JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Saint Clare's Hospital/ Denville Campus

2 / 5

At a glance

Saint Clare's Hospital/ Denville Campus carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 2.

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 Limit0.129Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.548Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2943Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.593Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.771Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.268Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.035Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4633Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.741Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.844Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.442Same as national
SSI - Colon Surgery: Number of Procedures47Same as national
SSI - Colon Surgery: Predicted Cases1.227Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures34Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.235Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.026Same as national
MRSA Bacteremia: Upper Confidence Limit2.597Same as national
MRSA Bacteremia: Patient Days42080Same as national
MRSA Bacteremia: Predicted Cases1.899Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.527Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.107Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.646Better than national
Clostridium Difficile (C.Diff): Patient Days39244Better than national
Clostridium Difficile (C.Diff): Predicted Cases17.167Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.291Better 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 patients3.6Same as national60
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national1713
Death rate for heart attack patients12.3Same as national169
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.9Same as national134
Death rate for heart failure patients11.5Same as national426
Death rate for pneumonia patients19.3Worse than national524
Death rate for stroke patients14.9Same as national193
Pressure ulcer rate0.16Same as national5226
Death rate among surgical inpatients with serious treatable complications194.30Same as national40
Iatrogenic pneumothorax rate0.15Same as national6817
In-hospital fall-associated fracture rate0.29Same as national6700
Postoperative hemorrhage or hematoma rate2.21Same as national847
Postoperative acute kidney injury requiring dialysis rate1.60Same as national218
Postoperative respiratory failure rate10.90Same as national239
Perioperative pulmonary embolism or deep vein thrombosis rate3.32Same as national743
Postoperative sepsis rate5.77Same as national101
Postoperative wound dehiscence rate1.64Same as national263
Abdominopelvic accidental puncture or laceration rate0.85Same as national764
CMS Medicare PSI 90: Patient safety and adverse events composite0.89Same 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 patients22.3Not available140
Hospital return days for heart failure patients33.5Not available504
Hospital return days for pneumonia patients5.4Not available508
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.2Worse than national2729
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national175
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 national368
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national140
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national151
Heart failure (HF) 30-Day Readmission Rate23.5Worse than national504
Rate of readmission after hip/knee replacement4.3Same as national60
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national508

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 rating2868
Doctor communication - star rating2868
Communication about medicines - star rating1868
Discharge information - star rating3868
Cleanliness - star rating3868
Quietness - star rating2868
Overall hospital rating - star rating2868
Recommend hospital - star rating2868
Summary star rating2868

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 volumehigh
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 Hyperglycemia1011065
Hospital Harm - Severe Hypoglycemia02200
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination942704
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 better175447
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 better164400
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better61245
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 seen145179
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9167
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing91933
Appropriate care for severe sepsis and septic shock68110
Septic Shock 3-Hour Bundle7243
Septic Shock 6-Hour Bundle9327
Severe Sepsis 3-Hour Bundle85111
Severe Sepsis 6-Hour Bundle9563
Discharged on Antithrombotic Therapy95135
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 Saint Clare's Hospital/ Denville Campus rated?
Saint Clare's Hospital/ Denville Campus has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Saint Clare's Hospital/ Denville Campus have emergency services?
Yes. Saint Clare's Hospital/ Denville Campus operates a 24/7 emergency department.
Where is Saint Clare's Hospital/ Denville Campus located?
Saint Clare's Hospital/ Denville Campus is located at 25 Pocono Road, Denville, NJ 07834.
What type of hospital is Saint Clare's Hospital/ Denville Campus?
Saint Clare's Hospital/ Denville Campus is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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