JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Rome Memorial Hospital, Inc

2 / 5

At a glance

Rome Memorial Hospital, Inc carries a 2-star CMS overall rating — below the national norm.

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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1085Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.754Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.016Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.549Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4766Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.183Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.314Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures31Not available
SSI - Colon Surgery: Predicted Cases0.778Not 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 Procedures3Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.024Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.832Same as national
MRSA Bacteremia: Patient Days17721Same as national
MRSA Bacteremia: Predicted Cases1.058Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.617Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit2.165Same as national
Clostridium Difficile (C.Diff): Patient Days16509Same as national
Clostridium Difficile (C.Diff): Predicted Cases8.234Same as national
Clostridium Difficile (C.Diff): Observed Cases10Same as national
Clostridium Difficile (C.Diff)1.214Same as 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 national312
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.8Same as national75
Death rate for heart failure patients13.9Same as national96
Death rate for pneumonia patients19.8Same as national131
Death rate for stroke patients13.4Same as national26
Pressure ulcer rate0.40Same as national1059
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.27Same as national1351
In-hospital fall-associated fracture rate0.30Same as national1354
Postoperative hemorrhage or hematoma rate3.19Same as national228
Postoperative acute kidney injury requiring dialysis rate1.66Same as national69
Postoperative respiratory failure rate8.54Same as national69
Perioperative pulmonary embolism or deep vein thrombosis rate4.07Same as national229
Postoperative sepsis rate5.11Same as national66
Postoperative wound dehiscence rate1.73Same as national57
Abdominopelvic accidental puncture or laceration rate1.27Same as national140
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same 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 patients66.7Not available97
Hospital return days for pneumonia patients26.1Not available128
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national449
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national205
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 surgery1.1Same as national154
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national76
Heart failure (HF) 30-Day Readmission Rate20.2Same as national97
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national128

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 rating2514
Doctor communication - star rating2514
Communication about medicines - star rating2514
Discharge information - star rating3514
Cleanliness - star rating2514
Quietness - star rating2514
Overall hospital rating - star rating2514
Recommend hospital - star rating2514
Summary star rating2514

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 Hyperglycemia73533
Hospital Harm - Severe Hypoglycemia1838
Hospital Harm - Opioid Related Adverse Events01479
Healthcare workers given influenza vaccination781390
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 better192404
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 better182378
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34711
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better48216
Left before being seen234672
Head CT results8312
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10049
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing5641
Appropriate care for severe sepsis and septic shock34432
Septic Shock 3-Hour Bundle46130
Septic Shock 6-Hour Bundle2733
Severe Sepsis 3-Hour Bundle64433
Severe Sepsis 6-Hour Bundle82169
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Rome Memorial Hospital, Inc rated?
Rome Memorial Hospital, Inc has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Rome Memorial Hospital, Inc have emergency services?
Yes. Rome Memorial Hospital, Inc operates a 24/7 emergency department.
Where is Rome Memorial Hospital, Inc located?
Rome Memorial Hospital, Inc is located at 1500 North James Street, Rome, NY 13440.
What type of hospital is Rome Memorial Hospital, Inc?
Rome 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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