JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Montefiore St Luke's Cornwall

2 / 5

At a glance

Montefiore St Luke's Cornwall carries a 2-star CMS overall rating — below 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.781Better than national
Central Line Associated Bloodstream Infection: Number of Device Days4866Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.838Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.207Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.215Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4742Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.686Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.814Same as national
SSI - Colon Surgery: Lower Confidence Limit0.041Same as national
SSI - Colon Surgery: Upper Confidence Limit4.016Same as national
SSI - Colon Surgery: Number of Procedures40Same as national
SSI - Colon Surgery: Predicted Cases1.228Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.814Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures13Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.106Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.414Same as national
MRSA Bacteremia: Upper Confidence Limit4.430Same as national
MRSA Bacteremia: Patient Days49182Same as national
MRSA Bacteremia: Predicted Cases1.843Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.628Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.158Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.594Better than national
Clostridium Difficile (C.Diff): Patient Days44632Better than national
Clostridium Difficile (C.Diff): Predicted Cases27.804Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.324Better 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 national40
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national1016
Death rate for heart attack patients11Same as national160
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.1Same as national139
Death rate for heart failure patients10.8Same as national375
Death rate for pneumonia patients17.9Same as national375
Death rate for stroke patients13.4Same as national149
Pressure ulcer rate0.71Same as national4105
Death rate among surgical inpatients with serious treatable complications200.69Same as national48
Iatrogenic pneumothorax rate0.23Same as national4903
In-hospital fall-associated fracture rate0.31Same as national4901
Postoperative hemorrhage or hematoma rate2.65Same as national577
Postoperative acute kidney injury requiring dialysis rate1.60Same as national124
Postoperative respiratory failure rate9.41Same as national139
Perioperative pulmonary embolism or deep vein thrombosis rate4.67Same as national608
Postoperative sepsis rate5.58Same as national132
Postoperative wound dehiscence rate1.65Same as national136
Abdominopelvic accidental puncture or laceration rate1.47Same as national688
CMS Medicare PSI 90: Patient safety and adverse events composite1.10Same 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 patients16.3Not available125
Hospital return days for heart failure patients10.1Not available407
Hospital return days for pneumonia patients24.4Not available374
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national1654
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national121
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 national317
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national125
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national157
Heart failure (HF) 30-Day Readmission Rate20.3Same as national407
Rate of readmission after hip/knee replacement5Same as national39
Pneumonia (PN) 30-Day Readmission Rate17.4Same as national374

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 rating31143
Doctor communication - star rating31143
Communication about medicines - star rating21143
Discharge information - star rating31143
Cleanliness - star rating41143
Quietness - star rating21143
Overall hospital rating - star rating21143
Recommend hospital - star rating21143
Summary star rating31143

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 volumehigh
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 vaccination562218
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 better197751
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 better192698
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better35939
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better43418
Left before being seen153811
Head CT results7311
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10044
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing101720
Appropriate care for severe sepsis and septic shock74247
Septic Shock 3-Hour Bundle9072
Septic Shock 6-Hour Bundle9454
Severe Sepsis 3-Hour Bundle82250
Severe Sepsis 6-Hour Bundle95151
Discharged on Antithrombotic Therapy98122
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis1004814
Intensive Care Unit Venous Thromboembolism Prophylaxis100773

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 St Luke's Cornwall rated?
Montefiore St Luke's Cornwall has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Montefiore St Luke's Cornwall have emergency services?
Yes. Montefiore St Luke's Cornwall operates a 24/7 emergency department.
Where is Montefiore St Luke's Cornwall located?
Montefiore St Luke's Cornwall is located at 70 Dubois Street, Newburgh, NY 12550.
What type of hospital is Montefiore St Luke's Cornwall?
Montefiore St Luke's Cornwall 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.

Report an issue with this page