Acute Care Hospitals · Voluntary non-profit - Private
Winchester Hospital
- 41 Highland Avenue, Winchester, MA 01890
- (781) 729-9000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Winchester 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 6 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 4.
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 | 0.030 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 2.976 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 1859 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 1.657 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 1 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.604 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | — | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.844 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 2806 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 3.550 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 0 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.000 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.150 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.960 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 92 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 2.232 | Same as national |
| SSI - Colon Surgery: Observed Cases | 2 | Same as national |
| SSI - Colon Surgery | 0.896 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 36 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.301 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.336 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 3.597 | Same as national |
| MRSA Bacteremia: Patient Days | 55521 | Same as national |
| MRSA Bacteremia: Predicted Cases | 2.270 | Same as national |
| MRSA Bacteremia: Observed Cases | 3 | Same as national |
| MRSA Bacteremia | 1.322 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.422 | Same as national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 1.172 | Same as national |
| Clostridium Difficile (C.Diff): Patient Days | 47386 | Same as national |
| Clostridium Difficile (C.Diff): Predicted Cases | 20.632 | Same as national |
| Clostridium Difficile (C.Diff): Observed Cases | 15 | Same as national |
| Clostridium Difficile (C.Diff) | 0.727 | Same as 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 | 4 | Same as national | 176 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.7 | Same as national | 2070 |
| Death rate for heart attack patients | 11.5 | Same as national | 60 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 6.6 | Same as national | 214 |
| Death rate for heart failure patients | 9.4 | Same as national | 564 |
| Death rate for pneumonia patients | 13.2 | Better than national | 849 |
| Death rate for stroke patients | 11.8 | Same as national | 132 |
| Pressure ulcer rate | 0.20 | Same as national | 5302 |
| Death rate among surgical inpatients with serious treatable complications | 167.42 | Same as national | 28 |
| Iatrogenic pneumothorax rate | 0.16 | Same as national | 7901 |
| In-hospital fall-associated fracture rate | 0.32 | Same as national | 7832 |
| Postoperative hemorrhage or hematoma rate | 2.22 | Same as national | 868 |
| Postoperative acute kidney injury requiring dialysis rate | 1.59 | Same as national | 339 |
| Postoperative respiratory failure rate | 6.50 | Same as national | 328 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.24 | Same as national | 923 |
| Postoperative sepsis rate | 5.08 | Same as national | 330 |
| Postoperative wound dehiscence rate | 2.36 | Same as national | 155 |
| Abdominopelvic accidental puncture or laceration rate | 1.91 | Same as national | 968 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.81 | 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 | — | Not available | — |
| Hospital return days for heart failure patients | 25.4 | Not available | 685 |
| Hospital return days for pneumonia patients | 16.1 | Not available | 921 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 16.8 | Worse than national | 3465 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.3 | Same as national | 1493 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 11 | Same as national | 202 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.1 | Same as national | 202 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 515 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.5 | Same as national | 31 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 20.8 | Same as national | 237 |
| Heart failure (HF) 30-Day Readmission Rate | 24.2 | Worse than national | 685 |
| Rate of readmission after hip/knee replacement | 7.1 | Worse than national | 186 |
| Pneumonia (PN) 30-Day Readmission Rate | 18.8 | Worse than national | 921 |
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 | 4 | 1133 |
| Doctor communication - star rating | 3 | 1133 |
| Communication about medicines - star rating | 3 | 1133 |
| Discharge information - star rating | 3 | 1133 |
| Cleanliness - star rating | 3 | 1133 |
| Quietness - star rating | 2 | 1133 |
| Overall hospital rating - star rating | 3 | 1133 |
| Recommend hospital - star rating | 4 | 1133 |
| Summary star rating | 3 | 1133 |
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 | 100 | 2759 |
| 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 | 238 | 403 |
| 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 | 229 | 373 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 419 | 21 |
| 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 seen | 3 | 53285 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 95 | 103 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 13 | 2522 |
| Appropriate care for severe sepsis and septic shock | 55 | 108 |
| Septic Shock 3-Hour Bundle | 50 | 34 |
| Septic Shock 6-Hour Bundle | 60 | 15 |
| Severe Sepsis 3-Hour Bundle | 85 | 110 |
| Severe Sepsis 6-Hour Bundle | 84 | 57 |
| Discharged on Antithrombotic Therapy | — | — |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 98 | 84 |
| Venous Thromboembolism Prophylaxis | 93 | 6520 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 97 | 559 |
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 Winchester Hospital rated?
- Winchester Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Winchester Hospital have emergency services?
- Yes. Winchester Hospital operates a 24/7 emergency department.
- Where is Winchester Hospital located?
- Winchester Hospital is located at 41 Highland Avenue, Winchester, MA 01890.
- What type of hospital is Winchester Hospital?
- Winchester 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.