JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Menorah Medical Center

3 / 5

At a glance

Menorah Medical Center 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. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.314Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.898Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7323Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.838Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.856Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.011Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.037Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5922Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.755Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.210Same as national
SSI - Colon Surgery: Lower Confidence Limit0.104Same as national
SSI - Colon Surgery: Upper Confidence Limit1.114Same as national
SSI - Colon Surgery: Number of Procedures290Same as national
SSI - Colon Surgery: Predicted Cases7.331Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.409Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures58Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.371Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.196Same as national
MRSA Bacteremia: Upper Confidence Limit3.857Same as national
MRSA Bacteremia: Patient Days36749Same as national
MRSA Bacteremia: Predicted Cases1.713Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.168Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.063Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.380Better than national
Clostridium Difficile (C.Diff): Patient Days34628Better than national
Clostridium Difficile (C.Diff): Predicted Cases29.128Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.172Better 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 patients3.1Same as national585
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national1384
Death rate for heart attack patients11.3Same as national48
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.4Same as national29
Death rate for heart failure patients8.8Same as national164
Death rate for pneumonia patients14.1Same as national280
Death rate for stroke patients13.2Same as national117
Pressure ulcer rate0.34Same as national4421
Death rate among surgical inpatients with serious treatable complications163.55Same as national69
Iatrogenic pneumothorax rate0.26Same as national5633
In-hospital fall-associated fracture rate0.28Same as national5627
Postoperative hemorrhage or hematoma rate1.56Same as national2067
Postoperative acute kidney injury requiring dialysis rate1.27Same as national1401
Postoperative respiratory failure rate14.88Same as national1486
Perioperative pulmonary embolism or deep vein thrombosis rate2.24Same as national2132
Postoperative sepsis rate3.53Same as national1309
Postoperative wound dehiscence rate1.81Same as national607
Abdominopelvic accidental puncture or laceration rate0.66Same as national1460
CMS Medicare PSI 90: Patient safety and adverse events composite0.91Same 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 patients-18.2Not available190
Hospital return days for pneumonia patients-9.9Not available293
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national2333
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national416
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.3Same as national111
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.1Same as national111
Ratio of unplanned hospital visits after hospital outpatient surgery1.8Worse than national369
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.8Same as national47
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national34
Heart failure (HF) 30-Day Readmission Rate20.4Same as national190
Rate of readmission after hip/knee replacement5.9Same as national577
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national293

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 rating3688
Doctor communication - star rating3688
Communication about medicines - star rating2688
Discharge information - star rating3688
Cleanliness - star rating3688
Quietness - star rating3688
Overall hospital rating - star rating3688
Recommend hospital - star rating4688
Summary star rating3688

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 volumelow
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 vaccination581946
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 better154424
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 better154408
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better62613
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 seen016728
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9675
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing253569
Appropriate care for severe sepsis and septic shock6896
Septic Shock 3-Hour Bundle4624
Septic Shock 6-Hour Bundle5511
Severe Sepsis 3-Hour Bundle9196
Severe Sepsis 6-Hour Bundle9760
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 28365
Venous Thromboembolism Prophylaxis974486
Intensive Care Unit Venous Thromboembolism Prophylaxis99521

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 MeasureNo

Frequently asked questions

How is Menorah Medical Center rated?
Menorah Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Menorah Medical Center have emergency services?
Yes. Menorah Medical Center operates a 24/7 emergency department.
Where is Menorah Medical Center located?
Menorah Medical Center is located at 5721 West 119th Street, Overland Park, KS 66209.
What type of hospital is Menorah Medical Center?
Menorah Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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