JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Palos Community Hospital

4 / 5

At a glance

Palos Community 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 Limit0.304Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.837Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7603Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.034Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.829Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.307Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.329Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4965Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.142Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.966Same as national
SSI - Colon Surgery: Lower Confidence Limit0.423Same as national
SSI - Colon Surgery: Upper Confidence Limit2.173Same as national
SSI - Colon Surgery: Number of Procedures220Same as national
SSI - Colon Surgery: Predicted Cases5.743Same as national
SSI - Colon Surgery: Observed Cases6Same as national
SSI - Colon Surgery1.045Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.043Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.219Same as national
SSI - Abdominal Hysterectomy: Number of Procedures152Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.169Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.855Same as national
MRSA Bacteremia: Lower Confidence Limit0.241Same as national
MRSA Bacteremia: Upper Confidence Limit1.833Same as national
MRSA Bacteremia: Patient Days107851Same as national
MRSA Bacteremia: Predicted Cases5.263Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.760Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.223Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.565Better than national
Clostridium Difficile (C.Diff): Patient Days106526Better than national
Clostridium Difficile (C.Diff): Predicted Cases49.402Better than national
Clostridium Difficile (C.Diff): Observed Cases18Better than national
Clostridium Difficile (C.Diff)0.364Better 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 patients4.6Same as national300
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.1Better than national3698
Death rate for heart attack patients11.6Same as national371
Death rate for CABG surgery patients2.8Same as national79
Death rate for COPD patients5.6Better than national422
Death rate for heart failure patients10.4Same as national1168
Death rate for pneumonia patients14.3Better than national1395
Death rate for stroke patients11.7Same as national402
Pressure ulcer rate1.95Worse than national13524
Death rate among surgical inpatients with serious treatable complications156.31Same as national157
Iatrogenic pneumothorax rate0.18Same as national15082
In-hospital fall-associated fracture rate0.35Same as national15906
Postoperative hemorrhage or hematoma rate1.34Same as national2503
Postoperative acute kidney injury requiring dialysis rate1.50Same as national841
Postoperative respiratory failure rate4.69Same as national810
Perioperative pulmonary embolism or deep vein thrombosis rate5.47Worse than national2766
Postoperative sepsis rate3.78Same as national791
Postoperative wound dehiscence rate2.06Same as national684
Abdominopelvic accidental puncture or laceration rate1.24Same as national2758
CMS Medicare PSI 90: Patient safety and adverse events composite1.28Worse 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 patients13.2Not available341
Hospital return days for heart failure patients16.5Not available1360
Hospital return days for pneumonia patients15.8Not available1432
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national6626
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.7Same as national2297
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.3Same as national60
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national60
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national778
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national341
Rate of readmission for CABG10.4Same as national78
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national459
Heart failure (HF) 30-Day Readmission Rate20.8Same as national1360
Rate of readmission after hip/knee replacement6.2Same as national281
Pneumonia (PN) 30-Day Readmission Rate17.4Same as national1432

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 rating4979
Doctor communication - star rating3979
Communication about medicines - star rating2979
Discharge information - star rating3979
Cleanliness - star rating2979
Quietness - star rating3979
Overall hospital rating - star rating3979
Recommend hospital - star rating3979
Summary star rating3979

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 Hypoglycemia25504
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination923683
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 better253395
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 better253377
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20915
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 seen366488
Head CT results6531
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10073
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing195068
Appropriate care for severe sepsis and septic shock53117
Septic Shock 3-Hour Bundle7043
Septic Shock 6-Hour Bundle6226
Severe Sepsis 3-Hour Bundle77117
Severe Sepsis 6-Hour Bundle9263
Discharged on Antithrombotic Therapy97247
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 294264
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 Palos Community Hospital rated?
Palos Community Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Palos Community Hospital have emergency services?
Yes. Palos Community Hospital operates a 24/7 emergency department.
Where is Palos Community Hospital located?
Palos Community Hospital is located at 12251 South 80th Avenue, Palos Heights, IL 60463.
What type of hospital is Palos Community Hospital?
Palos Community 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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