JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mount Auburn Hospital

4 / 5

At a glance

Mount Auburn Hospital carries a 4-star CMS overall rating — above the national norm.

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 Limit0.113Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.228Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3242Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.966Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.674Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.186Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.986Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3256Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.111Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.730Same as national
SSI - Colon Surgery: Lower Confidence Limit0.020Same as national
SSI - Colon Surgery: Upper Confidence Limit1.970Same as national
SSI - Colon Surgery: Number of Procedures103Same as national
SSI - Colon Surgery: Predicted Cases2.503Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.400Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures20Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.177Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.404Same as national
MRSA Bacteremia: Patient Days51205Same as national
MRSA Bacteremia: Predicted Cases2.133Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.432Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.243Same as national
Clostridium Difficile (C.Diff): Patient Days43074Same as national
Clostridium Difficile (C.Diff): Predicted Cases18.442Same as national
Clostridium Difficile (C.Diff): Observed Cases14Same as national
Clostridium Difficile (C.Diff)0.759Same as 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 patients3.4Same as national179
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national1463
Death rate for heart attack patients11.2Same as national199
Death rate for CABG surgery patients1.8Same as national87
Death rate for COPD patients6.8Same as national92
Death rate for heart failure patients9.5Same as national467
Death rate for pneumonia patients12.1Better than national463
Death rate for stroke patients10.3Same as national171
Pressure ulcer rate0.18Same as national5084
Death rate among surgical inpatients with serious treatable complications186.93Same as national45
Iatrogenic pneumothorax rate0.32Same as national5943
In-hospital fall-associated fracture rate0.26Same as national5901
Postoperative hemorrhage or hematoma rate2.15Same as national1055
Postoperative acute kidney injury requiring dialysis rate1.45Same as national524
Postoperative respiratory failure rate12.31Same as national524
Perioperative pulmonary embolism or deep vein thrombosis rate3.88Same as national1095
Postoperative sepsis rate8.59Same as national509
Postoperative wound dehiscence rate2.02Same as national209
Abdominopelvic accidental puncture or laceration rate1.13Same as national856
CMS Medicare PSI 90: Patient safety and adverse events composite1.09Same 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 patients4.2Not available208
Hospital return days for heart failure patients9.8Not available514
Hospital return days for pneumonia patients36.8Not available477
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national2340
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national2246
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.8Same as national124
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national124
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national624
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national208
Rate of readmission for CABG9.9Same as national85
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.8Same as national117
Heart failure (HF) 30-Day Readmission Rate19.1Same as national514
Rate of readmission after hip/knee replacement3.4Same as national185
Pneumonia (PN) 30-Day Readmission Rate17.6Same as national477

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 rating31495
Doctor communication - star rating31495
Communication about medicines - star rating31495
Discharge information - star rating41495
Cleanliness - star rating31495
Quietness - star rating31495
Overall hospital rating - star rating31495
Recommend hospital - star rating41495
Summary star rating31495

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 vaccination982402
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 better210401
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 better212371
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14826
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 seen234337
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99100
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing171742
Appropriate care for severe sepsis and septic shock40115
Septic Shock 3-Hour Bundle5137
Septic Shock 6-Hour Bundle7617
Severe Sepsis 3-Hour Bundle66116
Severe Sepsis 6-Hour Bundle9153
Discharged on Antithrombotic Therapy98128
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29798
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis95747

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 Mount Auburn Hospital rated?
Mount Auburn Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mount Auburn Hospital have emergency services?
Yes. Mount Auburn Hospital operates a 24/7 emergency department.
Where is Mount Auburn Hospital located?
Mount Auburn Hospital is located at 330 Mount Auburn Street, Cambridge, MA 02138.
What type of hospital is Mount Auburn Hospital?
Mount Auburn 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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