JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Trinitas Regional Medical Center

3 / 5

At a glance

Trinitas Regional Medical Center carries a 3-star CMS overall rating — in line with 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.283Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2872Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.335Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same 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 Limit1.016Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3021Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.950Same 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 Procedures25Not available
SSI - Colon Surgery: Predicted Cases0.697Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures79Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.598Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.017Same as national
MRSA Bacteremia: Upper Confidence Limit1.699Same as national
MRSA Bacteremia: Patient Days52776Same as national
MRSA Bacteremia: Predicted Cases2.903Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.344Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.015Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.288Better than national
Clostridium Difficile (C.Diff): Patient Days48265Better than national
Clostridium Difficile (C.Diff): Predicted Cases22.928Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.087Better 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 Rate4.2Same as national405
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.3Same as national43
Death rate for heart failure patients16.4Worse than national139
Death rate for pneumonia patients18.3Same as national136
Death rate for stroke patients12.5Same as national36
Pressure ulcer rate0.27Same as national1697
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2175
In-hospital fall-associated fracture rate0.29Same as national2185
Postoperative hemorrhage or hematoma rate2.15Same as national304
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.53Same as national295
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.71Same as national42
Abdominopelvic accidental puncture or laceration rate0.98Same as national402
CMS Medicare PSI 90: Patient safety and adverse events composite0.91Same 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 patients10.8Not available170
Hospital return days for pneumonia patients39.3Not available133
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national660
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national213
Rate of inpatient admissions for patients receiving outpatient chemotherapy13.6Same as national43
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national43
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national64
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national49
Heart failure (HF) 30-Day Readmission Rate20.6Same as national170
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.6Same as national133

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 rating2528
Doctor communication - star rating2528
Communication about medicines - star rating2528
Discharge information - star rating2528
Cleanliness - star rating3528
Quietness - star rating2528
Overall hospital rating - star rating2528
Recommend hospital - star rating3528
Summary star rating2528

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination962272
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 better198391
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 better203337
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better14850
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 seen156479
Head CT results8312
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients87149
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing14827
Appropriate care for severe sepsis and septic shock82207
Septic Shock 3-Hour Bundle8572
Septic Shock 6-Hour Bundle9846
Severe Sepsis 3-Hour Bundle94208
Severe Sepsis 6-Hour Bundle90125
Discharged on Antithrombotic Therapy88131
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 291129
Venous Thromboembolism Prophylaxis604819
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 Trinitas Regional Medical Center rated?
Trinitas Regional Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Trinitas Regional Medical Center have emergency services?
Yes. Trinitas Regional Medical Center operates a 24/7 emergency department.
Where is Trinitas Regional Medical Center located?
Trinitas Regional Medical Center is located at 225 Williamson Street, Elizabeth, NJ 07207.
What type of hospital is Trinitas Regional Medical Center?
Trinitas Regional Medical Center 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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