Jefferson Lansdale Hospital

Hospital in Lansdale, PA, Medicare certification number 390012. CMS publishes 58 quality measures for it.

Medicare certification

Provider of Services

CCN: 390012The 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: Nov 6, 2025
Beds: 140
Overall star rating: 3 of 5Care Compare
Most recent change of ownership: Nov 1, 2008 (2 total)
Address: 100 Medical Campus Drive
Lansdale, PA 19446
(215) 368-2100

NPI records for this facility 1

Lansdale Hospital Corporation
- General Acute Care Hospital
- Lansdale, PA
- NPI 1386896306
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.47 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.77 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse2 of 5
- State average 3.59 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating As expected3 of 5
- State average 3.13 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse3 of 5
- State average 3.8 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse2 of 5
- State average 3.38 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse2 of 5
- State average 2.85 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse2 of 5
- State average 3.67 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse2 of 5
- State average 3.33 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 17

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.2
- State average 1.06 (computed here)
- National average 1.06
- No different than the national rate
- 456 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.85
- State average 0.99 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate for COPD patients As expected6.4
- State average 8.11 (computed here)
- National average 8.6
- No different than the national rate
- 108 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected11.7
- State average 11.71 (computed here)
- National average 11.9
- No different than the national rate
- 35 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected11
- State average 10.73 (computed here)
- National average 11.1
- No different than the national rate
- 365 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected12.7
- State average 14.97 (computed here)
- National average 15.2
- No different than the national rate
- 304 patients
- Period from 07/01/2022
Death rate for stroke patients As expected10.1
- State average 11.35 (computed here)
- National average 11.9
- No different than the national rate
- 155 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected3.6
- State average 3.79 (computed here)
- National average 3.9
- No different than the national rate
- 1,961 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.18
- State average 0.21 (computed here)
- National average 0.21
- No different than the national rate
- 4,156 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.24
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 4,220 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected3.74
- State average 3.52 (computed here)
- National average 3.52
- No different than the national rate
- 416 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.65
- State average 1.63 (computed here)
- National average 1.67
- No different than the national rate
- 73 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.45
- State average 2.3 (computed here)
- National average 2.34
- No different than the national rate
- 396 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected8.59
- State average 8.98 (computed here)
- National average 9.42
- No different than the national rate
- 75 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected4.95
- State average 5.24 (computed here)
- National average 5.27
- No different than the national rate
- 60 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.71
- State average 1.72 (computed here)
- National average 1.77
- No different than the national rate
- 105 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.23
- State average 0.63 (computed here)
- National average 0.63
- No different than the national rate
- 3,497 patients
- Period from 07/01/2022

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 5

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0
- State average 0.56
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected0
- State average 0.59
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) As expected0.54
- State average 0.44
- National average 1
- No different than national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0
- State average 0.77
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery As expected0
- State average 0.84
- 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 3.5
- State average 6.22 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 9.5
- State average 8.63 (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 50
- State average 60
- 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 241
- State average 191
- National average 168
- 397 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 378
- State average 340
- National average 287
- 29 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 234
- State average 186
- National average 162
- 352 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 585
- State average 297
- National average 257
- 20 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 99
- State average 97.94 (computed here)
- National average 96.1 (computed here)
- 105 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 74
- State average 83
- National average 78
- 611 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 11
- State average 7.63 (computed here)
- National average 8.08 (computed here)
- 7,717 patients
- Period from 01/01/2024
Hospital Harm - Severe Hypoglycemia 1
- State average 1.15 (computed here)
- National average 1.09 (computed here)
- 1,508 patients
- Period from 01/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 83
- State average 90.77 (computed here)
- National average 93.49 (computed here)
- 707 patients
- Period from 01/01/2024
Left before being seen 2
- State average 2
- National average 2
- 26,990 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 16
- State average 16
- National average 15
- 1,099 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 61
- State average 70
- National average 73
- 23 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 62
- State average 85
- National average 87
- 13 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 63
- State average 78
- National average 81
- 117 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 98
- State average 93
- National average 93
- 41 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 85
- State average 86.85 (computed here)
- National average 82.23 (computed here)
- 3,289 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
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
Head CT results — 1
Hospital Harm - Opioid Related Adverse Events — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 5

Unplanned visits 7

Medicare Care Compare

Heart failure (HF) 30-Day Readmission Rate As expected21.9
- State average 21.59 (computed here)
- National average 21.3
- No different than the national rate
- 472 patients
- Period from 07/01/2023
Hospital return days for heart failure patients 2.9
- State average -1.7 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 407 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 12
- State average 2.03 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 301 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.5
- State average 17.56 (computed here)
- National average 17.3
- No different than the national rate
- 379 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.6
- State average 20.02 (computed here)
- National average 20
- No different than the national rate
- 162 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.6
- State average 12.89 (computed here)
- National average 13
- No different than the national rate
- 174 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 0.97 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 546 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (7)

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate — 1
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

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.