JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

UPMC Memorial

4 / 5

At a glance

UPMC Memorial carries a 4-star CMS overall rating — above 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 Limit0.100Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.980Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3743Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.337Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.599Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.383Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.911Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3319Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.315Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.207Same as national
SSI - Colon Surgery: Lower Confidence Limit0.895Same as national
SSI - Colon Surgery: Upper Confidence Limit4.048Same as national
SSI - Colon Surgery: Number of Procedures126Same as national
SSI - Colon Surgery: Predicted Cases3.421Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery2.046Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.050Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.893Same as national
SSI - Abdominal Hysterectomy: Number of Procedures113Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.008Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.992Same as national
MRSA Bacteremia: Lower Confidence Limit0.034Same as national
MRSA Bacteremia: Upper Confidence Limit3.312Same as national
MRSA Bacteremia: Patient Days30842Same as national
MRSA Bacteremia: Predicted Cases1.489Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.672Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.206Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.930Better than national
Clostridium Difficile (C.Diff): Patient Days29238Better than national
Clostridium Difficile (C.Diff): Predicted Cases14.892Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.470Better 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 patients4.1Same as national68
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national768
Death rate for heart attack patients12Same as national84
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.5Same as national80
Death rate for heart failure patients11.1Same as national204
Death rate for pneumonia patients14.3Same as national156
Death rate for stroke patients13Same as national80
Pressure ulcer rate0.98Same as national2319
Death rate among surgical inpatients with serious treatable complications170.77Same as national27
Iatrogenic pneumothorax rate0.24Same as national2943
In-hospital fall-associated fracture rate0.25Same as national2952
Postoperative hemorrhage or hematoma rate2.33Same as national658
Postoperative acute kidney injury requiring dialysis rate1.59Same as national240
Postoperative respiratory failure rate12.71Same as national244
Perioperative pulmonary embolism or deep vein thrombosis rate3.93Same as national677
Postoperative sepsis rate6.95Same as national227
Postoperative wound dehiscence rate1.68Same as national158
Abdominopelvic accidental puncture or laceration rate1.41Same as national566
CMS Medicare PSI 90: Patient safety and adverse events composite1.27Same 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-11Not available69
Hospital return days for heart failure patients-0.4Not available230
Hospital return days for pneumonia patients-3.9Not available152
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national1187
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.1Same as national1107
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 surgery1.1Same as national376
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national69
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national82
Heart failure (HF) 30-Day Readmission Rate20Same as national230
Rate of readmission after hip/knee replacement5.5Same as national70
Pneumonia (PN) 30-Day Readmission Rate16.8Same as national152

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 rating3398
Doctor communication - star rating3398
Communication about medicines - star rating2398
Discharge information - star rating3398
Cleanliness - star rating4398
Quietness - star rating4398
Overall hospital rating - star rating3398
Recommend hospital - star rating4398
Summary star rating3398

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 Hypoglycemia31868
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination963731
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 better274749
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 better270713
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32021
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better37215
Left before being seen136504
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98293
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing151460
Appropriate care for severe sepsis and septic shock68126
Septic Shock 3-Hour Bundle6442
Septic Shock 6-Hour Bundle8621
Severe Sepsis 3-Hour Bundle85127
Severe Sepsis 6-Hour Bundle9680
Discharged on Antithrombotic Therapy9897
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29484
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 UPMC Memorial rated?
UPMC Memorial has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does UPMC Memorial have emergency services?
Yes. UPMC Memorial operates a 24/7 emergency department.
Where is UPMC Memorial located?
UPMC Memorial is located at 1701 Innovation Drive, York, PA 17408.
What type of hospital is UPMC Memorial?
UPMC Memorial 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.

Report an issue with this page