Acute Care Hospitals · Voluntary non-profit - Private
Maimonides Medical Center
- 4802 Tenth Avenue, Brooklyn, NY 11219
- (718) 283-6000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Maimonides 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 6 and worse on 6. For 30-day readmissions, it beats the national rate on 1 measure and trails on 3.
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 | 1.023 | Worse than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 2.418 | Worse than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 11854 | Worse than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 13.049 | Worse than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 21 | Worse than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 1.609 | Worse than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.454 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.183 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 16292 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 22.539 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 17 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.754 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.546 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.233 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 266 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 6.802 | Same as national |
| SSI - Colon Surgery: Observed Cases | 8 | Same as national |
| SSI - Colon Surgery | 1.176 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 2.552 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 146 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.174 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Same as national |
| SSI - Abdominal Hysterectomy | 0.000 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.911 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 2.155 | Same as national |
| MRSA Bacteremia: Patient Days | 192347 | Same as national |
| MRSA Bacteremia: Predicted Cases | 14.644 | Same as national |
| MRSA Bacteremia: Observed Cases | 21 | Same as national |
| MRSA Bacteremia | 1.434 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.280 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.526 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 173869 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 100.286 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 39 | Better than national |
| Clostridium Difficile (C.Diff) | 0.389 | 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 | 3.4 | Same as national | 133 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.6 | Better than national | 2656 |
| Death rate for heart attack patients | 10.2 | Same as national | 399 |
| Death rate for CABG surgery patients | 2 | Same as national | 79 |
| Death rate for COPD patients | 7.2 | Same as national | 163 |
| Death rate for heart failure patients | 6.4 | Better than national | 989 |
| Death rate for pneumonia patients | 13.1 | Better than national | 1008 |
| Death rate for stroke patients | 9.7 | Better than national | 441 |
| Pressure ulcer rate | 0.31 | Same as national | 11068 |
| Death rate among surgical inpatients with serious treatable complications | 204.71 | Same as national | 130 |
| Iatrogenic pneumothorax rate | 0.23 | Same as national | 12354 |
| In-hospital fall-associated fracture rate | 0.20 | Same as national | 12788 |
| Postoperative hemorrhage or hematoma rate | 2.72 | Same as national | 2339 |
| Postoperative acute kidney injury requiring dialysis rate | 1.43 | Same as national | 609 |
| Postoperative respiratory failure rate | 7.78 | Same as national | 604 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.64 | Same as national | 2320 |
| Postoperative sepsis rate | 8.16 | Same as national | 612 |
| Postoperative wound dehiscence rate | 1.54 | Same as national | 404 |
| Abdominopelvic accidental puncture or laceration rate | 0.67 | Same as national | 2203 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.90 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 27.2 | Not available | 433 |
| Hospital return days for heart failure patients | 59.3 | Not available | 1161 |
| Hospital return days for pneumonia patients | 104.2 | Not available | 975 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 17.2 | Worse than national | 4618 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.8 | Same as national | 446 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.5 | Same as national | 241 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.4 | Same as national | 241 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.7 | Better than national | 504 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.9 | Same as national | 433 |
| Rate of readmission for CABG | 11.1 | Same as national | 77 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.1 | Same as national | 207 |
| Heart failure (HF) 30-Day Readmission Rate | 22 | Worse than national | 1161 |
| Rate of readmission after hip/knee replacement | 4.7 | Same as national | 131 |
| Pneumonia (PN) 30-Day Readmission Rate | 20.8 | Worse than national | 975 |
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 | 2 | 2164 |
| Doctor communication - star rating | 2 | 2164 |
| Communication about medicines - star rating | 2 | 2164 |
| Discharge information - star rating | 2 | 2164 |
| Cleanliness - star rating | 2 | 2164 |
| Quietness - star rating | 2 | 2164 |
| Overall hospital rating - star rating | 2 | 2164 |
| Recommend hospital - star rating | 3 | 2164 |
| Summary star rating | 2 | 2164 |
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 | very 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 | 2 | 6368 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 80 | 9122 |
| 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 | 211 | 423 |
| 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 | 206 | 396 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 304 | 21 |
| 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 | 1 | 101219 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 93 | 118 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 11 | 2511 |
| Appropriate care for severe sepsis and septic shock | 57 | 117 |
| Septic Shock 3-Hour Bundle | 92 | 13 |
| Septic Shock 6-Hour Bundle | 100 | 12 |
| Severe Sepsis 3-Hour Bundle | 63 | 117 |
| Severe Sepsis 6-Hour Bundle | 89 | 54 |
| Discharged on Antithrombotic Therapy | 95 | 485 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 94 | 459 |
| Venous Thromboembolism Prophylaxis | — | — |
| 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 Maimonides Medical Center rated?
- Maimonides Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
- Does Maimonides Medical Center have emergency services?
- Yes. Maimonides Medical Center operates a 24/7 emergency department.
- Where is Maimonides Medical Center located?
- Maimonides Medical Center is located at 4802 Tenth Avenue, Brooklyn, NY 11219.
- What type of hospital is Maimonides Medical Center?
- Maimonides Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
Compare with nearby hospitals
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.