JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Loyola Gottlieb Memorial Hospital

3 / 5

At a glance

Loyola Gottlieb Memorial Hospital 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 Limit0.014Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.350Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3596Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.654Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.274Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.065Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.285Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4370Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.141Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.389Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures16Not available
SSI - Colon Surgery: Predicted Cases0.431Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures4Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.044Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.468Same as national
MRSA Bacteremia: Patient Days31234Same as national
MRSA Bacteremia: Predicted Cases2.040Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.172Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.494Better than national
Clostridium Difficile (C.Diff): Patient Days31234Better than national
Clostridium Difficile (C.Diff): Predicted Cases46.381Better than national
Clostridium Difficile (C.Diff): Observed Cases14Better than national
Clostridium Difficile (C.Diff)0.302Better 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 Rate3.9Same as national708
Death rate for heart attack patients12.2Same as national98
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.3Same as national108
Death rate for heart failure patients10.2Same as national290
Death rate for pneumonia patients16.4Same as national206
Death rate for stroke patients13.1Same as national48
Pressure ulcer rate0.25Same as national2670
Death rate among surgical inpatients with serious treatable complications165.95Same as national27
Iatrogenic pneumothorax rate0.24Same as national3138
In-hospital fall-associated fracture rate0.24Same as national3111
Postoperative hemorrhage or hematoma rate2.36Same as national460
Postoperative acute kidney injury requiring dialysis rate1.52Same as national119
Postoperative respiratory failure rate11.95Same as national153
Perioperative pulmonary embolism or deep vein thrombosis rate2.86Same as national492
Postoperative sepsis rate5.19Same as national122
Postoperative wound dehiscence rate1.70Same as national121
Abdominopelvic accidental puncture or laceration rate1.20Same as national488
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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 patients71.8Not available80
Hospital return days for heart failure patients30.5Not available334
Hospital return days for pneumonia patients48.9Not available199
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national1098
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.4Same as national814
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 surgery0.8Same as national292
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.9Same as national80
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national121
Heart failure (HF) 30-Day Readmission Rate20.4Same as national334
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.4Same as national199

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 rating3496
Doctor communication - star rating3496
Communication about medicines - star rating2496
Discharge information - star rating2496
Cleanliness - star rating4496
Quietness - star rating3496
Overall hospital rating - star rating2496
Recommend hospital - star rating3496
Summary star rating3496

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 vaccination911341
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 better217406
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 better210367
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better36031
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 seen230618
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9980
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing151153
Appropriate care for severe sepsis and septic shock5489
Septic Shock 3-Hour Bundle7027
Septic Shock 6-Hour Bundle9314
Severe Sepsis 3-Hour Bundle7389
Severe Sepsis 6-Hour Bundle8040
Discharged on Antithrombotic Therapy9346
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29846
Venous Thromboembolism Prophylaxis962883
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Loyola Gottlieb Memorial Hospital rated?
Loyola Gottlieb Memorial Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Loyola Gottlieb Memorial Hospital have emergency services?
Yes. Loyola Gottlieb Memorial Hospital operates a 24/7 emergency department.
Where is Loyola Gottlieb Memorial Hospital located?
Loyola Gottlieb Memorial Hospital is located at 701 West North Ave, Melrose Park, IL 60160.
What type of hospital is Loyola Gottlieb Memorial Hospital?
Loyola Gottlieb Memorial Hospital 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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