center located?
Lincoln Medical & Mental Health Center is located at 234 East 149th Street, Bronx, NY 10451.
What type of hospital is Lincoln Medical & Mental Health Center?
Lincoln Medical & Mental Health Center is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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