JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

North Shore Medical Center

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At a glance

North Shore 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. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.829Better than national
Central Line Associated Bloodstream Infection: Number of Device Days4594Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.615Better 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 Limit0.150Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.605Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5777Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.088Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.590Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures4Not available
SSI - Colon Surgery: Predicted Cases0.045Not 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 Procedures14Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.112Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.508Same as national
MRSA Bacteremia: Upper Confidence Limit5.436Same as national
MRSA Bacteremia: Patient Days33481Same as national
MRSA Bacteremia: Predicted Cases1.502Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.997Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.002Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.173Better than national
Clostridium Difficile (C.Diff): Patient Days52218Better than national
Clostridium Difficile (C.Diff): Predicted Cases28.448Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.035Better 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 patients3.8Same as national39
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national452
Death rate for heart attack patients11.5Same as national58
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.9Same as national64
Death rate for heart failure patients9.7Same as national112
Death rate for pneumonia patients16.8Same as national202
Death rate for stroke patients13.3Same as national94
Pressure ulcer rate0.38Same as national3066
Death rate among surgical inpatients with serious treatable complications161.01Same as national29
Iatrogenic pneumothorax rate0.18Same as national3761
In-hospital fall-associated fracture rate0.27Same as national3876
Postoperative hemorrhage or hematoma rate2.36Same as national458
Postoperative acute kidney injury requiring dialysis rate1.64Same as national125
Postoperative respiratory failure rate8.28Same as national125
Perioperative pulmonary embolism or deep vein thrombosis rate3.70Same as national436
Postoperative sepsis rate5.01Same as national123
Postoperative wound dehiscence rate1.74Same as national82
Abdominopelvic accidental puncture or laceration rate0.98Same as national456
CMS Medicare PSI 90: Patient safety and adverse events composite0.89Same 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 patients68.1Not available137
Hospital return days for pneumonia patients25.6Not available204
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)17.5Worse than national816
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national40
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national48
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national71
Heart failure (HF) 30-Day Readmission Rate21.7Same as national137
Rate of readmission after hip/knee replacement4.3Same as national35
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national204

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 rating1450
Doctor communication - star rating2450
Communication about medicines - star rating1450
Discharge information - star rating1450
Cleanliness - star rating2450
Quietness - star rating2450
Overall hospital rating - star rating1450
Recommend hospital - star rating1450
Summary star rating1450

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 volumehigh
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 Hyperglycemia1518792
Hospital Harm - Severe Hypoglycemia43160
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination561992
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 better178386
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 better176365
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23819
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 seen254329
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7528
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing13936
Appropriate care for severe sepsis and septic shock46178
Septic Shock 3-Hour Bundle7156
Septic Shock 6-Hour Bundle8437
Severe Sepsis 3-Hour Bundle71178
Severe Sepsis 6-Hour Bundle8091
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 286295
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is North Shore Medical Center rated?
North Shore Medical Center has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does North Shore Medical Center have emergency services?
Yes. North Shore Medical Center operates a 24/7 emergency department.
Where is North Shore Medical Center located?
North Shore Medical Center is located at 1100 Nw 95th St, Miami, FL 33150.
What type of hospital is North Shore Medical Center?
North Shore Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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