Falmouth Hospital Association Inc

Doing business as Falmouth Hospital

Hospital in Falmouth, MA, Medicare certification number 220135. CMS publishes 65 quality measures for it.

Medicare certification

Provider of Services

CCN: 220135The number CMS certifies the facility under, not a provider identifier
Status: Active
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: Apr 3, 1996
Beds: 95
Overall star rating: 4 of 5Care Compare
Address: 67 & 100 Ter Heun Drive
Falmouth, MA 02540
(508) 548-5300

NPI records for this facility (CCN to NPI Mapping) 1

Falmouth Hospital Association Inc
- General Acute Care Hospital
- Falmouth, MA
- NPI 1336106806
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.13 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Better3 of 5
- State average 2.7 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Better4 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 Better4 of 5
- State average 3.46 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 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 Better4 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

Affiliated providers 513

Page 2 of 21Medicare Care Compare

Clinicians who list this facility as a hospital or facility affiliation in Care Compare.

Michael C Baldino, DO
- Nephrology Physician
- Plymouth, MA
- NPI 1225667694
Brian R Balsis, M.D.
- Anesthesiology Physician
- Wareham, MA
- NPI 1225035066
Eric Michael Band, M.D.
- Anesthesiology Physician
- Hyannis, MA
- NPI 1033475439
Elizabeth M Barnes, PA-C
- Physician Assistant
- Mashpee, MA
- NPI 1356793335
Maria T Batilo, MD
- Internal Medicine Physician
- North Falmouth, MA
- NPI 1952465866
Ethel R Baylor, DPM
- Podiatrist
- Falmouth, MA
- NPI 1386601656
Julie L. Bemis, N.P.
- Family Nurse Practitioner
- Falmouth, MA
- NPI 1366497315
Ryan J Bemis, M.D.
- Emergency Medicine Physician
- Falmouth, MA
- NPI 1639137235
Peter Edward Bentivegna, M.D.
- Plastic Surgery Physician
- West Yarmouth, MA
- NPI 1144391079
Erica Lynn Benton, AGACNP-BC
- Adult Health Nurse Practitioner
- North Falmouth, MA
- NPI 1992589774
Daniel Berman, M.D.
- Diagnostic Radiology Physician
- Gardner, MA
- NPI 1457341794
Lisamarie Cantey Bertschy, FNP-BC
- Family Nurse Practitioner
- Osterville, MA
- NPI 1467189035
Sibel Nefise Bessim, MD
- Obstetrics & Gynecology Physician
- Wellesley, MA
- NPI 1528165685
Prerana Bhattacharya, MD
- Hospitalist Physician
- Boston, MA
- NPI 1609432020
Wade Michael Billings, MD
- Student in an Organized Health Care Education/Training Program
- Indianapolis, IN
- NPI 1245767490
Brian D Bird, P.A.-C.
- Surgical Physician Assistant
- Falmouth, MA
- NPI 1164451423
Mitchell Raymond Bisson, PA-C
- Physician Assistant
- Norwood, MA
- NPI 1730620329
Lyla Blake-Gumbs, MD
- Family Medicine Physician
- Newport, RI
- NPI 1538185384
Keith P Blaquiere, PA
- Physician Assistant
- Boston, MA
- NPI 1265735369
James Bleiler, MD
- Urology Physician
- Falmouth, MA
- NPI 1679539506
Audrey Blue
- Physician Assistant
- Falmouth, MA
- NPI 1326879404
Deborah Bohan, PA
- Physician Assistant
- Springfield, MA
- NPI 1992758759
Meghan K Borowski, PAC
- Surgical Physician Assistant
- Hyannis, MA
- NPI 1073227716
Peter Andrew Bourell, M.D.
- Clinical Cardiac Electrophysiology Physician
- Hyannis, MA
- NPI 1487975124
Craig A. Boyer, MD
- Anesthesiology Physician
- Dallas, TX
- NPI 1790723591

Complications and deaths 19

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.17
- State average 1.04 (computed here)
- National average 1.06
- No different than the national rate
- 615 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1.17
- State average 1.02 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected179.92
- State average 174.7 (computed here)
- National average 173.3
- No different than the national rate
- 38 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.4
- State average 7.49 (computed here)
- National average 8.6
- No different than the national rate
- 179 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected10.7
- State average 11.44 (computed here)
- National average 11.9
- No different than the national rate
- 123 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10.6
- State average 9.78 (computed here)
- National average 11.1
- No different than the national rate
- 456 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.7
- State average 13.44 (computed here)
- National average 15.2
- No different than the national rate
- 892 patients
- Period from 07/01/2022
Death rate for stroke patients As expected11.4
- State average 11.76 (computed here)
- National average 11.9
- No different than the national rate
- 206 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.6
- State average 3.42 (computed here)
- National average 3.9
- No different than the national rate
- 2,127 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.22
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 5,969 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.22
- State average 0.3 (computed here)
- National average 0.27
- No different than the national rate
- 5,962 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected4.76
- State average 3.74 (computed here)
- National average 3.52
- No different than the national rate
- 751 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.08
- State average 1.61 (computed here)
- National average 1.67
- No different than the national rate
- 217 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.94
- State average 2.48 (computed here)
- National average 2.34
- No different than the national rate
- 673 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected13.94
- State average 9.19 (computed here)
- National average 9.42
- No different than the national rate
- 226 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected6.46
- State average 5.33 (computed here)
- National average 5.27
- No different than the national rate
- 195 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.64
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 182 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.41
- State average 0.67 (computed here)
- National average 0.63
- No different than the national rate
- 4,928 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4.8
- State average 4.09 (computed here)
- National average 4.1
- No different than the national rate
- 80 patients
- Period from 04/01/2023

Measures CMS does not publish for this facility (1)

Death rate for CABG surgery patients — 5

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.53
- 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
- State average 0.52
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.19
- State average 0.49
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.74
- State average 0.63
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected2.15
- State average 0.9
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (1)

SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 4.1
- State average 4.36 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 7
- 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) 0.99
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 17

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 96
- State average 93 (computed here)
- National average 92.79 (computed here)
- 142 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 84
- State average 56
- National average 65
- 117 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 169
- 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 299
- State average 346
- National average 287
- 12 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 160
- State average 214
- National average 162
- 367 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 366
- State average 338
- National average 257
- 25 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 98
- State average 97.42 (computed here)
- National average 96.1 (computed here)
- 148 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 99
- State average 97
- National average 93
- 73 patients
- Period from 01/01/2024
Head CT results 82
- State average 70
- National average 69
- 17 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 82
- State average 89
- National average 78
- 1,193 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)
- 425 patients
- Period from 01/01/2024
Left before being seen 1
- State average 4
- National average 2
- 33,435 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 20
- State average 18
- National average 15
- 1,017 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 90
- State average 67
- National average 73
- 29 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 89
- State average 84
- National average 87
- 18 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 91
- State average 75
- National average 81
- 117 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 97
- State average 91
- National average 93
- 70 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (13)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 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
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 12

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.3
- State average 14.76 (computed here)
- National average 14.4
- No different than the national rate
- 58 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected22
- State average 22.03 (computed here)
- National average 21.3
- No different than the national rate
- 407 patients
- Period from 07/01/2023
Hospital return days for heart attack patients -8.7
- State average 18.16 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 65 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 17.6
- State average 17.34 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 496 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 23.4
- State average 17.01 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 952 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected19
- State average 17.81 (computed here)
- National average 17.3
- No different than the national rate
- 799 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.3
- State average 5.18 (computed here)
- National average 5.4
- No different than the national rate
- 30 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.9
- State average 10.92 (computed here)
- National average 10.7
- No different than the national rate
- 30 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.3
- State average 5.71 (computed here)
- National average 5.8
- No different than the national rate
- 82 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected21.3
- State average 20.36 (computed here)
- National average 20
- No different than the national rate
- 184 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.6
- State average 12.66 (computed here)
- National average 13
- No different than the national rate
- 2,543 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1.1
- State average 0.96 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 618 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (2)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
Rate of readmission for CABG — 5

Other hospitals near Falmouth, MA

No other hospitals are listed in Falmouth, MA; these share its ZIP code area (025xx).

Cape Cod & Islands Community Mental Health Center Pocasset
Martha's Vineyard Hospital Inc Oak Bluffs
Nantucket Cottage Hospital Nantucket

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, and the clinicians who list this facility as an affiliation.
NPPES NPI Registry: the NPI records connected to this certification and the names of the providers listed above.

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.