Mount St. Mary's Hospital & Health Center is a hospital registered with U.S Centers for Medicare & Medicaid Services. The facility number is #330188. The hospital type is acute care hospitals. The address is 5300 Military Road, Lewiston, NY 14092. The overall rating is 3.
| Facility ID | 330188 |
| Facility Name | MOUNT ST. MARY'S HOSPITAL & HEALTH CENTER |
| Address | 5300 Military Road Lewiston NY 14092 |
| County | Niagara |
| Telephone | (716) 297-4800 |
| Hospital Type | Acute Care Hospitals |
| Hospital Ownership | Voluntary non-profit - Church |
| Emergency Services | Yes |
| Overall Rating | 3 |
| Mortality Measure | Total measures in the group: 7. Facility reported measures count: 5. Better than the national value: 0, No different: 5, Worse: 0 |
| Safety of Care Measure | Total measures in the group: 8. Facility reported measures count: 5. Better than the national value: 1, No different: 4, Worse: 0 |
| Readmission Measure | Total measures in the group: 11. Facility reported measures count: 7. Better than the national value: 0, No different: 7, Worse: 0 |
| Patient Experience Measure | Total measures in the group: 8. Facility reported measures count: 8. Better than the national value: , No different: , Worse: |
| Timly Effectiveness Measure | Total measures in the group: 14. Facility reported measures count: 9. Better than the national value: , No different: , Worse: |
| Notes | The Overall Hospital Quality Star rating summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. Once reporting thresholds are met, a hospital’s overall star rating is calculated using only those measures for which data are available. The average is about 37 measures. Hospitals report data to the Centers for Medicare & Medicaid Services through the Hospital Inpatient Quality Reporting (IQR) Program, Hospital Outpatient Quality Reporting (OQR) Program, Hospital Readmission Reduction Program (HRRP), Hospital-Acquired Condition (HAC) Reduction Program, and Hospital Value-Based Purchasing (VBP) Program. Overall star ratings aren’t calculated for Veterans Health Administration (VHA) or Department of Defense (DoD) hospitals. The methodology uses a simple average of measure scores to calculate measure group scores and Z-score standardization to standardize measure group scores for these 5 measure groups: 1. Mortality 2. Safety of Care 3. Readmission 4. Patient Experience 5. Timely & Effective Care After estimating the group score for each hospital and each group, CMS calculates a weighted average to combine the 5 group scores into a single hospital summary score. If a hospital is missing a measure category or group, the weights are redistributed proportionally amongst the qualifying measure categories or groups. |
| Question | Responses |
|---|---|
| Patients who reported that they "Always" received bathroom help as soon as they wanted | Percent: 63% |
| Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wanted | Percent: 10% |
| Patients who reported that they "Usually" received bathroom help as soon as they wanted | Percent: 27% |
| Patients who reported that they "Always" received help after using the call button as soon as they wanted | Percent: 64% |
| Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wanted | Percent: 8% |
| Patients who reported that they "Usually" received help after using the call button as soon as they wanted | Percent: 28% |
| Patients who reported that their room and bathroom were "Always" clean | Percent: 68% |
| Patients who reported that their room and bathroom were "Sometimes" or "Never" clean | Percent: 9% |
| Patients who reported that their room and bathroom were "Usually" clean | Percent: 23% |
| Cleanliness - linear mean score | Score: 86 (scale 1-100) |
| Cleanliness - star rating | Rating: 2 (scale 1-5) |
| Patients who reported that their nurses "Always" communicated well | Percent: 78% |
| Nurse communication - linear mean score | Score: 91 (scale 1-100) |
| Patients who reported that their nurses "Sometimes" or "Never" communicated well | Percent: 4% |
| Nurse communication - star rating | Rating: 3 (scale 1-5) |
| Patients who reported that their nurses "Usually" communicated well | Percent: 18% |
| Patients who reported that their doctors "Always" communicated well | Percent: 76% |
| Doctor communication - linear mean score | Score: 90 (scale 1-100) |
| Patients who reported that their doctors "Sometimes" or "Never" communicated well | Percent: 5% |
| Doctor communication - star rating | Rating: 2 (scale 1-5) |
| Patients who reported that their doctors "Usually" communicated well | Percent: 19% |
| Patients who reported that they "Always" received help as soon as they wanted | Percent: 63% |
| Staff responsiveness - linear mean score | Score: 84 (scale 1-100) |
| Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted | Percent: 9% |
| Staff responsiveness - star rating | Rating: 3 (scale 1-5) |
| Patients who reported that they "Usually" received help as soon as they wanted | Percent: 28% |
| Patients who reported that staff "Always" explained about medicines before giving it to them | Percent: 61% |
| Communication about medicines - linear mean score | Score: 76 (scale 1-100) |
| Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them | Percent: 21% |
| Communication about medicines - star rating | Rating: 2 (scale 1-5) |
| Patients who reported that staff "Usually" explained about medicines before giving it to them | Percent: 18% |
| Discharge information - linear mean score | Score: 88 (scale 1-100) |
| Patients who reported that NO, they were not given information about what to do during their recovery at home | Percent: 12% |
| Discharge information - star rating | Rating: 3 (scale 1-5) |
| Patients who reported that YES, they were given information about what to do during their recovery at home | Percent: 88% |
| Patients who "Agree" they understood their care when they left the hospital | Percent: 48% |
| Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospital | Percent: 4% |
| Care transition - linear mean score | Score: 81 (scale 1-100) |
| Patients who "Strongly Agree" they understood their care when they left the hospital | Percent: 48% |
| Care transition - star rating | Rating: 3 (scale 1-5) |
| Patients who "Agree" that they understood the purposes of their medications when leaving the hospital | Percent: 39% |
| Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital | Percent: 4% |
| Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital | Percent: 57% |
| Patients who "Agree" that the staff took my preferences into account when determining my health care needs | Percent: 54% |
| Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs | Percent: 5% |
| Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs | Percent: 41% |
| Patients who "Agree" that they understood their responsiblities in managing their health | Percent: 48% |
| Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health | Percent: 5% |
| Patients who "Strongly Agree" that they understood their responsiblities in managing their health | Percent: 47% |
| Patients who reported that NO, they did not discuss whether they would need help after discharge | Percent: 15% |
| Patients who reported that YES, they did discuss whether they would need help after discharge | Percent: 85% |
| Patients who reported that their doctors "Always" explained things in a way they could understand | Percent: 72% |
| Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand | Percent: 7% |
| Patients who reported that their doctors "Usually" explained things in a way they could understand | Percent: 21% |
| Patients who reported that their doctors "Always" listened carefully to them | Percent: 74% |
| Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them | Percent: 5% |
| Patients who reported that their doctors "Usually" listened carefully to them | Percent: 21% |
| Patients who reported that their doctors "Always" treated them with courtesy and respect | Percent: 84% |
| Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect | Percent: 3% |
| Patients who reported that their doctors "Usually" treated them with courtesy and respect | Percent: 13% |
| Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) | Percent: 9% |
| Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) | Percent: 24% |
| Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) | Percent: 67% |
| Overall hospital rating - linear mean score | Score: 87 (scale 1-100) |
| Overall hospital rating - star rating | Rating: 3 (scale 1-5) |
| Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for | Percent: 77% |
| Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for | Percent: 9% |
| Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. | Percent: 14% |
| Patients who reported that their nurses "Always" explained things in a way they could understand | Percent: 73% |
| Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand | Percent: 5% |
| Patients who reported that their nurses "Usually" explained things in a way they could understand | Percent: 22% |
| Patients who reported that their nurses "Always" listened carefully to them | Percent: 75% |
| Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them | Percent: 4% |
| Patients who reported that their nurses "Usually" listened carefully to them | Percent: 21% |
| Patients who reported that their nurses "Always" treated them with courtesy and respect | Percent: 87% |
| Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect | Percent: 2% |
| Patients who reported that their nurses "Usually" treated them with courtesy and respect | Percent: 11% |
| Patients who reported that the area around their room was "Always" quiet at night | Percent: 56% |
| Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night | Percent: 13% |
| Patients who reported that the area around their room was "Usually" quiet at night | Percent: 31% |
| Quietness - linear mean score | Score: 80 (scale 1-100) |
| Quietness - star rating | Rating: 3 (scale 1-5) |
| Patients who reported NO, they would probably not or definitely not recommend the hospital | Percent: 6% |
| Patients who reported YES, they would definitely recommend the hospital | Percent: 63% |
| Recommend hospital - linear mean score | Score: 85 (scale 1-100) |
| Patients who reported YES, they would probably recommend the hospital | Percent: 31% |
| Recommend hospital - star rating | Rating: 2 (scale 1-5) |
| Patients who reported that when receiving new medication the staff "Always" discussed possible side effects | Percent: 44% |
| Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects | Percent: 32% |
| Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects | Percent: 24% |
| Summary star rating | Rating: 3 (scale 1-5) |
| Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge | Percent: 10% |
| Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge | Percent: 90% |
| Measure Name | Compared to National | Denominator | Score | |
|---|---|---|---|---|
| Rate of complications for hip/knee replacement patients | No Different Than the National Rate | 63 | 2 | |
| Death rate for heart attack patients | No Different Than the National Rate | 29 | 12.3 | |
| Death rate for CABG surgery patients | ||||
| Death rate for COPD patients | No Different Than the National Rate | 117 | 7.8 | |
| Death rate for heart failure patients | No Different Than the National Rate | 171 | 11.1 | |
| Death rate for pneumonia patients | No Different Than the National Rate | 176 | 16.9 | |
| Death rate for stroke patients | No Different Than the National Rate | 65 | 14 | |
| Postoperative Acute Kidney Injury Requiring Dialysis Rate | No Different Than the National Rate | 103 | 1.35 | |
| Postoperative Respiratory Failure Rate | No Different Than the National Rate | 98 | 5.74 | |
| Serious blood clots after surgery | No Different Than the National Rate | 309 | 3.22 | |
| Blood stream infection after surgery | No Different Than the National Rate | 99 | 4.66 | |
| A wound that splits open after surgery on the abdomen or pelvis | No Different Than the National Rate | 82 | 0.91 | |
| Accidental cuts and tears from medical treatment | No Different Than the National Rate | 361 | 1.19 | |
| Pressure sores | No Different Than the National Rate | 1653 | 1.58 | |
| Deaths among Patients with Serious Treatable Complications after Surgery | Number of Cases Too Small | |||
| Collapsed lung due to medical treatment | No Different Than the National Rate | 2064 | 0.23 | |
| Broken hip from a fall after surgery | No Different Than the National Rate | 1852 | 0.11 | |
| Serious complications | No Different Than the National Value | 1.21 | ||
| Perioperative Hemorrhage or Hematoma Rate | No Different Than the National Rate | 300 | 2.39 |
| Street Address |
5300 MILITARY ROAD |
| City | LEWISTON |
| State | NY |
| Zip Code | 14092 |
| Hospital Name | Address | Telephone | Overall Rating |
|---|---|---|---|
| St Joseph Regional Medical Center | 415 Sixth Street, Lewiston, ID 83501 | (208) 743-2511 | 2 |
| St Mary's Regional Medical Center | 93 Campus Avenue - Po Box 291, Lewiston, ME 04240 | (207) 777-8100 | 3 |
| Central Maine Medical Center | 300 Main Street, Lewiston, ME 04240 | (207) 795-0111 | 3 |
| Hospital Name | Address | Telephone | Overall Rating |
|---|---|---|---|
| Brooks-Tlc Hospital System, Inc | 529 Central Avenue, Dunkirk, NY 14048 | (716) 366-1111 | 4 |
| North Shore University Hospital | 300 Community Drive, Westbury, NY 11590 | (516) 562-0100 | 4 |
| Northwell Hospital Glen Cove | 101 St Andrews Lane, Glen Cove, NY 11542 | (516) 674-7300 | 4 |
| Aurelia Osborn Fox Memorial Hospital | One Norton Avenue, Oneonta, NY 13820 | (607) 432-2000 | 4 |
| St Francis Hospital - The Heart Center | 100 Port Washington Boulevard, Roslyn, NY 11576 | (516) 562-6000 | 5 |
| Northern Dutchess Hospital | 6511 Springbrook Avenue, Rhinebeck, NY 12572 | (845) 871-3391 | 5 |
| New York-Presbyterian/Queens | 56-45 Main Street, Flushing, NY 11355 | (718) 670-2000 | 4 |
| Saratoga Hospital | 211 Church Street, Saratoga Springs, NY 12866 | (518) 587-3222 | 4 |
| Oswego Hospital | 110 West Sixth Street, Oswego, NY 13069 | (315) 349-5511 | 4 |
| Mount Sinai Hospital | One Gustave L Levy Place, New York, NY 10029 | (212) 241-7981 | 4 |
| Find all hospitals in the state of NY | |||
| Hospital Name | Address | Telephone | Overall Rating |
|---|---|---|---|
| St Mary Corwin Med Ctr, Centura Health | 1008 Minnequa Ave, Pueblo, CO 81004 | (719) 557-4000 | 4 |
| Chi Health St. Mary's | 1301 Grundman Blvd, Nebraska City, NE 68410 | (402) 873-3321 | 3 |
| Ssm Health St. Mary's Hospital-Audrain | 620 E Monroe, Mexico, MO 65265 | (573) 582-5000 | 2 |
| Ny Eye and Ear Infirmary of Mount Sinai | 230 Second Ave, New York, NY 10003 | (212) 979-4000 | |
| Mercy Health Saint Mary's | 200 Jefferson Avenue Se, Grand Rapids, MI 49503 | (616) 685-5000 | 4 |
| Ssm Health St Mary's Hospital Jefferson City | 2505 Mission Drive, Jefferson City, MO 65109 | (573) 681-3000 | 3 |
| Mount Auburn Hospital | 330 Mount Auburn Street, Cambridge, MA 02138 | (617) 492-3500 | 5 |
| Legacy Mount Hood Medical Center | 24800 Se Stark Street, Gresham, OR 97030 | (503) 674-1122 | 4 |
| Ssm Health St Mary's Hospital - Madison | 700 South Park St, Madison, WI 53715 | (608) 251-6100 | 5 |
| Mount Sinai Medical Center | 4300 Alton Rd, Miami Beach, FL 33140 | (305) 674-2121 | 4 |
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