Marlborough Hospital

Hospital in Marlborough, MA, Medicare certification number 220049. CMS publishes 55 quality measures for it.

Medicare certification

Provider of Services

CCN: 220049The number CMS certifies the facility under, not a provider identifier
Status: Terminated Voluntary: merger or closure, Jan 1, 2026
Provider type: Hospital – Short-term
Listed by Care Compare as: Acute Care Hospitals
Ownership: Voluntary non-profit - Private
Control type: Private (not for profit)
Participating since: Jul 1, 1966
Last certification: Aug 23, 2012
Beds: 79
Overall star rating: 2 of 5Care Compare
Address: 157 Union Street
Marlborough, MA 01752
(508) 481-5000

NPI records for this facility 1

Marlborough Hospital Corp
- Registered Dietitian
- Marlborough, MA
- NPI 1104488170
Name & address match

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.13 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.7 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 3.65 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.02 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.46 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse2 of 5
- State average 2.98 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 2.11 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.56 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 3.06 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 14

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.03
- State average 1.04 (computed here)
- National average 1.06
- No different than the national rate
- 181 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.02
- State average 1.02 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate for COPD patients As expected7.1
- State average 7.49 (computed here)
- National average 8.6
- No different than the national rate
- 105 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.9
- State average 11.44 (computed here)
- National average 11.9
- No different than the national rate
- 34 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.8
- State average 9.78 (computed here)
- National average 11.1
- No different than the national rate
- 242 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected12.6
- State average 13.44 (computed here)
- National average 15.2
- No different than the national rate
- 301 patients
- Period from 07/01/2022
Death rate for stroke patients As expected14.3
- State average 11.76 (computed here)
- National average 11.9
- No different than the national rate
- 62 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.5
- State average 3.42 (computed here)
- National average 3.9
- No different than the national rate
- 1,052 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.19
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 2,611 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.33
- State average 0.3 (computed here)
- National average 0.27
- No different than the national rate
- 2,562 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.74
- State average 3.74 (computed here)
- National average 3.52
- No different than the national rate
- 143 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.3
- State average 2.48 (computed here)
- National average 2.34
- No different than the national rate
- 138 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.7
- State average 0.67 (computed here)
- National average 0.63
- No different than the national rate
- 2,108 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4
- State average 4.09 (computed here)
- National average 4.1
- No different than the national rate
- 36 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (6)

Death rate among surgical inpatients with serious treatable complications — 1
Death rate for CABG surgery patients — 5
Postoperative acute kidney injury requiring dialysis rate — 1
Postoperative respiratory failure rate — 1
Postoperative sepsis rate — 1
Postoperative wound dehiscence rate — 1

Infections 3

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0
- State average 0.65
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.62
- State average 0.52
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) As expected0.31
- State average 0.49
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (3)

MRSA Bacteremia — 13
SSI - Abdominal Hysterectomy — 12
SSI - Colon Surgery — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 2.2
- State average 4.36 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 11.2
- State average 6.33 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.97
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 58
- State average 56
- National average 65
- 77 patients
- Period from 10/01/2024
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 233
- State average 222
- National average 168
- 402 patients
- Period from 10/01/2024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better 428
- State average 346
- National average 287
- 38 patients
- Period from 10/01/2024
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 226
- State average 214
- National average 162
- 340 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 404
- State average 338
- National average 257
- 35 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 100
- State average 97.42 (computed here)
- National average 96.1 (computed here)
- 42 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 95
- State average 97
- National average 93
- 96 patients
- Period from 01/01/2024
Head CT results 78
- State average 70
- National average 69
- 18 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 57
- State average 89
- National average 78
- 1,023 patients
- Period from 10/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 96
- State average 96.17 (computed here)
- National average 93.49 (computed here)
- 414 patients
- Period from 01/01/2024
Left before being seen 5
- State average 4
- National average 2
- 29,529 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 16
- State average 18
- National average 15
- 553 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 69
- State average 67
- National average 73
- 32 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 60
- State average 84
- National average 87
- 15 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 86
- State average 75
- National average 81
- 77 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 92
- State average 91
- National average 93
- 38 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 91
- State average 91.36 (computed here)
- National average 82.23 (computed here)
- 1,531 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
Antithrombotic Therapy by End of Hospital Day 2 — 5
Emergency department volume — medium
Global Malnutrition Composite Score — 5
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
Global Malnutrition Composite Score: Nutrition Assessment — 5
Global Malnutrition Composite Score: Nutritional Care Plan — 5
Hospital Harm - Opioid Related Adverse Events — 5
Hospital Harm - Severe Hyperglycemia — 5
Hospital Harm - Severe Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 9

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.4
- State average 14.76 (computed here)
- National average 14.4
- No different than the national rate
- 32 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.1
- State average 22.03 (computed here)
- National average 21.3
- No different than the national rate
- 336 patients
- Period from 07/01/2023
Hospital return days for heart failure patients 25.4
- State average 17.34 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 276 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 19.1
- State average 17.01 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 324 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.5
- State average 17.81 (computed here)
- National average 17.3
- No different than the national rate
- 393 patients
- Period from 07/01/2023
Rate of readmission after hip/knee replacement As expected5.2
- State average 5.71 (computed here)
- National average 5.8
- No different than the national rate
- 36 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected22.3
- State average 20.36 (computed here)
- National average 20
- No different than the national rate
- 129 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected13.3
- State average 12.66 (computed here)
- National average 13
- No different than the national rate
- 889 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 0.96 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 153 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (5)

Hospital return days for heart attack patients — 1
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 1
Rate of inpatient admissions for patients receiving outpatient chemotherapy — 1
Rate of readmission for CABG — 5

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.