JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Our Lady of Lourdes Memorial Hospital, Inc

3 / 5

At a glance

Our Lady of Lourdes Memorial Hospital, Inc 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 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.747Better than national
Central Line Associated Bloodstream Infection: Number of Device Days5200Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.010Better 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 Limit0.067Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.312Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6246Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.036Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.397Same as national
SSI - Colon Surgery: Lower Confidence Limit0.878Same as national
SSI - Colon Surgery: Upper Confidence Limit4.507Same as national
SSI - Colon Surgery: Number of Procedures99Same as national
SSI - Colon Surgery: Predicted Cases2.769Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery2.167Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures12Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.109Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.132Same as national
MRSA Bacteremia: Patient Days43915Same as national
MRSA Bacteremia: Predicted Cases2.647Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.173Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.651Better than national
Clostridium Difficile (C.Diff): Patient Days42610Better than national
Clostridium Difficile (C.Diff): Predicted Cases25.382Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.355Better 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 patients3.2Same as national174
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national815
Death rate for heart attack patients12.3Same as national46
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.7Same as national70
Death rate for heart failure patients15.4Worse than national266
Death rate for pneumonia patients13.1Same as national357
Death rate for stroke patients14.1Same as national115
Pressure ulcer rate2.61Worse than national2835
Death rate among surgical inpatients with serious treatable complications204.71Same as national36
Iatrogenic pneumothorax rate0.18Same as national3597
In-hospital fall-associated fracture rate0.24Same as national3508
Postoperative hemorrhage or hematoma rate1.96Same as national762
Postoperative acute kidney injury requiring dialysis rate1.59Same as national381
Postoperative respiratory failure rate5.95Same as national396
Perioperative pulmonary embolism or deep vein thrombosis rate3.60Same as national776
Postoperative sepsis rate5.17Same as national363
Postoperative wound dehiscence rate1.67Same as national191
Abdominopelvic accidental puncture or laceration rate2.34Worse than national631
CMS Medicare PSI 90: Patient safety and adverse events composite1.50Worse than 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 patients14.2Not available307
Hospital return days for pneumonia patients20.7Not available365
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1315
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national1379
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.6Same as national129
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.2Same as national129
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national505
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national30
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national74
Heart failure (HF) 30-Day Readmission Rate19.8Same as national307
Rate of readmission after hip/knee replacement4.9Same as national165
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national365

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 rating2532
Doctor communication - star rating2532
Communication about medicines - star rating2532
Discharge information - star rating2532
Cleanliness - star rating3532
Quietness - star rating2532
Overall hospital rating - star rating2532
Recommend hospital - star rating2532
Summary star rating2532

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 volumelow
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 vaccination942889
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 better240426
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 better240412
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 seen39291
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients88101
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing20630
Appropriate care for severe sepsis and septic shock50121
Septic Shock 3-Hour Bundle6837
Septic Shock 6-Hour Bundle8520
Severe Sepsis 3-Hour Bundle66121
Severe Sepsis 6-Hour Bundle9557
Discharged on Antithrombotic Therapy10026
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29626
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis94161

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 Our Lady of Lourdes Memorial Hospital, Inc rated?
Our Lady of Lourdes Memorial Hospital, Inc has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Our Lady of Lourdes Memorial Hospital, Inc have emergency services?
Yes. Our Lady of Lourdes Memorial Hospital, Inc operates a 24/7 emergency department.
Where is Our Lady of Lourdes Memorial Hospital, Inc located?
Our Lady of Lourdes Memorial Hospital, Inc is located at 169 Riverside Drive, Binghamton, NY 13905.
What type of hospital is Our Lady of Lourdes Memorial Hospital, Inc?
Our Lady of Lourdes Memorial Hospital, Inc 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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