Acute Care Hospitals · Voluntary non-profit - Private
Virtua Mount Holly Hospital
- 175 Madison Ave, Mount Holly, NJ 08060
- (609) 267-0700
- Acute Care Hospitals
- Emergency services available 24/7
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.062 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.216 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 5318 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 5.432 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 2 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.368 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.042 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.822 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 6575 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 8.040 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 2 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.249 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.653 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.954 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 187 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 4.687 | Same as national |
| SSI - Colon Surgery: Observed Cases | 7 | Same as national |
| SSI - Colon Surgery | 1.493 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.029 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 2.825 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 195 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.746 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Same as national |
| SSI - Abdominal Hysterectomy | 0.573 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.691 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 3.545 | Same as national |
| MRSA Bacteremia: Patient Days | 76523 | Same as national |
| MRSA Bacteremia: Predicted Cases | 3.520 | Same as national |
| MRSA Bacteremia: Observed Cases | 6 | Same as national |
| MRSA Bacteremia | 1.705 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.106 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.432 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 68951 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 35.173 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 8 | Better than national |
| Clostridium Difficile (C.Diff) | 0.227 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 5.1 | Worse than national | 1569 |
| Death rate for heart attack patients | 13.1 | Same as national | 146 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 8.4 | Same as national | 141 |
| Death rate for heart failure patients | 12.1 | Same as national | 484 |
| Death rate for pneumonia patients | 15.6 | Same as national | 444 |
| Death rate for stroke patients | 10.5 | Same as national | 164 |
| Pressure ulcer rate | 0.15 | Same as national | 6157 |
| Death rate among surgical inpatients with serious treatable complications | 204.86 | Same as national | 56 |
| Iatrogenic pneumothorax rate | 0.20 | Same as national | 7104 |
| In-hospital fall-associated fracture rate | 0.22 | Same as national | 6923 |
| Postoperative hemorrhage or hematoma rate | 2.01 | Same as national | 1171 |
| Postoperative acute kidney injury requiring dialysis rate | 1.55 | Same as national | 225 |
| Postoperative respiratory failure rate | 15.58 | Same as national | 242 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.15 | Same as national | 1143 |
| Postoperative sepsis rate | 5.30 | Same as national | 171 |
| Postoperative wound dehiscence rate | 2.22 | Same as national | 272 |
| Abdominopelvic accidental puncture or laceration rate | 1.01 | Same as national | 1260 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.99 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | -33.8 | Not available | 100 |
| Hospital return days for heart failure patients | 1 | Not available | 523 |
| Hospital return days for pneumonia patients | 8.5 | Not available | 454 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 16.5 | Worse than national | 2556 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 14 | Same as national | 244 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not available | — |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not available | — |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1 | Same as national | 431 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 11.9 | Same as national | 100 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.6 | Same as national | 170 |
| Heart failure (HF) 30-Day Readmission Rate | 19.5 | Same as national | 523 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 15.9 | Same as national | 454 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 419 |
| Doctor communication - star rating | 2 | 419 |
| Communication about medicines - star rating | 2 | 419 |
| Discharge information - star rating | 1 | 419 |
| Cleanliness - star rating | 2 | 419 |
| Quietness - star rating | 1 | 419 |
| Overall hospital rating - star rating | 2 | 419 |
| Recommend hospital - star rating | 2 | 419 |
| Summary star rating | 2 | 419 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | 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 vaccination | 96 | 2426 |
| 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 better | 217 | 426 |
| 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 better | 207 | 384 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 287 | 21 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 1597 | 23 |
| Left before being seen | 4 | 47829 |
| Head CT results | 62 | 16 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 97 | 67 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 17 | 3480 |
| Appropriate care for severe sepsis and septic shock | 72 | 478 |
| Septic Shock 3-Hour Bundle | 83 | 174 |
| Septic Shock 6-Hour Bundle | 93 | 114 |
| Severe Sepsis 3-Hour Bundle | 83 | 487 |
| Severe Sepsis 6-Hour Bundle | 96 | 274 |
| Discharged on Antithrombotic Therapy | 98 | 173 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | 69 | 42 |
| Antithrombotic Therapy by End of Hospital Day 2 | 94 | 161 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
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).
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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.