Acute Care Hospitals · Voluntary non-profit - Private
Loyola University Medical Center
- 2160 S 1st Avenue, Maywood, IL 60153
- (708) 216-9000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Loyola University Medical 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 18 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.543 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.144 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 28823 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 34.914 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 28 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.802 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.497 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.996 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 26564 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 44.824 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 32 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.714 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.007 | Better than national |
| SSI - Colon Surgery: Upper Confidence Limit | 0.713 | Better than national |
| SSI - Colon Surgery: Number of Procedures | 242 | Better than national |
| SSI - Colon Surgery: Predicted Cases | 6.919 | Better than national |
| SSI - Colon Surgery: Observed Cases | 1 | Better than national |
| SSI - Colon Surgery | 0.145 | Better than national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.033 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 3.258 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 138 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.514 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Same as national |
| SSI - Abdominal Hysterectomy | 0.661 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.539 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.692 | Same as national |
| MRSA Bacteremia: Patient Days | 137039 | Same as national |
| MRSA Bacteremia: Predicted Cases | 12.055 | Same as national |
| MRSA Bacteremia: Observed Cases | 12 | Same as national |
| MRSA Bacteremia | 0.995 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.306 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.505 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 128755 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 156.440 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 62 | Better than national |
| Clostridium Difficile (C.Diff) | 0.396 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.1 | Same as national | 132 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.7 | Same as national | 1675 |
| Death rate for heart attack patients | 10.6 | Same as national | 87 |
| Death rate for CABG surgery patients | 1.9 | Same as national | 129 |
| Death rate for COPD patients | 7.9 | Same as national | 75 |
| Death rate for heart failure patients | 9.1 | Better than national | 467 |
| Death rate for pneumonia patients | 15 | Same as national | 246 |
| Death rate for stroke patients | 13.2 | Same as national | 183 |
| Pressure ulcer rate | 0.81 | Same as national | 8034 |
| Death rate among surgical inpatients with serious treatable complications | 178.34 | Same as national | 280 |
| Iatrogenic pneumothorax rate | 0.31 | Same as national | 8525 |
| In-hospital fall-associated fracture rate | 0.38 | Same as national | 9104 |
| Postoperative hemorrhage or hematoma rate | 2.33 | Same as national | 2947 |
| Postoperative acute kidney injury requiring dialysis rate | 2.03 | Same as national | 1678 |
| Postoperative respiratory failure rate | 12.88 | Worse than national | 1610 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.31 | Same as national | 3268 |
| Postoperative sepsis rate | 9.26 | Worse than national | 1678 |
| Postoperative wound dehiscence rate | 1.39 | Same as national | 728 |
| Abdominopelvic accidental puncture or laceration rate | 1.12 | Same as national | 2221 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.37 | Worse than 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 38.5 | Not available | 149 |
| Hospital return days for heart failure patients | 25.2 | Not available | 546 |
| Hospital return days for pneumonia patients | 73.2 | Not available | 250 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 16 | Worse than national | 3039 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 11.6 | Same as national | 2180 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.1 | Same as national | 629 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.8 | Same as national | 629 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 1081 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.6 | Same as national | 149 |
| Rate of readmission for CABG | 11.2 | Same as national | 127 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 20.1 | Same as national | 82 |
| Heart failure (HF) 30-Day Readmission Rate | 19.6 | Same as national | 546 |
| Rate of readmission after hip/knee replacement | 4.9 | Same as national | 128 |
| Pneumonia (PN) 30-Day Readmission Rate | 16.5 | Same as national | 250 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 512 |
| Doctor communication - star rating | 3 | 512 |
| Communication about medicines - star rating | 2 | 512 |
| Discharge information - star rating | 3 | 512 |
| Cleanliness - star rating | 1 | 512 |
| Quietness - star rating | 2 | 512 |
| Overall hospital rating - star rating | 2 | 512 |
| Recommend hospital - star rating | 3 | 512 |
| Summary star rating | 3 | 512 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | high | — |
| 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 vaccination | 92 | 9398 |
| 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 better | 282 | 389 |
| 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 better | 273 | 357 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 309 | 25 |
| 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 seen | 3 | 43774 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 95 | 86 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 13 | 5674 |
| Appropriate care for severe sepsis and septic shock | 53 | 242 |
| Septic Shock 3-Hour Bundle | 64 | 94 |
| Septic Shock 6-Hour Bundle | 87 | 47 |
| Severe Sepsis 3-Hour Bundle | 79 | 242 |
| Severe Sepsis 6-Hour Bundle | 87 | 140 |
| Discharged on Antithrombotic Therapy | 97 | 271 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 89 | 232 |
| Venous Thromboembolism Prophylaxis | 93 | 9039 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Loyola University Medical Center rated?
- Loyola University Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
- Does Loyola University Medical Center have emergency services?
- Yes. Loyola University Medical Center operates a 24/7 emergency department.
- Where is Loyola University Medical Center located?
- Loyola University Medical Center is located at 2160 S 1st Avenue, Maywood, IL 60153.
- What type of hospital is Loyola University Medical Center?
- Loyola University Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.