JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

North Memorial Health Hospital

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At a glance

North Memorial Health Hospital 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 Limit0.105Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.634Better than national
Central Line Associated Bloodstream Infection: Number of Device Days16876Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases17.488Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.286Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.755Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.687Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days16395Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases20.849Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases24Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.151Same as national
SSI - Colon Surgery: Lower Confidence Limit0.514Same as national
SSI - Colon Surgery: Upper Confidence Limit2.326Same as national
SSI - Colon Surgery: Number of Procedures217Same as national
SSI - Colon Surgery: Predicted Cases5.954Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery1.176Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures3Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.018Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.394Same as national
MRSA Bacteremia: Upper Confidence Limit1.783Same as national
MRSA Bacteremia: Patient Days92590Same as national
MRSA Bacteremia: Predicted Cases7.764Same as national
MRSA Bacteremia: Observed Cases7Same as national
MRSA Bacteremia0.902Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.088Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.359Better than national
Clostridium Difficile (C.Diff): Patient Days92173Better than national
Clostridium Difficile (C.Diff): Predicted Cases42.274Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.189Better 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 Rate4Same as national1312
Death rate for heart attack patients12.8Same as national163
Death rate for CABG surgery patients4.2Same as national53
Death rate for COPD patients10.8Same as national85
Death rate for heart failure patients9.6Same as national326
Death rate for pneumonia patients16.1Same as national291
Death rate for stroke patients15.1Same as national249
Pressure ulcer rate0.96Same as national5457
Death rate among surgical inpatients with serious treatable complications219.61Same as national109
Iatrogenic pneumothorax rate0.23Same as national6614
In-hospital fall-associated fracture rate0.35Same as national6609
Postoperative hemorrhage or hematoma rate2.19Same as national1550
Postoperative acute kidney injury requiring dialysis rate1.32Same as national612
Postoperative respiratory failure rate9.45Same as national584
Perioperative pulmonary embolism or deep vein thrombosis rate3.99Same as national1679
Postoperative sepsis rate6.93Same as national585
Postoperative wound dehiscence rate1.84Same as national345
Abdominopelvic accidental puncture or laceration rate1.23Same as national1181
CMS Medicare PSI 90: Patient safety and adverse events composite1.18Same 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 patients14Not available160
Hospital return days for heart failure patients17.8Not available385
Hospital return days for pneumonia patients1.5Not available288
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.8Same as national2284
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.9Same as national303
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.5Same as national138
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national138
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national252
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15Same as national160
Rate of readmission for CABG10Same as national48
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.4Same as national96
Heart failure (HF) 30-Day Readmission Rate22.5Same as national385
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.1Same as national288

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 rating3712
Doctor communication - star rating3712
Communication about medicines - star rating2712
Discharge information - star rating3712
Cleanliness - star rating3712
Quietness - star rating3712
Overall hospital rating - star rating3712
Recommend hospital - star rating3712
Summary star rating3712

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 vaccination735362
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 better205436
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 better199399
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better41636
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 seen661102
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9094
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing152799
Appropriate care for severe sepsis and septic shock32148
Septic Shock 3-Hour Bundle7540
Septic Shock 6-Hour Bundle7023
Severe Sepsis 3-Hour Bundle50148
Severe Sepsis 6-Hour Bundle8046
Discharged on Antithrombotic Therapy98423
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis907033
Intensive Care Unit Venous Thromboembolism Prophylaxis961639

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 North Memorial Health Hospital rated?
North Memorial Health Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does North Memorial Health Hospital have emergency services?
Yes. North Memorial Health Hospital operates a 24/7 emergency department.
Where is North Memorial Health Hospital located?
North Memorial Health Hospital is located at 3300 Oakdale North, Robbinsdale, MN 55422.
What type of hospital is North Memorial Health Hospital?
North Memorial Health 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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