JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Ns/lij Hs Southside Hospital

3 / 5

At a glance

Ns/lij Hs Southside Hospital carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 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 Limit0.040Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.787Better than national
Central Line Associated Bloodstream Infection: Number of Device Days7924Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.393Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.238Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.003Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.264Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13547Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases18.648Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.054Better than national
SSI - Colon Surgery: Lower Confidence Limit0.069Same as national
SSI - Colon Surgery: Upper Confidence Limit1.358Same as national
SSI - Colon Surgery: Number of Procedures186Same as national
SSI - Colon Surgery: Predicted Cases4.865Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.411Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.023Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.222Same as national
SSI - Abdominal Hysterectomy: Number of Procedures274Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.220Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.450Same as national
MRSA Bacteremia: Lower Confidence Limit0.604Same as national
MRSA Bacteremia: Upper Confidence Limit2.471Same as national
MRSA Bacteremia: Patient Days114835Same as national
MRSA Bacteremia: Predicted Cases6.149Same as national
MRSA Bacteremia: Observed Cases8Same as national
MRSA Bacteremia1.301Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.037Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.225Better than national
Clostridium Difficile (C.Diff): Patient Days107137Better than national
Clostridium Difficile (C.Diff): Predicted Cases49.237Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.102Better 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 patients3Same as national399
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national2390
Death rate for heart attack patients13.5Same as national147
Death rate for CABG surgery patients1.3Same as national180
Death rate for COPD patients9Same as national176
Death rate for heart failure patients10.8Same as national672
Death rate for pneumonia patients14.9Same as national655
Death rate for stroke patients11.7Same as national382
Pressure ulcer rate0.38Same as national9119
Death rate among surgical inpatients with serious treatable complications172.80Same as national172
Iatrogenic pneumothorax rate0.27Same as national10090
In-hospital fall-associated fracture rate0.24Same as national10555
Postoperative hemorrhage or hematoma rate2.92Same as national2760
Postoperative acute kidney injury requiring dialysis rate2.00Same as national1005
Postoperative respiratory failure rate9.07Same as national961
Perioperative pulmonary embolism or deep vein thrombosis rate3.21Same as national2825
Postoperative sepsis rate6.25Same as national1016
Postoperative wound dehiscence rate1.75Same as national530
Abdominopelvic accidental puncture or laceration rate1.63Same as national2037
CMS Medicare PSI 90: Patient safety and adverse events composite0.98Same 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 patients22.2Not available197
Hospital return days for heart failure patients4.4Not available741
Hospital return days for pneumonia patients34.5Not available647
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national4095
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national1096
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.6Same as national99
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national99
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national66
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national197
Rate of readmission for CABG11.2Same as national180
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national182
Heart failure (HF) 30-Day Readmission Rate18Same as national741
Rate of readmission after hip/knee replacement4.2Same as national361
Pneumonia (PN) 30-Day Readmission Rate16.7Same as national647

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 rating3479
Doctor communication - star rating3479
Communication about medicines - star rating2479
Discharge information - star rating3479
Cleanliness - star rating3479
Quietness - star rating2479
Overall hospital rating - star rating3479
Recommend hospital - star rating3479
Summary star rating3479

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 Hypoglycemia15631
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination664183
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 better276306
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 better269279
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better40825
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 seen186035
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9796
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing185620
Appropriate care for severe sepsis and septic shock67135
Septic Shock 3-Hour Bundle8143
Septic Shock 6-Hour Bundle9330
Severe Sepsis 3-Hour Bundle84135
Severe Sepsis 6-Hour Bundle9385
Discharged on Antithrombotic Therapy100387
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis982799

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 Ns/lij Hs Southside Hospital rated?
Ns/lij Hs Southside Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Ns/lij Hs Southside Hospital have emergency services?
Yes. Ns/lij Hs Southside Hospital operates a 24/7 emergency department.
Where is Ns/lij Hs Southside Hospital located?
Ns/lij Hs Southside Hospital is located at 301 East Main Street, Bay Shore, NY 11706.
What type of hospital is Ns/lij Hs Southside Hospital?
Ns/lij Hs Southside 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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