JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

West Jersey Hospital

3 / 5

At a glance

West Jersey 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 24 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 3.

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 Limit0.124Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.748Better than national
Central Line Associated Bloodstream Infection: Number of Device Days14609Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases14.820Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.337Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.152Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.780Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days14082Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases15.996Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.375Better than national
SSI - Colon Surgery: Lower Confidence Limit0.440Same as national
SSI - Colon Surgery: Upper Confidence Limit1.544Same as national
SSI - Colon Surgery: Number of Procedures435Same as national
SSI - Colon Surgery: Predicted Cases11.545Same as national
SSI - Colon Surgery: Observed Cases10Same as national
SSI - Colon Surgery0.866Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.425Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.572Same as national
SSI - Abdominal Hysterectomy: Number of Procedures495Same as national
SSI - Abdominal Hysterectomy: Predicted Cases4.309Same as national
SSI - Abdominal Hysterectomy: Observed Cases5Same as national
SSI - Abdominal Hysterectomy1.160Same as national
MRSA Bacteremia: Lower Confidence Limit0.039Better than national
MRSA Bacteremia: Upper Confidence Limit0.774Better than national
MRSA Bacteremia: Patient Days173033Better than national
MRSA Bacteremia: Predicted Cases8.542Better than national
MRSA Bacteremia: Observed Cases2Better than national
MRSA Bacteremia0.234Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.096Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.303Better than national
Clostridium Difficile (C.Diff): Patient Days145073Better than national
Clostridium Difficile (C.Diff): Predicted Cases67.419Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.178Better 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 patients3.8Same as national116
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national3934
Death rate for heart attack patients14.2Same as national271
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.6Same as national467
Death rate for heart failure patients10.9Same as national1080
Death rate for pneumonia patients17Same as national1282
Death rate for stroke patients11.3Same as national292
Pressure ulcer rate0.18Same as national14007
Death rate among surgical inpatients with serious treatable complications173.77Same as national94
Iatrogenic pneumothorax rate0.12Same as national16567
In-hospital fall-associated fracture rate0.28Same as national16781
Postoperative hemorrhage or hematoma rate2.65Same as national2480
Postoperative acute kidney injury requiring dialysis rate2.18Same as national652
Postoperative respiratory failure rate15.06Same as national623
Perioperative pulmonary embolism or deep vein thrombosis rate3.34Same as national2398
Postoperative sepsis rate6.06Same as national451
Postoperative wound dehiscence rate1.43Same as national769
Abdominopelvic accidental puncture or laceration rate0.90Same as national2993
CMS Medicare PSI 90: Patient safety and adverse events composite1.04Same 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-3Not available208
Hospital return days for heart failure patients36.5Not available1175
Hospital return days for pneumonia patients20Not available1271
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.8Worse than national6714
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national394
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 surgery0.9Same as national1291
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national208
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20Same as national536
Heart failure (HF) 30-Day Readmission Rate23.5Worse than national1175
Rate of readmission after hip/knee replacement5Same as national110
Pneumonia (PN) 30-Day Readmission Rate18.1Worse than national1271

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 rating3451
Doctor communication - star rating3451
Communication about medicines - star rating2451
Discharge information - star rating3451
Cleanliness - star rating3451
Quietness - star rating3451
Overall hospital rating - star rating3451
Recommend hospital - star rating4451
Summary star rating3451

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 vaccination955142
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 better167481
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 better155448
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better156227
Left before being seen2128682
Head CT results7236
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9732
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5838
Safe Use of Opioids - Concurrent Prescribing177275
Appropriate care for severe sepsis and septic shock771165
Septic Shock 3-Hour Bundle85330
Septic Shock 6-Hour Bundle95225
Severe Sepsis 3-Hour Bundle861175
Severe Sepsis 6-Hour Bundle96637
Discharged on Antithrombotic Therapy99267
Anticoagulation Therapy for Atrial Fibrillation/Flutter6761
Antithrombotic Therapy by End of Hospital Day 297261
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 West Jersey Hospital rated?
West Jersey Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does West Jersey Hospital have emergency services?
Yes. West Jersey Hospital operates a 24/7 emergency department.
Where is West Jersey Hospital located?
West Jersey Hospital is located at 100 Bowman Drive, Voorhees, NJ 08043.
What type of hospital is West Jersey Hospital?
West Jersey 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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