Acute Care Hospitals · Voluntary non-profit - Private
Mary Hitchcock Memorial Hospital
- 1 Medical Center Drive, Lebanon, NH 03756
- (603) 650-5000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Mary Hitchcock 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 18 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 2.
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 | 0.492 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.189 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 24169 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 25.508 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 20 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.784 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.149 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.560 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 18128 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 29.495 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 9 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.305 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.737 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.046 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 431 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 11.821 | Same as national |
| SSI - Colon Surgery: Observed Cases | 15 | Same as national |
| SSI - Colon Surgery | 1.269 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.861 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 6.533 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 172 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.477 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 4 | Same as national |
| SSI - Abdominal Hysterectomy | 2.708 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.021 | Better than national |
| MRSA Bacteremia: Upper Confidence Limit | 0.419 | Better than national |
| MRSA Bacteremia: Patient Days | 144746 | Better than national |
| MRSA Bacteremia: Predicted Cases | 15.755 | Better than national |
| MRSA Bacteremia: Observed Cases | 2 | Better than national |
| MRSA Bacteremia | 0.127 | Better than national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.410 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.769 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 135832 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 68.592 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 39 | Better than national |
| Clostridium Difficile (C.Diff) | 0.569 | 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 | 4.5 | Same as national | 69 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.2 | Better than national | 2866 |
| Death rate for heart attack patients | 11.6 | Same as national | 487 |
| Death rate for CABG surgery patients | 2.4 | Same as national | 179 |
| Death rate for COPD patients | 7.3 | Same as national | 84 |
| Death rate for heart failure patients | 10.5 | Same as national | 594 |
| Death rate for pneumonia patients | 14.8 | Same as national | 348 |
| Death rate for stroke patients | 14.7 | Same as national | 395 |
| Pressure ulcer rate | 0.54 | Same as national | 9839 |
| Death rate among surgical inpatients with serious treatable complications | 205.90 | Worse than national | 363 |
| Iatrogenic pneumothorax rate | 0.18 | Same as national | 11275 |
| In-hospital fall-associated fracture rate | 0.28 | Same as national | 12234 |
| Postoperative hemorrhage or hematoma rate | 4.05 | Worse than national | 5073 |
| Postoperative acute kidney injury requiring dialysis rate | 1.95 | Same as national | 2698 |
| Postoperative respiratory failure rate | 11.87 | Same as national | 2495 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 4.73 | Same as national | 5218 |
| Postoperative sepsis rate | 6.70 | Same as national | 2632 |
| Postoperative wound dehiscence rate | 1.65 | Same as national | 1069 |
| Abdominopelvic accidental puncture or laceration rate | 1.18 | Same as national | 2910 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.18 | 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 | 6.7 | Not available | 603 |
| Hospital return days for heart failure patients | 8 | Not available | 695 |
| Hospital return days for pneumonia patients | 25.4 | Not available | 340 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.2 | Same as national | 4564 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 16.1 | Worse than national | 3216 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.7 | Same as national | 1183 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 6.8 | Worse than national | 1183 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 2520 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.8 | Same as national | 603 |
| Rate of readmission for CABG | 10 | Same as national | 175 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18 | Same as national | 91 |
| Heart failure (HF) 30-Day Readmission Rate | 18.1 | Same as national | 695 |
| Rate of readmission after hip/knee replacement | 4.5 | Same as national | 61 |
| Pneumonia (PN) 30-Day Readmission Rate | 17 | Same as national | 340 |
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 | 1815 |
| Doctor communication - star rating | 3 | 1815 |
| Communication about medicines - star rating | 3 | 1815 |
| Discharge information - star rating | 4 | 1815 |
| Cleanliness - star rating | 3 | 1815 |
| Quietness - star rating | 2 | 1815 |
| Overall hospital rating - star rating | 4 | 1815 |
| Recommend hospital - star rating | 5 | 1815 |
| Summary star rating | 3 | 1815 |
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 | medium | — |
| 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 | 1 | 4954 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 96 | 12128 |
| 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 | 276 | 400 |
| 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 | 266 | 369 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 382 | 27 |
| 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 | 35066 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 98 | 98 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 84 | 32 |
| Safe Use of Opioids - Concurrent Prescribing | 18 | 4770 |
| Appropriate care for severe sepsis and septic shock | 55 | 139 |
| Septic Shock 3-Hour Bundle | 62 | 55 |
| Septic Shock 6-Hour Bundle | 89 | 27 |
| Severe Sepsis 3-Hour Bundle | 76 | 139 |
| Severe Sepsis 6-Hour Bundle | 93 | 81 |
| Discharged on Antithrombotic Therapy | 99 | 338 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 96 | 3246 |
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 Mary Hitchcock Memorial Hospital rated?
- Mary Hitchcock Memorial Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Mary Hitchcock Memorial Hospital have emergency services?
- Yes. Mary Hitchcock Memorial Hospital operates a 24/7 emergency department.
- Where is Mary Hitchcock Memorial Hospital located?
- Mary Hitchcock Memorial Hospital is located at 1 Medical Center Drive, Lebanon, NH 03756.
- What type of hospital is Mary Hitchcock Memorial Hospital?
- Mary Hitchcock Memorial Hospital 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.