JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mainehealth Pen Bay Hospital

3 / 5

At a glance

Mainehealth Pen Bay 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days596Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.346Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1361Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.668Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures34Not available
SSI - Colon Surgery: Predicted Cases0.843Not 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 Procedures33Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.288Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.649Same as national
MRSA Bacteremia: Patient Days20017Same as national
MRSA Bacteremia: Predicted Cases1.131Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.008Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.835Better than national
Clostridium Difficile (C.Diff): Patient Days19530Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.909Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.169Better 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 national353
Death rate for heart attack patients12.1Same as national27
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.4Same as national27
Death rate for heart failure patients12.7Same as national123
Death rate for pneumonia patients18.8Same as national115
Death rate for stroke patients12.7Same as national57
Pressure ulcer rate0.41Same as national1248
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1424
In-hospital fall-associated fracture rate0.26Same as national1383
Postoperative hemorrhage or hematoma rate2.28Same as national170
Postoperative acute kidney injury requiring dialysis rate1.66Same as national55
Postoperative respiratory failure rate8.75Same as national55
Perioperative pulmonary embolism or deep vein thrombosis rate4.12Same as national187
Postoperative sepsis rate5.10Same as national53
Postoperative wound dehiscence rate1.71Same as national61
Abdominopelvic accidental puncture or laceration rate1.00Same as national186
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 patientsNot available
Hospital return days for heart failure patients83.4Not available143
Hospital return days for pneumonia patients37Not available114
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national514
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national894
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national121
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national121
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national216
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national34
Heart failure (HF) 30-Day Readmission Rate20.7Same as national143
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national114

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 rating4400
Doctor communication - star rating4400
Communication about medicines - star rating4400
Discharge information - star rating4400
Cleanliness - star rating2400
Quietness - star rating3400
Overall hospital rating - star rating4400
Recommend hospital - star rating4400
Summary star rating4400

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 vaccination911227
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 better174406
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 better170378
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25422
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 seen122666
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10068
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing13544
Appropriate care for severe sepsis and septic shock7286
Septic Shock 3-Hour Bundle8628
Septic Shock 6-Hour Bundle8116
Severe Sepsis 3-Hour Bundle8086
Severe Sepsis 6-Hour Bundle10047
Discharged on Antithrombotic Therapy9850
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 28947
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 Mainehealth Pen Bay Hospital rated?
Mainehealth Pen Bay Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mainehealth Pen Bay Hospital have emergency services?
Yes. Mainehealth Pen Bay Hospital operates a 24/7 emergency department.
Where is Mainehealth Pen Bay Hospital located?
Mainehealth Pen Bay Hospital is located at 6 Glen Cove Drive, Rockport, ME 04856.
What type of hospital is Mainehealth Pen Bay Hospital?
Mainehealth Pen Bay 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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