JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Woodhull Medical & Mental Health Center

2 / 5

At a glance

Woodhull Medical & Mental Health Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

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 Limit0.368Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.792Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3364Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.456Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.157Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.625Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.208Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3145Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.890Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.542Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.486Same as national
SSI - Colon Surgery: Number of Procedures43Same as national
SSI - Colon Surgery: Predicted Cases1.205Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures44Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.365Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.209Same as national
MRSA Bacteremia: Upper Confidence Limit2.234Same as national
MRSA Bacteremia: Patient Days48766Same as national
MRSA Bacteremia: Predicted Cases3.655Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.821Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.172Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.649Better than national
Clostridium Difficile (C.Diff): Patient Days46099Better than national
Clostridium Difficile (C.Diff): Predicted Cases25.464Better than national
Clostridium Difficile (C.Diff): Observed Cases9Better than national
Clostridium Difficile (C.Diff)0.353Better 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 Rate3.9Same as national122
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients9.5Same as national62
Death rate for pneumonia patients17.5Same as national50
Death rate for stroke patientsNot available
Pressure ulcer rate2.02Worse than national841
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.27Same as national877
In-hospital fall-associated fracture rate0.30Same as national910
Postoperative hemorrhage or hematoma rate2.27Same as national67
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate3.37Same as national65
Postoperative sepsis rateNot available
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rate1.03Same as national86
CMS Medicare PSI 90: Patient safety and adverse events composite1.40Same 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 patientsNot available
Hospital return days for heart failure patients69.4Not available57
Hospital return days for pneumonia patients36.9Not available41
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national185
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Not available
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 surgeryNot available
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate20.5Same as national57
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16Same as national41

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 rating2440
Doctor communication - star rating3440
Communication about medicines - star rating1440
Discharge information - star rating1440
Cleanliness - star rating3440
Quietness - star rating2440
Overall hospital rating - star rating2440
Recommend hospital - star rating2440
Summary star rating2440

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 vaccination373364
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 better211377
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 better203345
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better37432
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 seen584788
Head CT results9212
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7268
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing4457
Appropriate care for severe sepsis and septic shock6382
Septic Shock 3-Hour Bundle9623
Septic Shock 6-Hour Bundle9122
Severe Sepsis 3-Hour Bundle7382
Severe Sepsis 6-Hour Bundle8841
Discharged on Antithrombotic Therapy9764
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis943916
Intensive Care Unit Venous Thromboembolism Prophylaxis97396

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 Woodhull Medical & Mental Health Center rated?
Woodhull Medical & Mental Health Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Woodhull Medical & Mental Health Center have emergency services?
Yes. Woodhull Medical & Mental Health Center operates a 24/7 emergency department.
Where is Woodhull Medical & Mental Health Center located?
Woodhull Medical & Mental Health Center is located at 760 Broadway, Brooklyn, NY 11206.
What type of hospital is Woodhull Medical & Mental Health Center?
Woodhull Medical & Mental Health Center is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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