JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Mount Sinai West

4 / 5

At a glance

Mount Sinai West carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 6.

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 Limit0.284Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.070Same as national
Central Line Associated Bloodstream Infection: Number of Device Days14641Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases15.437Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases9Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.583Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.076Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.343Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days28499Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases40.364Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases7Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.173Better than national
SSI - Colon Surgery: Lower Confidence Limit0.009Better than national
SSI - Colon Surgery: Upper Confidence Limit0.848Better than national
SSI - Colon Surgery: Number of Procedures216Better than national
SSI - Colon Surgery: Predicted Cases5.818Better than national
SSI - Colon Surgery: Observed Cases1Better than national
SSI - Colon Surgery0.172Better than national
SSI - Abdominal Hysterectomy: Lower Confidence Limit1.261Worse than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit7.627Worse than national
SSI - Abdominal Hysterectomy: Number of Procedures172Worse than national
SSI - Abdominal Hysterectomy: Predicted Cases1.453Worse than national
SSI - Abdominal Hysterectomy: Observed Cases5Worse than national
SSI - Abdominal Hysterectomy3.441Worse than national
MRSA Bacteremia: Lower Confidence Limit0.368Same as national
MRSA Bacteremia: Upper Confidence Limit1.215Same as national
MRSA Bacteremia: Patient Days204056Same as national
MRSA Bacteremia: Predicted Cases15.731Same as national
MRSA Bacteremia: Observed Cases11Same as national
MRSA Bacteremia0.699Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.077Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.221Better than national
Clostridium Difficile (C.Diff): Patient Days186199Better than national
Clostridium Difficile (C.Diff): Predicted Cases103.713Better than national
Clostridium Difficile (C.Diff): Observed Cases14Better than national
Clostridium Difficile (C.Diff)0.135Better 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 patients3Same as national415
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.2Better than national2416
Death rate for heart attack patients10.2Same as national102
Death rate for CABG surgery patients2.5Same as national116
Death rate for COPD patients7.6Same as national97
Death rate for heart failure patients6.4Better than national413
Death rate for pneumonia patients11.9Better than national495
Death rate for stroke patients10.8Same as national271
Pressure ulcer rate0.41Same as national9507
Death rate among surgical inpatients with serious treatable complications161.16Same as national127
Iatrogenic pneumothorax rate0.14Same as national11583
In-hospital fall-associated fracture rate0.22Same as national11501
Postoperative hemorrhage or hematoma rate1.78Same as national3054
Postoperative acute kidney injury requiring dialysis rate1.80Same as national1414
Postoperative respiratory failure rate10.12Same as national1380
Perioperative pulmonary embolism or deep vein thrombosis rate2.16Same as national3186
Postoperative sepsis rate6.93Same as national1410
Postoperative wound dehiscence rate1.55Same as national387
Abdominopelvic accidental puncture or laceration rate0.69Same as national1716
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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 patients23.3Not available109
Hospital return days for heart failure patients23Not available484
Hospital return days for pneumonia patients16.7Not available499
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national4030
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national1088
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.7Same as national99
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national99
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national868
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national109
Rate of readmission for CABG8.4Same as national114
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20Same as national117
Heart failure (HF) 30-Day Readmission Rate21.4Same as national484
Rate of readmission after hip/knee replacement6.1Same as national412
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national499

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 rating2410
Doctor communication - star rating3410
Communication about medicines - star rating1410
Discharge information - star rating3410
Cleanliness - star rating3410
Quietness - star rating2410
Overall hospital rating - star rating2410
Recommend hospital - star rating3410
Summary star rating2410

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 vaccination8414705
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 better280399
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 better278367
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better35732
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 seen2137377
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients89102
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing117669
Appropriate care for severe sepsis and septic shock61130
Septic Shock 3-Hour Bundle6141
Septic Shock 6-Hour Bundle10023
Severe Sepsis 3-Hour Bundle81131
Severe Sepsis 6-Hour Bundle9070
Discharged on Antithrombotic Therapy96393
Anticoagulation Therapy for Atrial Fibrillation/Flutter7991
Antithrombotic Therapy by End of Hospital Day 291383
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 West rated?
Mount Sinai West has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Mount Sinai West have emergency services?
Yes. Mount Sinai West operates a 24/7 emergency department.
Where is Mount Sinai West located?
Mount Sinai West is located at 1000 Tenth Avenue, New York, NY 10019.
What type of hospital is Mount Sinai West?
Mount Sinai West is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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