JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Robert Wood Johnson University Hospital at Rahway

4 / 5

At a glance

Robert Wood Johnson University Hospital at Rahway 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 Limit0.031Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.039Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2628Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.623Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.616Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.499Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2955Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.999Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures13Not available
SSI - Colon Surgery: Predicted Cases0.420Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days24594Not available
MRSA Bacteremia: Predicted Cases0.858Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.299Better than national
Clostridium Difficile (C.Diff): Patient Days24594Better than national
Clostridium Difficile (C.Diff): Predicted Cases10.021Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national676
Death rate for heart attack patients11Same as national80
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.7Same as national68
Death rate for heart failure patients11.4Same as national247
Death rate for pneumonia patients18.9Same as national254
Death rate for stroke patients11.4Same as national72
Pressure ulcer rate0.98Same as national2637
Death rate among surgical inpatients with serious treatable complications162.20Same as national31
Iatrogenic pneumothorax rate0.17Same as national3039
In-hospital fall-associated fracture rate0.28Same as national2978
Postoperative hemorrhage or hematoma rate2.15Same as national374
Postoperative acute kidney injury requiring dialysis rate1.63Same as national54
Postoperative respiratory failure rate8.07Same as national62
Perioperative pulmonary embolism or deep vein thrombosis rate3.82Same as national375
Postoperative sepsis rate5.10Same as national50
Postoperative wound dehiscence rate1.72Same as national67
Abdominopelvic accidental puncture or laceration rate0.99Same as national390
CMS Medicare PSI 90: Patient safety and adverse events composite1.06Same 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 patients17.8Not available266
Hospital return days for pneumonia patients44.6Not available232
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1047
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national151
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national164
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national41
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national74
Heart failure (HF) 30-Day Readmission Rate20.1Same as national266
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.4Same as national232

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 rating3389
Doctor communication - star rating3389
Communication about medicines - star rating3389
Discharge information - star rating3389
Cleanliness - star rating4389
Quietness - star rating3389
Overall hospital rating - star rating3389
Recommend hospital - star rating3389
Summary star rating3389

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 vaccination741389
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 better110425
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 better110407
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 seen038945
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9761
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing20844
Appropriate care for severe sepsis and septic shock82256
Septic Shock 3-Hour Bundle8490
Septic Shock 6-Hour Bundle9855
Severe Sepsis 3-Hour Bundle88259
Severe Sepsis 6-Hour Bundle99150
Discharged on Antithrombotic Therapy96193
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 299194
Venous Thromboembolism Prophylaxis802763
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Robert Wood Johnson University Hospital at Rahway rated?
Robert Wood Johnson University Hospital at Rahway has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Robert Wood Johnson University Hospital at Rahway have emergency services?
Yes. Robert Wood Johnson University Hospital at Rahway operates a 24/7 emergency department.
Where is Robert Wood Johnson University Hospital at Rahway located?
Robert Wood Johnson University Hospital at Rahway is located at 865 Stone St, Rahway, NJ 07065.
What type of hospital is Robert Wood Johnson University Hospital at Rahway?
Robert Wood Johnson University Hospital at Rahway 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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