JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Montefiore New Rochelle Hospital

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At a glance

Montefiore New Rochelle Hospital carries a 1-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 Limit0.510Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit5.458Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1841Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.496Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)2.005Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.141Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.775Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3020Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.381Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.840Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures38Not available
SSI - Colon Surgery: Predicted Cases0.856Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures18Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.126Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.297Same as national
MRSA Bacteremia: Upper Confidence Limit5.858Same as national
MRSA Bacteremia: Patient Days27843Same as national
MRSA Bacteremia: Predicted Cases1.128Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.773Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.186Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.759Better than national
Clostridium Difficile (C.Diff): Patient Days26534Better than national
Clostridium Difficile (C.Diff): Predicted Cases20.022Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.400Better 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 patients2.4Same as national289
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national639
Death rate for heart attack patients13.5Same as national27
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.1Same as national68
Death rate for heart failure patients12.5Same as national163
Death rate for pneumonia patients21.1Worse than national208
Death rate for stroke patients11.7Same as national86
Pressure ulcer rate0.53Same as national2739
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.24Same as national3049
In-hospital fall-associated fracture rate0.24Same as national3134
Postoperative hemorrhage or hematoma rate2.18Same as national407
Postoperative acute kidney injury requiring dialysis rate1.66Same as national216
Postoperative respiratory failure rate8.54Same as national225
Perioperative pulmonary embolism or deep vein thrombosis rate2.95Same as national410
Postoperative sepsis rate5.88Same as national217
Postoperative wound dehiscence rate1.74Same as national51
Abdominopelvic accidental puncture or laceration rate0.99Same as national302
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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 patients12.6Not available172
Hospital return days for pneumonia patients49.7Not available189
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1000
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.4Same as national696
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 surgery0.9Same as national141
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national71
Heart failure (HF) 30-Day Readmission Rate21.2Same as national172
Rate of readmission after hip/knee replacement4.7Same as national282
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national189

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 rating2433
Doctor communication - star rating3433
Communication about medicines - star rating1433
Discharge information - star rating2433
Cleanliness - star rating3433
Quietness - star rating2433
Overall hospital rating - star rating2433
Recommend hospital - star rating2433
Summary star rating2433

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination691052
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 better184426
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 better179399
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27918
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 seen138845
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients73378
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing19885
Appropriate care for severe sepsis and septic shock50106
Septic Shock 3-Hour Bundle4635
Septic Shock 6-Hour Bundle9111
Severe Sepsis 3-Hour Bundle75110
Severe Sepsis 6-Hour Bundle8848
Discharged on Antithrombotic Therapy9858
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29557
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 Montefiore New Rochelle Hospital rated?
Montefiore New Rochelle Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Montefiore New Rochelle Hospital have emergency services?
Yes. Montefiore New Rochelle Hospital operates a 24/7 emergency department.
Where is Montefiore New Rochelle Hospital located?
Montefiore New Rochelle Hospital is located at 16 Guion Place, New Rochelle, NY 10802.
What type of hospital is Montefiore New Rochelle Hospital?
Montefiore New Rochelle 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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