JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Barnabas Hospital

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At a glance

St Barnabas Hospital carries a 1-star CMS overall rating — below 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 Limit0.246Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.486Same as national
Central Line Associated Bloodstream Infection: Number of Device Days7411Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases7.456Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.671Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.444Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5271Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.745Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence Limit0.021Same as national
SSI - Colon Surgery: Upper Confidence Limit2.038Same as national
SSI - Colon Surgery: Number of Procedures78Same as national
SSI - Colon Surgery: Predicted Cases2.420Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.413Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures29Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.217Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.421Same as national
MRSA Bacteremia: Upper Confidence Limit2.159Same as national
MRSA Bacteremia: Patient Days78551Same as national
MRSA Bacteremia: Predicted Cases5.781Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia1.038Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.034Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.207Better than national
Clostridium Difficile (C.Diff): Patient Days76031Better than national
Clostridium Difficile (C.Diff): Predicted Cases53.660Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.093Better 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 Rate4.1Same as national203
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients11.2Same as national41
Death rate for pneumonia patients16.9Same as national53
Death rate for stroke patients14Same as national25
Pressure ulcer rate1.56Worse than national1295
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.25Same as national1598
In-hospital fall-associated fracture rate0.30Same as national1592
Postoperative hemorrhage or hematoma rate2.24Same as national166
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.72Same as national165
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.75Same as national28
Abdominopelvic accidental puncture or laceration rate1.01Same as national205
CMS Medicare PSI 90: Patient safety and adverse events composite1.28Same 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 patients56.9Not available49
Hospital return days for pneumonia patients65.9Not available52
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national339
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national49
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 surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate20.9Same as national49
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national52

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 rating1729
Doctor communication - star rating2729
Communication about medicines - star rating1729
Discharge information - star rating1729
Cleanliness - star rating3729
Quietness - star rating2729
Overall hospital rating - star rating2729
Recommend hospital - star rating2729
Summary star rating2729

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination663825
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 better330337
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 better312301
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better45834
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 seen875826
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99108
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing71153
Appropriate care for severe sepsis and septic shock34310
Septic Shock 3-Hour Bundle4043
Septic Shock 6-Hour Bundle5917
Severe Sepsis 3-Hour Bundle65310
Severe Sepsis 6-Hour Bundle72155
Discharged on Antithrombotic Therapy86181
Anticoagulation Therapy for Atrial Fibrillation/Flutter5831
Antithrombotic Therapy by End of Hospital Day 289150
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 St Barnabas Hospital rated?
St Barnabas Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does St Barnabas Hospital have emergency services?
Yes. St Barnabas Hospital operates a 24/7 emergency department.
Where is St Barnabas Hospital located?
St Barnabas Hospital is located at 4422 Third Avenue, Bronx, NY 10457.
What type of hospital is St Barnabas Hospital?
St Barnabas 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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