JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Mount Sinai South Nassau

3 / 5

At a glance

Mount Sinai South Nassau 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 3.

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 Limit0.659Better than national
Central Line Associated Bloodstream Infection: Number of Device Days4356Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.547Better 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 Limit0.103Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.103Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5972Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.405Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.405Same as national
SSI - Colon Surgery: Lower Confidence Limit0.067Same as national
SSI - Colon Surgery: Upper Confidence Limit1.317Same as national
SSI - Colon Surgery: Number of Procedures202Same as national
SSI - Colon Surgery: Predicted Cases5.017Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.399Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.241Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.750Same as national
SSI - Abdominal Hysterectomy: Number of Procedures187Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.391Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.438Same as national
MRSA Bacteremia: Lower Confidence Limit0.123Same as national
MRSA Bacteremia: Upper Confidence Limit1.321Same as national
MRSA Bacteremia: Patient Days92284Same as national
MRSA Bacteremia: Predicted Cases6.180Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.485Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.047Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.285Better than national
Clostridium Difficile (C.Diff): Patient Days85428Better than national
Clostridium Difficile (C.Diff): Predicted Cases38.876Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.129Better 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 patients4.1Same as national53
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Better than national2638
Death rate for heart attack patients10.8Same as national262
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.8Same as national223
Death rate for heart failure patients9.4Better than national643
Death rate for pneumonia patients14.1Better than national1269
Death rate for stroke patients11.8Same as national331
Pressure ulcer rate0.37Same as national9892
Death rate among surgical inpatients with serious treatable complications152.64Same as national80
Iatrogenic pneumothorax rate0.16Same as national10960
In-hospital fall-associated fracture rate0.27Same as national11077
Postoperative hemorrhage or hematoma rate2.12Same as national2062
Postoperative acute kidney injury requiring dialysis rate1.43Same as national520
Postoperative respiratory failure rate7.54Same as national498
Perioperative pulmonary embolism or deep vein thrombosis rate3.15Same as national2016
Postoperative sepsis rate5.50Same as national487
Postoperative wound dehiscence rate1.80Same as national471
Abdominopelvic accidental puncture or laceration rate1.32Same as national2214
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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 patients7.3Not available224
Hospital return days for heart failure patients8.9Not available679
Hospital return days for pneumonia patients61.6Not available1236
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Worse than national4373
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national1068
Rate of inpatient admissions for patients receiving outpatient chemotherapy14.6Worse than national186
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.1Same as national186
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national756
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national224
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national238
Heart failure (HF) 30-Day Readmission Rate18.7Same as national679
Rate of readmission after hip/knee replacement6Same as national39
Pneumonia (PN) 30-Day Readmission Rate19.1Worse than national1236

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 rating2799
Doctor communication - star rating3799
Communication about medicines - star rating2799
Discharge information - star rating2799
Cleanliness - star rating2799
Quietness - star rating2799
Overall hospital rating - star rating2799
Recommend hospital - star rating3799
Summary star rating2799

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 volumevery 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 vaccination645082
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 better228378
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 better221355
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better35223
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 seen273078
Head CT results8816
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99130
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing144015
Appropriate care for severe sepsis and septic shock83133
Septic Shock 3-Hour Bundle9236
Septic Shock 6-Hour Bundle10020
Severe Sepsis 3-Hour Bundle87133
Severe Sepsis 6-Hour Bundle9883
Discharged on Antithrombotic Therapy98276
Anticoagulation Therapy for Atrial Fibrillation/Flutter8348
Antithrombotic Therapy by End of Hospital Day 297257
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 Mount Sinai South Nassau rated?
Mount Sinai South Nassau has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Mount Sinai South Nassau have emergency services?
Yes. Mount Sinai South Nassau operates a 24/7 emergency department.
Where is Mount Sinai South Nassau located?
Mount Sinai South Nassau is located at One Healthy Way, Oceanside, NY 11572.
What type of hospital is Mount Sinai South Nassau?
Mount Sinai South Nassau 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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