JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Northern Dutchess Hospital

4 / 5

At a glance

Northern Dutchess Hospital carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.128Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1792Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.408Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.028Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.769Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2400Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.781Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.561Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures21Not available
SSI - Colon Surgery: Predicted Cases0.524Not 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 Procedures31Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.265Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.043Same as national
MRSA Bacteremia: Upper Confidence Limit4.215Same as national
MRSA Bacteremia: Patient Days24632Same as national
MRSA Bacteremia: Predicted Cases1.170Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.855Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.047Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.928Better than national
Clostridium Difficile (C.Diff): Patient Days22738Better than national
Clostridium Difficile (C.Diff): Predicted Cases7.122Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.281Better 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 patients4.1Same as national128
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national823
Death rate for heart attack patients12.6Same as national36
Death rate for CABG surgery patientsNot available
Death rate for COPD patients5.8Same as national92
Death rate for heart failure patients9.4Same as national234
Death rate for pneumonia patients12.6Better than national360
Death rate for stroke patients11.8Same as national93
Pressure ulcer rate0.29Same as national2579
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national3245
In-hospital fall-associated fracture rate0.36Same as national3214
Postoperative hemorrhage or hematoma rate2.16Same as national469
Postoperative acute kidney injury requiring dialysis rate1.63Same as national245
Postoperative respiratory failure rate7.07Same as national255
Perioperative pulmonary embolism or deep vein thrombosis rate3.29Same as national477
Postoperative sepsis rate4.78Same as national236
Postoperative wound dehiscence rate1.70Same as national117
Abdominopelvic accidental puncture or laceration rate0.98Same as national409
CMS Medicare PSI 90: Patient safety and adverse events composite0.82Same 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 patients-3.3Not available243
Hospital return days for pneumonia patients-20.1Not available363
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national1259
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national615
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.8Same as national80
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national80
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national373
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national105
Heart failure (HF) 30-Day Readmission Rate19.6Same as national243
Rate of readmission after hip/knee replacement5.1Same as national120
Pneumonia (PN) 30-Day Readmission Rate14.6Same as national363

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 rating41649
Doctor communication - star rating41649
Communication about medicines - star rating31649
Discharge information - star rating51649
Cleanliness - star rating41649
Quietness - star rating31649
Overall hospital rating - star rating41649
Recommend hospital - star rating51649
Summary star rating41649

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 vaccination66888
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 better205404
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 better200382
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34112
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better32011
Left before being seen328314
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100313
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)0
Safe Use of Opioids - Concurrent Prescribing17934
Appropriate care for severe sepsis and septic shock51340
Septic Shock 3-Hour Bundle5788
Septic Shock 6-Hour Bundle7743
Severe Sepsis 3-Hour Bundle72342
Severe Sepsis 6-Hour Bundle95168
Discharged on Antithrombotic Therapy9855
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29263
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 Northern Dutchess Hospital rated?
Northern Dutchess Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Northern Dutchess Hospital have emergency services?
Yes. Northern Dutchess Hospital operates a 24/7 emergency department.
Where is Northern Dutchess Hospital located?
Northern Dutchess Hospital is located at 6511 Springbrook Avenue, Rhinebeck, NY 12572.
What type of hospital is Northern Dutchess Hospital?
Northern Dutchess 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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