JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Melrosewakefield Healthcare

3 / 5

At a glance

Melrosewakefield Healthcare 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 12 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 Limit0.020Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.943Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2833Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.538Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.394Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.765Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4014Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.914Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence Limit0.213Same as national
SSI - Colon Surgery: Upper Confidence Limit4.198Same as national
SSI - Colon Surgery: Number of Procedures60Same as national
SSI - Colon Surgery: Predicted Cases1.574Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.271Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures52Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.465Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.138Same as national
MRSA Bacteremia: Upper Confidence Limit2.724Same as national
MRSA Bacteremia: Patient Days46145Same as national
MRSA Bacteremia: Predicted Cases2.426Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.824Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.134Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.688Better than national
Clostridium Difficile (C.Diff): Patient Days43191Better than national
Clostridium Difficile (C.Diff): Predicted Cases18.147Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.331Better 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 patients3.6Same as national83
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national1409
Death rate for heart attack patients12.8Same as national158
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7Same as national194
Death rate for heart failure patients10.4Same as national563
Death rate for pneumonia patients14.1Same as national486
Death rate for stroke patients13Same as national131
Pressure ulcer rate1.51Worse than national4367
Death rate among surgical inpatients with serious treatable complications159.06Same as national32
Iatrogenic pneumothorax rate0.17Same as national5900
In-hospital fall-associated fracture rate0.34Same as national5859
Postoperative hemorrhage or hematoma rate2.02Same as national633
Postoperative acute kidney injury requiring dialysis rate1.61Same as national157
Postoperative respiratory failure rate11.82Same as national164
Perioperative pulmonary embolism or deep vein thrombosis rate4.35Same as national647
Postoperative sepsis rate5.58Same as national149
Postoperative wound dehiscence rate2.01Same as national144
Abdominopelvic accidental puncture or laceration rate0.90Same as national776
CMS Medicare PSI 90: Patient safety and adverse events composite1.36Same 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 patients17.7Not available145
Hospital return days for heart failure patients12.8Not available665
Hospital return days for pneumonia patients24.5Not available527
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.1Same as national2359
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national2282
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national448
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national145
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.7Same as national221
Heart failure (HF) 30-Day Readmission Rate20.6Same as national665
Rate of readmission after hip/knee replacement6.5Same as national71
Pneumonia (PN) 30-Day Readmission Rate18.4Same as national527

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 rating4415
Doctor communication - star rating3415
Communication about medicines - star rating3415
Discharge information - star rating3415
Cleanliness - star rating2415
Quietness - star rating2415
Overall hospital rating - star rating3415
Recommend hospital - star rating3415
Summary star rating3415

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 Hypoglycemia11834
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination982015
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 better205387
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 better199347
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32438
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 seen137295
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99509
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing171456
Appropriate care for severe sepsis and septic shock50104
Septic Shock 3-Hour Bundle6436
Septic Shock 6-Hour Bundle6319
Severe Sepsis 3-Hour Bundle73104
Severe Sepsis 6-Hour Bundle9452
Discharged on Antithrombotic Therapy95103
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295105
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 Melrosewakefield Healthcare rated?
Melrosewakefield Healthcare has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Melrosewakefield Healthcare have emergency services?
Yes. Melrosewakefield Healthcare operates a 24/7 emergency department.
Where is Melrosewakefield Healthcare located?
Melrosewakefield Healthcare is located at 585 Lebanon Street, Melrose, MA 02176.
What type of hospital is Melrosewakefield Healthcare?
Melrosewakefield Healthcare 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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