Acute Care Hospitals · Voluntary non-profit - Private
Montefiore Medical Center
- 111 East 210th Street, Bronx, NY 10467
- (718) 920-4321
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Montefiore 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 12 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.458 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.882 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 52940 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 55.884 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 36 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.644 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.532 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.055 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 31427 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 43.436 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 33 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.760 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.894 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.400 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 403 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 10.597 | Same as national |
| SSI - Colon Surgery: Observed Cases | 16 | Same as national |
| SSI - Colon Surgery | 1.510 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.140 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 2.759 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 263 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 2.395 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 2 | Same as national |
| SSI - Abdominal Hysterectomy | 0.835 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.619 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.270 | Same as national |
| MRSA Bacteremia: Patient Days | 471476 | Same as national |
| MRSA Bacteremia: Predicted Cases | 33.303 | Same as national |
| MRSA Bacteremia: Observed Cases | 30 | Same as national |
| MRSA Bacteremia | 0.901 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.246 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.381 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 452615 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 259.844 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 80 | Better than national |
| Clostridium Difficile (C.Diff) | 0.308 | 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 | 3.5 | Same as national | 347 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.6 | Better than national | 3390 |
| Death rate for heart attack patients | 9.6 | Better than national | 275 |
| Death rate for CABG surgery patients | 2.8 | Same as national | 79 |
| Death rate for COPD patients | 5.8 | Better than national | 230 |
| Death rate for heart failure patients | 5.8 | Better than national | 754 |
| Death rate for pneumonia patients | 10.8 | Better than national | 862 |
| Death rate for stroke patients | 11.9 | Same as national | 463 |
| Pressure ulcer rate | 0.95 | Worse than national | 17685 |
| Death rate among surgical inpatients with serious treatable complications | 173.71 | Same as national | 293 |
| Iatrogenic pneumothorax rate | 0.10 | Same as national | 18946 |
| In-hospital fall-associated fracture rate | 0.21 | Same as national | 20155 |
| Postoperative hemorrhage or hematoma rate | 2.47 | Same as national | 3435 |
| Postoperative acute kidney injury requiring dialysis rate | 1.42 | Same as national | 1159 |
| Postoperative respiratory failure rate | 10.77 | Same as national | 1120 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 5.96 | Worse than national | 3522 |
| Postoperative sepsis rate | 6.47 | Same as national | 1192 |
| Postoperative wound dehiscence rate | 1.92 | Same as national | 744 |
| Abdominopelvic accidental puncture or laceration rate | 0.70 | Same as national | 3839 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.23 | Worse than 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 | 21.4 | Not available | 316 |
| Hospital return days for heart failure patients | -17.3 | Not available | 902 |
| Hospital return days for pneumonia patients | 11.5 | Not available | 854 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.5 | Same as national | 5658 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.3 | Same as national | 803 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 13.2 | Same as national | 356 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.1 | Same as national | 356 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.8 | Same as national | 627 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.7 | Same as national | 316 |
| Rate of readmission for CABG | 11.5 | Same as national | 76 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 21 | Worse than national | 273 |
| Heart failure (HF) 30-Day Readmission Rate | 18.4 | Same as national | 902 |
| Rate of readmission after hip/knee replacement | 4.7 | Same as national | 383 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.4 | Same as national | 854 |
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 | 2 | 4834 |
| Doctor communication - star rating | 3 | 4834 |
| Communication about medicines - star rating | 2 | 4834 |
| Discharge information - star rating | 2 | 4834 |
| Cleanliness - star rating | 3 | 4834 |
| Quietness - star rating | 2 | 4834 |
| Overall hospital rating - star rating | 2 | 4834 |
| Recommend hospital - star rating | 3 | 4834 |
| Summary star rating | 2 | 4834 |
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 | very 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 Hyperglycemia | — | — |
| Hospital Harm - Severe Hypoglycemia | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 71 | 19957 |
| 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 | 201 | 424 |
| 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 | 200 | 405 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 612 | 18 |
| 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 | 305503 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 100 | 149 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 31 | 49 |
| Safe Use of Opioids - Concurrent Prescribing | 10 | 12721 |
| Appropriate care for severe sepsis and septic shock | 15 | 149 |
| Septic Shock 3-Hour Bundle | 61 | 23 |
| Septic Shock 6-Hour Bundle | 42 | 12 |
| Severe Sepsis 3-Hour Bundle | 36 | 149 |
| Severe Sepsis 6-Hour Bundle | 65 | 43 |
| Discharged on Antithrombotic Therapy | 99 | 1115 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | 77 | 274 |
| Antithrombotic Therapy by End of Hospital Day 2 | 92 | 1036 |
| 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.
| 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 Montefiore Medical Center rated?
- Montefiore Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Montefiore Medical Center have emergency services?
- Yes. Montefiore Medical Center operates a 24/7 emergency department.
- Where is Montefiore Medical Center located?
- Montefiore Medical Center is located at 111 East 210th Street, Bronx, NY 10467.
- What type of hospital is Montefiore Medical Center?
- Montefiore Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
Compare with nearby hospitals
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.