Bayshore Medical Center

Hospital in Holmdel, NJ, Medicare certification number 310112. CMS publishes 58 quality measures for it.

Medicare certification

Provider of Services

CCN: 310112The 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: May 1, 1972
Last certification: Jul 19, 2024
Beds: 225
Overall star rating: 4 of 5Care Compare
Most recent change of ownership: Sep 1, 2010 (1 total)
Address: 727 N Beers St
Holmdel, NJ 07733
(732) 739-5900

NPI records for this facility 2

HMH Hospitals Corporation
- Clinical Medical Laboratory
- Holmdel, NJ
- NPI 1740907336
Medicare enrollment
HMH Hospitals Corporation
- General Acute Care Hospital
- Holmdel, NJ
- NPI 1760994412
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Better4 of 5
- State average 3.23 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.17 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse3 of 5
- State average 2.67 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 2.45 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 2.85 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 2.7 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 2.38 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.08 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse3 of 5
- State average 2.73 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 18

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected0.86
- State average 0.96 (computed here)
- National average 1.06
- No different than the national rate
- 890 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.88
- State average 1 (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 expected136.63
- State average 175.74 (computed here)
- National average 173.3
- No different than the national rate
- 67 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.8
- State average 7.86 (computed here)
- National average 8.6
- No different than the national rate
- 172 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.5
- State average 11.73 (computed here)
- National average 11.9
- No different than the national rate
- 166 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.3
- State average 10.32 (computed here)
- National average 11.1
- No different than the national rate
- 339 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.9
- State average 14.7 (computed here)
- National average 15.2
- No different than the national rate
- 722 patients
- Period from 07/01/2022
Death rate for stroke patients Better8.1
- State average 11.14 (computed here)
- National average 11.9
- Better than the national rate
- 105 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.9
- State average 3.54 (computed here)
- National average 3.9
- No different than the national rate
- 1,350 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.16
- State average 0.19 (computed here)
- National average 0.21
- No different than the national rate
- 5,416 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.22
- State average 0.26 (computed here)
- National average 0.27
- No different than the national rate
- 5,492 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.08
- State average 3.68 (computed here)
- National average 3.52
- No different than the national rate
- 911 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.61
- State average 1.66 (computed here)
- National average 1.67
- No different than the national rate
- 122 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected1.85
- State average 2.23 (computed here)
- National average 2.34
- No different than the national rate
- 854 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected10.12
- State average 9.42 (computed here)
- National average 9.42
- No different than the national rate
- 135 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected6.78
- State average 5.43 (computed here)
- National average 5.27
- No different than the national rate
- 123 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.66
- State average 1.76 (computed here)
- National average 1.77
- No different than the national rate
- 166 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.13
- State average 0.62 (computed here)
- National average 0.63
- No different than the national rate
- 4,806 patients
- Period from 07/01/2022

Measures CMS does not publish for this facility (2)

Death rate for CABG surgery patients — 5
Rate of complications for hip/knee replacement patients — 1

Infections 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.29
- State average 0.43
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0.6
- State average 0.42
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.16
- State average 0.34
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.76
- State average 0.82
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected1.83
- State average 0.6
- 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 — 12

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 3.5
- State average 3.4 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 26.7
- State average 18.05 (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) 1.07
- State average 1.08
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 14

Medicare Care Compare

Antithrombotic Therapy by End of Hospital Day 2 99
- State average 92.91 (computed here)
- National average 92.79 (computed here)
- 84 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 75
- State average 73
- National average 65
- 218 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 165
- State average 191
- National average 168
- 431 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 161
- State average 186
- National average 162
- 395 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 436
- State average 292
- National average 257
- 29 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 97
- State average 95.83 (computed here)
- National average 96.1 (computed here)
- 94 patients
- Period from 01/01/2024
Head CT results 93
- State average 73
- National average 69
- 14 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 93
- State average 94
- National average 78
- 1,662 patients
- Period from 10/01/2024
Left before being seen 0
- State average 2
- National average 2
- 41,618 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 22
- State average 17
- National average 15
- 2,139 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 79
- State average 81
- National average 73
- 72 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 92
- State average 91
- National average 87
- 51 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 87
- State average 86
- National average 81
- 218 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 97
- State average 94
- National average 93
- 136 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (16)

Anticoagulation Therapy for Atrial Fibrillation/Flutter — 1
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
Emergency department volume — high
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients — 1
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
Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1
Venous Thromboembolism Prophylaxis — 5

Unplanned visits 9

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.6
- State average 14.36 (computed here)
- National average 14.4
- No different than the national rate
- 120 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected21.3
- State average 21.62 (computed here)
- National average 21.3
- No different than the national rate
- 372 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 10.6
- State average 7.01 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 120 patients
- Period from 07/01/2022
Hospital return days for heart failure patients -11.3
- State average 20.75 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 378 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 28.9
- State average 25.36 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 767 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected17.9
- State average 17.81 (computed here)
- National average 17.3
- No different than the national rate
- 752 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected19.9
- State average 20.21 (computed here)
- National average 20
- No different than the national rate
- 171 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.9
- State average 12.86 (computed here)
- National average 13
- No different than the national rate
- 167 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected1
- State average 0.93 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 327 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (5)

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 after hip/knee replacement — 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.