JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Umass Memorial Healthcare-Marlborough Hospital

2 / 5

At a glance

Umass Memorial Healthcare-Marlborough Hospital 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 Limit0.030Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.948Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2036Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.673Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.598Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.021Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.095Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2936Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.354Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.425Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures4Not available
SSI - Colon Surgery: Predicted Cases0.098Not 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 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 Days13963Not available
MRSA Bacteremia: Predicted Cases0.716Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.116Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.238Same as national
Clostridium Difficile (C.Diff): Patient Days13963Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.593Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.455Same 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 Rate4Same as national599
Death rate for heart attack patients12.4Same as national41
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.3Same as national99
Death rate for heart failure patients11.1Same as national201
Death rate for pneumonia patients12.3Better than national235
Death rate for stroke patients13.8Same as national48
Pressure ulcer rate0.70Same as national2108
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2611
In-hospital fall-associated fracture rate0.33Same as national2562
Postoperative hemorrhage or hematoma rate2.30Same as national138
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.74Same as national143
Postoperative sepsis rateNot available
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rate1.03Same as national181
CMS Medicare PSI 90: Patient safety and adverse events composite1.02Same 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 patients49.2Not available229
Hospital return days for pneumonia patients37.7Not available251
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.3Same as national960
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national889
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 national153
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national27
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.9Same as national109
Heart failure (HF) 30-Day Readmission Rate21Same as national229
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate18.3Same as national251

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 rating3518
Doctor communication - star rating3518
Communication about medicines - star rating2518
Discharge information - star rating3518
Cleanliness - star rating3518
Quietness - star rating2518
Overall hospital rating - star rating2518
Recommend hospital - star rating2518
Summary star rating3518

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 vaccination571023
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 better249405
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 better236350
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better49330
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better36234
Left before being seen529529
Head CT results8323
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9596
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing16553
Appropriate care for severe sepsis and septic shock5983
Septic Shock 3-Hour Bundle6932
Septic Shock 6-Hour Bundle6517
Severe Sepsis 3-Hour Bundle8483
Severe Sepsis 6-Hour Bundle9041
Discharged on Antithrombotic Therapy10042
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis911531
Intensive Care Unit Venous Thromboembolism Prophylaxis96414

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 Umass Memorial Healthcare-Marlborough Hospital rated?
Umass Memorial Healthcare-Marlborough Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Umass Memorial Healthcare-Marlborough Hospital have emergency services?
Yes. Umass Memorial Healthcare-Marlborough Hospital operates a 24/7 emergency department.
Where is Umass Memorial Healthcare-Marlborough Hospital located?
Umass Memorial Healthcare-Marlborough Hospital is located at 157 Union Street, Marlborough, MA 01752.
What type of hospital is Umass Memorial Healthcare-Marlborough Hospital?
Umass Memorial Healthcare-Marlborough 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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