JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Niagara Falls Memorial Medical Center

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At a glance

Niagara Falls Memorial Medical Center carries a 1-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 Limit0.965Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit5.839Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2032Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.898Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)2.634Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.942Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3127Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.180Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures30Not available
SSI - Colon Surgery: Predicted Cases0.862Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures2Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.017Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.565Same as national
MRSA Bacteremia: Patient Days27440Same as national
MRSA Bacteremia: Predicted Cases1.168Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.096Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.726Better than national
Clostridium Difficile (C.Diff): Patient Days26885Better than national
Clostridium Difficile (C.Diff): Predicted Cases13.293Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.301Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.8Same as national196
Death rate for heart attack patients12.3Same as national43
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.1Same as national38
Death rate for heart failure patients17.6Worse than national52
Death rate for pneumonia patients17.1Same as national43
Death rate for stroke patientsNot available
Pressure ulcer rate1.61Same as national875
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national995
In-hospital fall-associated fracture rate0.26Same as national1015
Postoperative hemorrhage or hematoma rate2.56Same as national165
Postoperative acute kidney injury requiring dialysis rate1.65Same as national42
Postoperative respiratory failure rate8.56Same as national44
Perioperative pulmonary embolism or deep vein thrombosis rate3.33Same as national168
Postoperative sepsis rate5.06Same as national41
Postoperative wound dehiscence rate1.73Same as national49
Abdominopelvic accidental puncture or laceration rate1.02Same as national138
CMS Medicare PSI 90: Patient safety and adverse events composite1.24Same 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 patients37.8Not available54
Hospital return days for pneumonia patients-17.8Not available43
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national290
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national117
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.5Same as national34
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.1Same as national34
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national45
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.5Same as national41
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national41
Heart failure (HF) 30-Day Readmission Rate20.5Same as national54
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national43

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 rating2320
Doctor communication - star rating2320
Communication about medicines - star rating2320
Discharge information - star rating3320
Cleanliness - star rating1320
Quietness - star rating2320
Overall hospital rating - star rating1320
Recommend hospital - star rating2320
Summary star rating2320

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 vaccination571478
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 better250371
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 better236315
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better55236
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better47929
Left before being seen326228
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97150
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing11701
Appropriate care for severe sepsis and septic shock4544
Septic Shock 3-Hour Bundle7520
Septic Shock 6-Hour Bundle6414
Severe Sepsis 3-Hour Bundle7544
Severe Sepsis 6-Hour Bundle8723
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis711535
Intensive Care Unit Venous Thromboembolism Prophylaxis88347

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 Niagara Falls Memorial Medical Center rated?
Niagara Falls Memorial Medical Center has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Niagara Falls Memorial Medical Center have emergency services?
Yes. Niagara Falls Memorial Medical Center operates a 24/7 emergency department.
Where is Niagara Falls Memorial Medical Center located?
Niagara Falls Memorial Medical Center is located at 621 Tenth Street, Niagara Falls, NY 14302.
What type of hospital is Niagara Falls Memorial Medical Center?
Niagara Falls Memorial Medical Center 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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