NPIMap

Legacy Mount Hood Medical Center

Hospital in Gresham, OR, Medicare certification number 380025. CMS publishes 57 quality measures for it.

Medicare certification

Provider of Services
CCN
380025The 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
Jun 14, 1971
Last certification
Jun 11, 2004
Beds
115
Overall star rating
3 of 5Care Compare
Address
24800 SE Stark Street
Gresham, OR 97030
(503) 674-1122

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

Patient survey (HCAHPS) 9

Medicare Care Compare

Affiliated providers 459

Page 1 of 19Medicare Care Compare

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

Complications and deaths 17

Medicare Care Compare
Measures CMS does not publish for this facility (3)
  • Death rate among surgical inpatients with serious treatable complications — 1
  • Death rate for CABG surgery patients — 5
  • Rate of complications for hip/knee replacement patients — 1

Infections 4

Medicare Care Compare
Measures CMS does not publish for this facility (2)
  • MRSA Bacteremia — 13
  • SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Spending per patient 1

Medicare Care Compare

Timely and effective care 16

Medicare Care Compare
Measures CMS does not publish for this facility (14)
  • 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
  • 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
  • Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
  • Intensive Care Unit Venous Thromboembolism Prophylaxis — 5
  • Septic Shock 6-Hour Bundle — 1, 2
  • Venous Thromboembolism Prophylaxis — 5

Unplanned visits 8

Medicare Care Compare
Measures CMS does not publish for this facility (6)
  • 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 after hip/knee replacement — 1
  • Rate of readmission for CABG — 5

Other hospitals near Gresham, OR

No other hospitals are listed in Gresham, OR; these share its ZIP code area (970xx).

Sources for this page

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.