JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Unity Hospital

2 / 5

At a glance

Unity Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 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 Limit0.022Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.441Better than national
Central Line Associated Bloodstream Infection: Number of Device Days14809Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases14.975Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.134Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.092Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.696Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days11591Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases13.857Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.289Better than national
SSI - Colon Surgery: Lower Confidence Limit0.009Better than national
SSI - Colon Surgery: Upper Confidence Limit0.932Better than national
SSI - Colon Surgery: Number of Procedures212Better than national
SSI - Colon Surgery: Predicted Cases5.292Better than national
SSI - Colon Surgery: Observed Cases1Better than national
SSI - Colon Surgery0.189Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures55Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.513Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.902Same as national
MRSA Bacteremia: Upper Confidence Limit3.393Same as national
MRSA Bacteremia: Patient Days103990Same as national
MRSA Bacteremia: Predicted Cases4.868Same as national
MRSA Bacteremia: Observed Cases9Same as national
MRSA Bacteremia1.849Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.114Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.401Better than national
Clostridium Difficile (C.Diff): Patient Days101224Better than national
Clostridium Difficile (C.Diff): Predicted Cases44.396Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.225Better 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 patients4.8Same as national159
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Same as national919
Death rate for heart attack patients11.4Same as national73
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.6Same as national95
Death rate for heart failure patients11Same as national258
Death rate for pneumonia patients15.9Same as national265
Death rate for stroke patients12.7Same as national62
Pressure ulcer rate1.10Same as national4082
Death rate among surgical inpatients with serious treatable complications167.49Same as national42
Iatrogenic pneumothorax rate0.18Same as national4808
In-hospital fall-associated fracture rate0.34Same as national4746
Postoperative hemorrhage or hematoma rate2.78Same as national843
Postoperative acute kidney injury requiring dialysis rate1.55Same as national439
Postoperative respiratory failure rate7.26Same as national445
Perioperative pulmonary embolism or deep vein thrombosis rate3.61Same as national851
Postoperative sepsis rate4.22Same as national407
Postoperative wound dehiscence rate1.68Same as national161
Abdominopelvic accidental puncture or laceration rate1.16Same as national694
CMS Medicare PSI 90: Patient safety and adverse events composite1.06Same 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 patients-25.3Not available63
Hospital return days for heart failure patients41.5Not available290
Hospital return days for pneumonia patients84.1Not available272
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national1548
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national324
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national46
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national46
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national293
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national63
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.7Same as national113
Heart failure (HF) 30-Day Readmission Rate21.6Same as national290
Rate of readmission after hip/knee replacement5.5Same as national160
Pneumonia (PN) 30-Day Readmission Rate18.4Same as national272

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 rating22401
Doctor communication - star rating32401
Communication about medicines - star rating22401
Discharge information - star rating32401
Cleanliness - star rating12401
Quietness - star rating22401
Overall hospital rating - star rating22401
Recommend hospital - star rating32401
Summary star rating22401

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 vaccination685512
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 better29536030
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 better29434968
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better332843
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better357271
Left before being seen151955
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9544
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing174264
Appropriate care for severe sepsis and septic shock29117
Septic Shock 3-Hour Bundle3023
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle70117
Severe Sepsis 6-Hour Bundle5262
Discharged on Antithrombotic Therapy100214
Anticoagulation Therapy for Atrial Fibrillation/Flutter7841
Antithrombotic Therapy by End of Hospital Day 293196
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 Unity Hospital rated?
Unity Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Unity Hospital have emergency services?
Yes. Unity Hospital operates a 24/7 emergency department.
Where is Unity Hospital located?
Unity Hospital is located at 1555 Long Pond Road, Rochester, NY 14626.
What type of hospital is Unity Hospital?
Unity 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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