JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Valley Hospital

4 / 5

At a glance

Valley Hospital carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 1 measure and trails on 1.

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 Limit0.164Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.752Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4651Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.661Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.644Same 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 Limit0.467Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6138Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.415Better 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 Limit0.113Same as national
SSI - Colon Surgery: Upper Confidence Limit1.206Same as national
SSI - Colon Surgery: Number of Procedures270Same as national
SSI - Colon Surgery: Predicted Cases6.770Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery0.443Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.046Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.537Same as national
SSI - Abdominal Hysterectomy: Number of Procedures161Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.087Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.920Same as national
MRSA Bacteremia: Lower Confidence Limit0.436Same as national
MRSA Bacteremia: Upper Confidence Limit2.239Same as national
MRSA Bacteremia: Patient Days125072Same as national
MRSA Bacteremia: Predicted Cases5.574Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia1.076Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.142Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.361Better than national
Clostridium Difficile (C.Diff): Patient Days110892Better than national
Clostridium Difficile (C.Diff): Predicted Cases77.376Better than national
Clostridium Difficile (C.Diff): Observed Cases18Better than national
Clostridium Difficile (C.Diff)0.233Better 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 patients3.7Same as national87
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.1Better than national3772
Death rate for heart attack patients13.2Same as national374
Death rate for CABG surgery patients2.3Same as national84
Death rate for COPD patients8.6Same as national240
Death rate for heart failure patients14.1Worse than national1175
Death rate for pneumonia patients16.4Same as national798
Death rate for stroke patients12Same as national523
Pressure ulcer rate1.05Same as national12155
Death rate among surgical inpatients with serious treatable complications217.12Same as national88
Iatrogenic pneumothorax rate0.17Same as national14688
In-hospital fall-associated fracture rate0.24Same as national14944
Postoperative hemorrhage or hematoma rate1.91Same as national3059
Postoperative acute kidney injury requiring dialysis rate2.15Same as national1282
Postoperative respiratory failure rate6.36Same as national1219
Perioperative pulmonary embolism or deep vein thrombosis rate7.04Worse than national3245
Postoperative sepsis rate5.90Same as national1250
Postoperative wound dehiscence rate2.09Same as national601
Abdominopelvic accidental puncture or laceration rate0.62Same as national2485
CMS Medicare PSI 90: Patient safety and adverse events composite1.21Same 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-8.6Not available374
Hospital return days for heart failure patients0.6Not available1309
Hospital return days for pneumonia patients1.9Not available765
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national6535
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national3928
Rate of inpatient admissions for patients receiving outpatient chemotherapy13.3Worse than national428
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.2Same as national428
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Better than national1556
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.4Same as national374
Rate of readmission for CABG10.3Same as national83
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national254
Heart failure (HF) 30-Day Readmission Rate18.6Same as national1309
Rate of readmission after hip/knee replacement6.3Same as national83
Pneumonia (PN) 30-Day Readmission Rate14.3Same as national765

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 rating41402
Doctor communication - star rating31402
Communication about medicines - star rating21402
Discharge information - star rating31402
Cleanliness - star rating51402
Quietness - star rating41402
Overall hospital rating - star rating41402
Recommend hospital - star rating51402
Summary star rating41402

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 vaccination959195
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 better227419
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 better223401
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25817
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 seen178255
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9993
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5730
Safe Use of Opioids - Concurrent Prescribing154150
Appropriate care for severe sepsis and septic shock45166
Septic Shock 3-Hour Bundle5465
Septic Shock 6-Hour Bundle7431
Severe Sepsis 3-Hour Bundle73166
Severe Sepsis 6-Hour Bundle8984
Discharged on Antithrombotic Therapy99311
Anticoagulation Therapy for Atrial Fibrillation/Flutter76100
Antithrombotic Therapy by End of Hospital Day 290288
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 Valley Hospital rated?
Valley Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Valley Hospital have emergency services?
Yes. Valley Hospital operates a 24/7 emergency department.
Where is Valley Hospital located?
Valley Hospital is located at 4 Valley Health Plaza, Paramus, NJ 07652.
What type of hospital is Valley Hospital?
Valley 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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