JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Main Line Hospital Lankenau

4 / 5

At a glance

Main Line Hospital Lankenau carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 Limit0.194Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.876Better than national
Central Line Associated Bloodstream Infection: Number of Device Days14193Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases15.804Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.443Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.454Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.261Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13090Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases19.186Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases15Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.782Same as national
SSI - Colon Surgery: Lower Confidence Limit0.769Same as national
SSI - Colon Surgery: Upper Confidence Limit2.414Same as national
SSI - Colon Surgery: Number of Procedures335Same as national
SSI - Colon Surgery: Predicted Cases8.452Same as national
SSI - Colon Surgery: Observed Cases12Same as national
SSI - Colon Surgery1.420Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.206Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.051Same as national
SSI - Abdominal Hysterectomy: Number of Procedures196Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.631Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.226Same as national
MRSA Bacteremia: Lower Confidence Limit0.180Same as national
MRSA Bacteremia: Upper Confidence Limit1.363Same as national
MRSA Bacteremia: Patient Days112536Same as national
MRSA Bacteremia: Predicted Cases7.080Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.565Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.142Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.445Better than national
Clostridium Difficile (C.Diff): Patient Days100468Better than national
Clostridium Difficile (C.Diff): Predicted Cases45.886Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.262Better 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 patients3.8Same as national90
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Same as national2574
Death rate for heart attack patients10.7Same as national179
Death rate for CABG surgery patients1.8Same as national396
Death rate for COPD patients7.2Same as national113
Death rate for heart failure patients9Better than national901
Death rate for pneumonia patients14.4Same as national522
Death rate for stroke patients12Same as national187
Pressure ulcer rate0.63Same as national8933
Death rate among surgical inpatients with serious treatable complications182.09Same as national179
Iatrogenic pneumothorax rate0.21Same as national9642
In-hospital fall-associated fracture rate0.29Same as national10474
Postoperative hemorrhage or hematoma rate2.36Same as national3129
Postoperative acute kidney injury requiring dialysis rate1.26Same as national1851
Postoperative respiratory failure rate7.51Same as national1828
Perioperative pulmonary embolism or deep vein thrombosis rate3.21Same as national3416
Postoperative sepsis rate5.39Same as national1844
Postoperative wound dehiscence rate1.67Same as national817
Abdominopelvic accidental puncture or laceration rate1.27Same as national2106
CMS Medicare PSI 90: Patient safety and adverse events composite0.93Same 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 patients1.1Not available248
Hospital return days for heart failure patients-5.6Not available1037
Hospital return days for pneumonia patients13.2Not available513
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national4406
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national1414
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national237
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national237
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Better than national876
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national248
Rate of readmission for CABG10.4Same as national391
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national125
Heart failure (HF) 30-Day Readmission Rate18Same as national1037
Rate of readmission after hip/knee replacement5.8Same as national92
Pneumonia (PN) 30-Day Readmission Rate17.1Same as national513

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 rating41705
Doctor communication - star rating31705
Communication about medicines - star rating31705
Discharge information - star rating41705
Cleanliness - star rating31705
Quietness - star rating31705
Overall hospital rating - star rating41705
Recommend hospital - star rating51705
Summary star rating41705

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 volumevery 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 vaccination1003372
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 better301403
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 better300392
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen465369
Head CT results8126
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients84225
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5765
Safe Use of Opioids - Concurrent Prescribing154609
Appropriate care for severe sepsis and septic shock641166
Septic Shock 3-Hour Bundle69365
Septic Shock 6-Hour Bundle94185
Severe Sepsis 3-Hour Bundle781168
Severe Sepsis 6-Hour Bundle97671
Discharged on Antithrombotic Therapy99254
Anticoagulation Therapy for Atrial Fibrillation/Flutter7864
Antithrombotic Therapy by End of Hospital Day 296252
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.

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 Main Line Hospital Lankenau rated?
Main Line Hospital Lankenau has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Main Line Hospital Lankenau have emergency services?
Yes. Main Line Hospital Lankenau operates a 24/7 emergency department.
Where is Main Line Hospital Lankenau located?
Main Line Hospital Lankenau is located at 100 Lancaster Ave, Wynnewood, PA 19096.
What type of hospital is Main Line Hospital Lankenau?
Main Line Hospital Lankenau 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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