JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Memorial Hermann Northeast Hospital

3 / 5

At a glance

Memorial Hermann Northeast 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 6.

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 Limit0.205Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.556Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7987Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.202Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.645Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.445Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.011Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8345Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.887Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.016Same as national
SSI - Colon Surgery: Lower Confidence Limit0.013Same as national
SSI - Colon Surgery: Upper Confidence Limit1.270Same as national
SSI - Colon Surgery: Number of Procedures140Same as national
SSI - Colon Surgery: Predicted Cases3.883Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.258Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit1.079Worse than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit6.527Worse than national
SSI - Abdominal Hysterectomy: Number of Procedures182Worse than national
SSI - Abdominal Hysterectomy: Predicted Cases1.698Worse than national
SSI - Abdominal Hysterectomy: Observed Cases5Worse than national
SSI - Abdominal Hysterectomy2.945Worse than national
MRSA Bacteremia: Lower Confidence Limit0.192Same as national
MRSA Bacteremia: Upper Confidence Limit2.058Same as national
MRSA Bacteremia: Patient Days81938Same as national
MRSA Bacteremia: Predicted Cases3.968Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.756Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.221Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.663Better than national
Clostridium Difficile (C.Diff): Patient Days77580Better than national
Clostridium Difficile (C.Diff): Predicted Cases32.711Better than national
Clostridium Difficile (C.Diff): Observed Cases13Better than national
Clostridium Difficile (C.Diff)0.397Better 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 Rate3.8Same as national852
Death rate for heart attack patients13.5Same as national98
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.7Same as national91
Death rate for heart failure patients11.2Same as national348
Death rate for pneumonia patients15.5Same as national375
Death rate for stroke patients11.6Same as national113
Pressure ulcer rate0.81Same as national3569
Death rate among surgical inpatients with serious treatable complications153.49Same as national54
Iatrogenic pneumothorax rate0.17Same as national4013
In-hospital fall-associated fracture rate0.35Same as national4212
Postoperative hemorrhage or hematoma rate2.20Same as national687
Postoperative acute kidney injury requiring dialysis rate1.64Same as national58
Postoperative respiratory failure rate10.93Same as national64
Perioperative pulmonary embolism or deep vein thrombosis rate3.82Same as national684
Postoperative sepsis rate5.81Same as national59
Postoperative wound dehiscence rate1.67Same as national199
Abdominopelvic accidental puncture or laceration rate0.88Same as national818
CMS Medicare PSI 90: Patient safety and adverse events composite1.12Same 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 patients-8.8Not available79
Hospital return days for heart failure patients30.3Not available408
Hospital return days for pneumonia patients29.7Not available389
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national1441
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national225
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 surgery1.2Same as national170
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national79
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national105
Heart failure (HF) 30-Day Readmission Rate19.8Same as national408
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national389

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 rating3533
Doctor communication - star rating3533
Communication about medicines - star rating2533
Discharge information - star rating3533
Cleanliness - star rating3533
Quietness - star rating3533
Overall hospital rating - star rating3533
Recommend hospital - star rating3533
Summary star rating3533

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 Hyperglycemia1032329
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination953432
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 better226418
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 better225394
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better33416
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 seen189109
Head CT results6523
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100111
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing91976
Appropriate care for severe sepsis and septic shock42153
Septic Shock 3-Hour Bundle4328
Septic Shock 6-Hour Bundle6411
Severe Sepsis 3-Hour Bundle69153
Severe Sepsis 6-Hour Bundle7579
Discharged on Antithrombotic Therapy93226
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis8810494
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 Memorial Hermann Northeast Hospital rated?
Memorial Hermann Northeast Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Memorial Hermann Northeast Hospital have emergency services?
Yes. Memorial Hermann Northeast Hospital operates a 24/7 emergency department.
Where is Memorial Hermann Northeast Hospital located?
Memorial Hermann Northeast Hospital is located at 18951 Memorial North, Humble, TX 77338.
What type of hospital is Memorial Hermann Northeast Hospital?
Memorial Hermann Northeast 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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