Nazareth Hospital

Hospital in Philadelphia, PA, Medicare certification number 390204. CMS publishes 56 quality measures for it.

Medicare certification

Provider of Services

CCN: 390204The 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: Mar 4, 2020
Beds: 203
Overall star rating: 2 of 5Care Compare
Address: 2601 Holme Ave
Philadelphia, PA 19152
(215) 335-6000

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse1 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 Worse3 of 5
- State average 3.59 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 3.13 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 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 Worse1 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 expected0.96
- State average 1.06 (computed here)
- National average 1.06
- No different than the national rate
- 598 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected0.88
- 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 expected9.1
- State average 8.11 (computed here)
- National average 8.6
- No different than the national rate
- 88 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected13.3
- State average 11.71 (computed here)
- National average 11.9
- No different than the national rate
- 68 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected10.5
- State average 10.73 (computed here)
- National average 11.1
- No different than the national rate
- 185 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected13.4
- State average 14.97 (computed here)
- National average 15.2
- No different than the national rate
- 274 patients
- Period from 07/01/2022
Death rate for stroke patients As expected12.5
- State average 11.35 (computed here)
- National average 11.9
- No different than the national rate
- 146 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate As expected4.3
- State average 3.79 (computed here)
- National average 3.9
- No different than the national rate
- 1,404 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
- 3,136 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.28
- State average 0.27 (computed here)
- National average 0.27
- No different than the national rate
- 3,249 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected4.36
- State average 3.52 (computed here)
- National average 3.52
- No different than the national rate
- 335 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected1.66
- State average 1.63 (computed here)
- National average 1.67
- No different than the national rate
- 39 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.1
- State average 2.3 (computed here)
- National average 2.34
- No different than the national rate
- 324 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected8.67
- State average 8.98 (computed here)
- National average 9.42
- No different than the national rate
- 39 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.13
- State average 5.24 (computed here)
- National average 5.27
- No different than the national rate
- 26 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected1.73
- State average 1.72 (computed here)
- National average 1.77
- No different than the national rate
- 52 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.21
- State average 0.63 (computed here)
- National average 0.63
- No different than the national rate
- 2,671 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 4

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) As expected0.55
- State average 0.56
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) As expected1.46
- State average 0.59
- National average 1
- No different than national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) As expected0.63
- State average 0.44
- National average 1
- No different than national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected1.11
- State average 0.77
- National average 1
- No different than national benchmark
- Period from 10/01/2024

Measures CMS does not publish for this facility (2)

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

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 7.6
- State average 6.22 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 6.3
- 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) 1.06
- State average 0.98
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 16

Medicare Care Compare

Anticoagulation Therapy for Atrial Fibrillation/Flutter 58
- State average 76.12 (computed here)
- National average 74.05 (computed here)
- 36 patients
- Period from 01/01/2024
Antithrombotic Therapy by End of Hospital Day 2 99
- State average 94.33 (computed here)
- National average 92.79 (computed here)
- 128 patients
- Period from 01/01/2024
Appropriate care for severe sepsis and septic shock 83
- State average 60
- National average 65
- 178 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 224
- State average 191
- National average 168
- 413 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 222
- State average 186
- National average 162
- 396 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 372
- State average 297
- National average 257
- 12 patients
- Period from 10/01/2024
Discharged on Antithrombotic Therapy 99
- State average 97.94 (computed here)
- National average 96.1 (computed here)
- 146 patients
- Period from 01/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 90
- State average 95
- National average 93
- 21 patients
- Period from 01/01/2024
Head CT results 80
- State average 69
- National average 69
- 15 patients
- Period from 10/01/2024
Healthcare workers given influenza vaccination 47
- State average 83
- National average 78
- 2,060 patients
- Period from 10/01/2024
Left before being seen 4
- State average 2
- National average 2
- 47,449 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 17
- State average 16
- National average 15
- 884 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 94
- State average 70
- National average 73
- 71 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 100
- State average 85
- National average 87
- 60 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 88
- State average 78
- National average 81
- 178 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 95
- State average 93
- National average 93
- 125 patients
- Period from 10/01/2024

Measures CMS does not publish for this facility (14)

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
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 7

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected15.3
- State average 14.5 (computed here)
- National average 14.4
- No different than the national rate
- 90 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected22.2
- State average 21.59 (computed here)
- National average 21.3
- No different than the national rate
- 362 patients
- Period from 07/01/2023
Hospital return days for heart failure patients 17.2
- State average -1.7 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 202 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 13.2
- State average 2.03 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 279 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18.2
- State average 17.56 (computed here)
- National average 17.3
- No different than the national rate
- 439 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.7
- State average 20.02 (computed here)
- National average 20
- No different than the national rate
- 188 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.2
- State average 12.89 (computed here)
- National average 13
- No different than the national rate
- 163 patients
- Period from 01/01/2022

Measures CMS does not publish for this facility (7)

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
Ratio of unplanned hospital visits after hospital outpatient surgery — 1

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.

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.