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Acute Care Hospitals · Voluntary non-profit - Private

Virtua Mount Holly Hospital

3 / 5

At a glance

Virtua Mount Holly Hospital 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 12 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures 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 Limit0.062Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.216Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5318Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.432Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.368Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.042Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.822Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6575Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.040Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.249Better than national
SSI - Colon Surgery: Lower Confidence Limit0.653Same as national
SSI - Colon Surgery: Upper Confidence Limit2.954Same as national
SSI - Colon Surgery: Number of Procedures187Same as national
SSI - Colon Surgery: Predicted Cases4.687Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery1.493Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.029Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.825Same as national
SSI - Abdominal Hysterectomy: Number of Procedures195Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.746Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.573Same as national
MRSA Bacteremia: Lower Confidence Limit0.691Same as national
MRSA Bacteremia: Upper Confidence Limit3.545Same as national
MRSA Bacteremia: Patient Days76523Same as national
MRSA Bacteremia: Predicted Cases3.520Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia1.705Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.106Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.432Better than national
Clostridium Difficile (C.Diff): Patient Days68951Better than national
Clostridium Difficile (C.Diff): Predicted Cases35.173Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.227Better 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 Rate5.1Worse than national1569
Death rate for heart attack patients13.1Same as national146
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.4Same as national141
Death rate for heart failure patients12.1Same as national484
Death rate for pneumonia patients15.6Same as national444
Death rate for stroke patients10.5Same as national164
Pressure ulcer rate0.15Same as national6157
Death rate among surgical inpatients with serious treatable complications204.86Same as national56
Iatrogenic pneumothorax rate0.20Same as national7104
In-hospital fall-associated fracture rate0.22Same as national6923
Postoperative hemorrhage or hematoma rate2.01Same as national1171
Postoperative acute kidney injury requiring dialysis rate1.55Same as national225
Postoperative respiratory failure rate15.58Same as national242
Perioperative pulmonary embolism or deep vein thrombosis rate3.15Same as national1143
Postoperative sepsis rate5.30Same as national171
Postoperative wound dehiscence rate2.22Same as national272
Abdominopelvic accidental puncture or laceration rate1.01Same as national1260
CMS Medicare PSI 90: Patient safety and adverse events composite0.99Same 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-33.8Not available100
Hospital return days for heart failure patients1Not available523
Hospital return days for pneumonia patients8.5Not available454
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.5Worse than national2556
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14Same as national244
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 national431
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.9Same as national100
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national170
Heart failure (HF) 30-Day Readmission Rate19.5Same as national523
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national454

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 rating3419
Doctor communication - star rating2419
Communication about medicines - star rating2419
Discharge information - star rating1419
Cleanliness - star rating2419
Quietness - star rating1419
Overall hospital rating - star rating2419
Recommend hospital - star rating2419
Summary star rating2419

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 vaccination962426
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 better217426
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 better207384
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28721
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better159723
Left before being seen447829
Head CT results6216
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9767
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing173480
Appropriate care for severe sepsis and septic shock72478
Septic Shock 3-Hour Bundle83174
Septic Shock 6-Hour Bundle93114
Severe Sepsis 3-Hour Bundle83487
Severe Sepsis 6-Hour Bundle96274
Discharged on Antithrombotic Therapy98173
Anticoagulation Therapy for Atrial Fibrillation/Flutter6942
Antithrombotic Therapy by End of Hospital Day 294161
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 Virtua Mount Holly Hospital rated?
Virtua Mount Holly Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Virtua Mount Holly Hospital have emergency services?
Yes. Virtua Mount Holly Hospital operates a 24/7 emergency department.
Where is Virtua Mount Holly Hospital located?
Virtua Mount Holly Hospital is located at 175 Madison Ave, Mount Holly, NJ 08060.
What type of hospital is Virtua Mount Holly Hospital?
Virtua Mount Holly 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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