JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

North Shore University Hospital

5 / 5

At a glance

North Shore University Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 30 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure 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 Limit0.246Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.863Better than national
Central Line Associated Bloodstream Infection: Number of Device Days19041Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases20.657Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases10Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.484Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.268Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.803Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days19159Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases27.003Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases13Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.481Better than national
SSI - Colon Surgery: Lower Confidence Limit0.179Better than national
SSI - Colon Surgery: Upper Confidence Limit0.920Better than national
SSI - Colon Surgery: Number of Procedures520Better than national
SSI - Colon Surgery: Predicted Cases13.563Better than national
SSI - Colon Surgery: Observed Cases6Better than national
SSI - Colon Surgery0.442Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures100Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.740Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.271Better than national
MRSA Bacteremia: Upper Confidence Limit0.780Better than national
MRSA Bacteremia: Patient Days299339Better than national
MRSA Bacteremia: Predicted Cases29.390Better than national
MRSA Bacteremia: Observed Cases14Better than national
MRSA Bacteremia0.476Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.235Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.387Better than national
Clostridium Difficile (C.Diff): Patient Days283298Better than national
Clostridium Difficile (C.Diff): Predicted Cases203.809Better than national
Clostridium Difficile (C.Diff): Observed Cases62Better than national
Clostridium Difficile (C.Diff)0.304Better 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 patients2.6Same as national961
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2.8Better than national5933
Death rate for heart attack patients10.5Same as national339
Death rate for CABG surgery patients1.1Better than national252
Death rate for COPD patients6.8Same as national263
Death rate for heart failure patients8.6Better than national1333
Death rate for pneumonia patients11.9Better than national1444
Death rate for stroke patients10.7Better than national505
Pressure ulcer rate0.68Same as national23117
Death rate among surgical inpatients with serious treatable complications191.81Same as national232
Iatrogenic pneumothorax rate0.14Same as national25565
In-hospital fall-associated fracture rate0.27Same as national26025
Postoperative hemorrhage or hematoma rate3.10Same as national6270
Postoperative acute kidney injury requiring dialysis rate1.07Same as national2678
Postoperative respiratory failure rate8.70Same as national2853
Perioperative pulmonary embolism or deep vein thrombosis rate4.20Same as national6604
Postoperative sepsis rate3.60Same as national2678
Postoperative wound dehiscence rate1.51Same as national1209
Abdominopelvic accidental puncture or laceration rate1.03Same as national4745
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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 patients12Not available453
Hospital return days for heart failure patients35.5Not available1512
Hospital return days for pneumonia patients14.6Not available1413
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Worse than national10138
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national883
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.7Same as national238
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national238
Ratio of unplanned hospital visits after hospital outpatient surgery0.7Better than national1342
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national453
Rate of readmission for CABG9.4Same as national250
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20Same as national273
Heart failure (HF) 30-Day Readmission Rate21.2Same as national1512
Rate of readmission after hip/knee replacement3.9Same as national954
Pneumonia (PN) 30-Day Readmission Rate16Same as national1413

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 rating3665
Doctor communication - star rating3665
Communication about medicines - star rating2665
Discharge information - star rating3665
Cleanliness - star rating3665
Quietness - star rating2665
Overall hospital rating - star rating3665
Recommend hospital - star rating4665
Summary star rating3665

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 Hypoglycemia112254
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination6810977
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 better250396
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 better251383
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
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 seen396460
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients94251
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing1810951
Appropriate care for severe sepsis and septic shock65131
Septic Shock 3-Hour Bundle5441
Septic Shock 6-Hour Bundle10018
Severe Sepsis 3-Hour Bundle87131
Severe Sepsis 6-Hour Bundle9092
Discharged on Antithrombotic Therapy100505
Anticoagulation Therapy for Atrial Fibrillation/Flutter9865
Antithrombotic Therapy by End of Hospital Day 2
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 North Shore University Hospital rated?
North Shore University Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does North Shore University Hospital have emergency services?
Yes. North Shore University Hospital operates a 24/7 emergency department.
Where is North Shore University Hospital located?
North Shore University Hospital is located at 300 Community Drive, Manhasset, NY 11030.
What type of hospital is North Shore University Hospital?
North Shore University 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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