Quality Measures
20
CMS-tracked
New York · Acute Care
St John's Episcopal Hospital at South Shore
St John's Episcopal Hospital at South Shore holds a 1 of 5 CMS overall star rating — below the national average of 3.1 — in Far Rockaway, NY.
- 1★
- CMS overall rating
- 0th
- National percentile
- 20
- Quality measures
- 36
- Infection measures
327 Beach 19th Street, Far Rockaway, NY 11691 · Queens County · (718) 869-7000
The verdict
St John's Episcopal Hospital at South Shore earns 1 of 5 stars from CMS — below the 3.1-star national average — and reports 0 quality measures better than the national benchmark against 5 worse.
- 1 / 5
- CMS overall star rating
- Higher than 0%
- of 2,866 rated US hospitals
- 0
- measures better than national of 15 compared
- Yes
- emergency department on site
All figures from the CMS Hospital Compare release of 2026-05-15. This page is informational and not medical advice.
Where St John's Episcopal Hospital at South Shore sits among rated US hospitals
CMS overall star rating — count of hospitals at each rating, this hospital marked
1 Top 100% higher than 0% of 2,866 rated hospitals
Each bar is a band; taller bars hold more rated hospitals. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Hospital Compare — overall hospital rating · 2026-05-15
St John's Episcopal Hospital at South Shore vs. New York and the nation
CMS overall star rating (out of 5) — this hospital against the state and national averages
- St John's Episcopal … 1
St John's Episcopal Hospital at South Shore
1 stars
- New York avg
New York state average
2.5 stars
- US avg
National average
3.1 stars
What this shows At 1 stars, St John's Episcopal Hospital at South Shore rates below the New York average of 2.5 and below the national average of 3.1.
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Emergency Services
Yes
Birthing Friendly
Yes
Patient Experience
68
HCAHPS domains
Infection Measures
36
CDC NHSN
CMS Overall Star Rating 20.0%
1 of 5 stars
Quality profile vs. the national benchmark
How St John's Episcopal Hospital at South Shore performs across CMS's three outcome domains — each bar shows the share of measures rated better, the same, or worse than the national average.
Mortality 5 measures
Safety of care 5 measures
Readmission 5 measures
Better than national Same as national Worse than national
Quality Measures
Detailed quality measure performance compared to national benchmarks
| Measure | Score | vs. National |
|---|---|---|
| Abdominopelvic accidental puncture or laceration rate | 0.97 | Same as National |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.26 | Same as National |
| Death rate among surgical inpatients with serious treatable complications | 177.83 | Same as National |
| Death rate for CABG surgery patients | N/A | Not Available |
| Death rate for COPD patients | 10.6 | Same as National |
| Death rate for heart attack patients | 11.8 | Same as National |
| Death rate for heart failure patients | 10.7 | Same as National |
| Death rate for pneumonia patients | 26.5 | Worse than National |
| Death rate for stroke patients | 17.6 | Same as National |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 5.9 | Worse than National |
| Iatrogenic pneumothorax rate | 0.18 | Same as National |
| In-hospital fall-associated fracture rate | 0.28 | Same as National |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.9 | Same as National |
| Postoperative acute kidney injury requiring dialysis rate | N/A | Number of Cases Too Small |
| Postoperative hemorrhage or hematoma rate | 2.18 | Same as National |
Patient Experience (HCAHPS)
Patient satisfaction survey results measuring hospital care quality
| Survey Question | Star Rating |
|---|---|
| Cleanliness - linear mean score Cleanliness - linear mean score | N/A |
| Cleanliness - star rating Cleanliness - star rating | 2 |
| Communication about medicines - linear mean score Communication about medicines - linear mean score | N/A |
| Communication about medicines - star rating Communication about medicines - star rating | 1 |
| Discharge information - linear mean score Discharge information - linear mean score | N/A |
| Discharge information - star rating Discharge information - star rating | 1 |
| Doctor communication - linear mean score Doctor communication - linear mean score | N/A |
| Doctor communication - star rating Doctor communication - star rating | 1 |
| Nurse communication - linear mean score Nurse communication - linear mean score | N/A |
| Nurse communication - star rating Nurse communication - star rating | 1 |
| Overall hospital rating - linear mean score Overall hospital rating - linear mean score | N/A |
| Overall hospital rating - star rating Overall hospital rating - star rating | 1 |
| Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) Patients who gave a rating of "6" or lower (low) | N/A |
| Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) Patients who gave a rating of "7" or "8" (medium) | N/A |
| Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) Patients who gave a rating of "9" or "10" (high) | N/A |
| Patients who reported NO, they would probably not or definitely not recommend the hospital "NO", patients would not recommend the hospital (they probably would not or definitely would not recommend it) | N/A |
| Patients who reported that NO, they did not discuss whether they would need help after discharge No, staff "did not" give patients information about help after discharge | N/A |
| Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge No, staff "did not" give patients information about possible symptoms | N/A |
| Patients who reported that NO, they were not given information about what to do during their recovery at home No, staff "did not" give patients this information | N/A |
| Patients who reported that staff "Always" explained about medicines before giving it to them Staff "always" explained | N/A |
| Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them Staff "sometimes" or "never" explained | N/A |
| Patients who reported that staff "Usually" explained about medicines before giving it to them Staff "usually" explained | N/A |
| Patients who reported that the area around their room was "Always" quiet at night "Always" quiet at night | N/A |
| Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night "Sometimes" or "never" quiet at night | N/A |
| Patients who reported that the area around their room was "Usually" quiet at night "Usually" quiet at night | N/A |
| Patients who reported that their doctors "Always" communicated well Doctors "always" communicated well | N/A |
| Patients who reported that their doctors "Always" explained things in a way they could understand Doctors "always" explained things so they could understand | N/A |
| Patients who reported that their doctors "Always" listened carefully to them Doctors "always" listened carefully | N/A |
| Patients who reported that their doctors "Always" treated them with courtesy and respect Doctors "always" treated them with courtesy and respect | N/A |
| Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect Doctors "sometimes" or "never" treated them with courtesy and respect | N/A |
| Patients who reported that their doctors "Sometimes" or "Never" communicated well Doctors "sometimes" or "never" communicated well | N/A |
| Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand Doctors "sometimes" or "never" explained things so they could understand | N/A |
| Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them Doctors "sometimes" or "never" listened carefully | N/A |
| Patients who reported that their doctors "Usually" treated them with courtesy and respect Doctors "usually" treated them with courtesy and respect | N/A |
| Patients who reported that their doctors "Usually" communicated well Doctors "usually" communicated well | N/A |
| Patients who reported that their doctors "Usually" explained things in a way they could understand Doctors "usually" explained things so they could understand | N/A |
| Patients who reported that their doctors "Usually" listened carefully to them Doctors "usually" listened carefully | N/A |
| Patients who reported that their nurses "Always" communicated well Nurses "always" communicated well | N/A |
| Patients who reported that their nurses "Always" explained things in a way they could understand Nurses "always" explained things so they could understand | N/A |
| Patients who reported that their nurses "Always" listened carefully to them Nurses "always" listened carefully | N/A |
| Patients who reported that their nurses "Always" treated them with courtesy and respect Nurses "always" treated them with courtesy and respect | N/A |
| Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect Nurses "sometimes" or "never" treated them with courtesy and respect | N/A |
| Patients who reported that their nurses "Sometimes" or "Never" communicated well Nurses "sometimes" or "never" communicated well | N/A |
| Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand Nurses "sometimes" or "never" explained things so they could understand | N/A |
| Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them Nurses "sometimes" or "never" listened carefully | N/A |
| Patients who reported that their nurses "Usually" treated them with courtesy and respect Nurses "usually" treated them with courtesy and respect | N/A |
| Patients who reported that their nurses "Usually" communicated well Nurses "usually" communicated well | N/A |
| Patients who reported that their nurses "Usually" explained things in a way they could understand Nurses "usually" explained things so they could understand | N/A |
| Patients who reported that their nurses "Usually" listened carefully to them Nurses "usually" listened carefully | N/A |
| Patients who reported that their room and bathroom were "Always" clean Room was "always" clean | N/A |
| Patients who reported that their room and bathroom were "Sometimes" or "Never" clean Room was "sometimes" or "never" clean | N/A |
| Patients who reported that their room and bathroom were "Usually" clean Room was "usually" clean | N/A |
| Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for Staff "always" explained new medications | N/A |
| Patients who reported that when receiving new medication the staff "Always" discussed possible side effects Staff "always" explained possible side effects | N/A |
| Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for Staff "sometimes" or "never" explained new medications | N/A |
| Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects Staff "sometimes" or "never" explained possible side effects | N/A |
| Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. Staff "usually" explained new medications | N/A |
| Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects Staff "usually" explained possible side effects | N/A |
| Patients who reported that YES, they did discuss whether they would need help after discharge Yes, staff "did" give patients information about help after discharge | N/A |
| Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge Yes, staff "did" give patients information about possible symptoms | N/A |
| Patients who reported that YES, they were given information about what to do during their recovery at home Yes, staff "did" give patients this information | N/A |
| Patients who reported YES, they would definitely recommend the hospital "YES", patients would definitely recommend the hospital | N/A |
| Patients who reported YES, they would probably recommend the hospital "YES", patients would probably recommend the hospital | N/A |
| Quietness - linear mean score Quietness - linear mean score | N/A |
| Quietness - star rating Quietness - star rating | 1 |
| Recommend hospital - linear mean score Recommend hospital - linear mean score | N/A |
| Recommend hospital - star rating Recommend hospital - star rating | 1 |
| Summary star rating Summary star rating | 1 |
Safety & Infections
Healthcare-associated infection rates compared to national benchmarks
| Measure | Score | vs. National |
|---|---|---|
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 1.952 | Worse than National |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 1.027 | Worse than National |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 5652 | Worse than National |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 11 | Worse than National |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 5.635 | Worse than National |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 3.393 | Worse than National |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 2.927 | Worse than National |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 1.539 | Worse than National |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 11 | Worse than National |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 3.758 | Worse than National |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 5.088 | Worse than National |
| Central Line Associated Bloodstream Infection: Number of Device Days | 4120 | Worse than National |
| Clostridium Difficile (C.Diff) | 0.806 | Same as National |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.513 | Same as National |
| Clostridium Difficile (C.Diff): Observed Cases | 21 | Same as National |
| Clostridium Difficile (C.Diff): Patient Days | 47468 | Same as National |
| Clostridium Difficile (C.Diff): Predicted Cases | 26.039 | Same as National |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 1.212 | Same as National |
| MRSA Bacteremia | 0.328 | Same as National |
| MRSA Bacteremia: Lower Confidence Limit | 0.016 | Same as National |
| MRSA Bacteremia: Observed Cases | 1 | Same as National |
| MRSA Bacteremia: Patient Days | 48994 | Same as National |
| MRSA Bacteremia: Predicted Cases | 3.049 | Same as National |
| MRSA Bacteremia: Upper Confidence Limit | 1.618 | Same as National |
| SSI - Abdominal Hysterectomy | N/A | Not Available |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | N/A | Not Available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 14 | Not Available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not Available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.132 | Not Available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | N/A | Not Available |
| SSI - Colon Surgery | N/A | Not Available |
| SSI - Colon Surgery: Lower Confidence Limit | N/A | Not Available |
| SSI - Colon Surgery: Number of Procedures | 30 | Not Available |
| SSI - Colon Surgery: Observed Cases | 0 | Not Available |
| SSI - Colon Surgery: Predicted Cases | 0.805 | Not Available |
| SSI - Colon Surgery: Upper Confidence Limit | N/A | Not Available |
Staffing & Spending
Medicare spending per episode and unplanned visit measures
Unplanned Visits & Readmissions
| Measure | Score | vs. National |
|---|---|---|
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | N/A | Number of Cases Too Small |
| Heart failure (HF) 30-Day Readmission Rate | 21.3 | Same as National |
| Hospital return days for heart attack patients | N/A | Number of Cases Too Small |
| Hospital return days for heart failure patients | 122.7 | More Days Than Average per 100 Discharges |
| Hospital return days for pneumonia patients | 134.1 | More Days Than Average per 100 Discharges |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 18.2 | Worse than National |
| Pneumonia (PN) 30-Day Readmission Rate | 21.2 | Worse than National |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | N/A | Number of Cases Too Small |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | N/A | Number of Cases Too Small |
| Rate of readmission after hip/knee replacement | N/A | Number of Cases Too Small |
| Rate of readmission for CABG | N/A | Not Available |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.6 | Same as National |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.6 | Same as National |
| Ratio of unplanned hospital visits after hospital outpatient surgery | N/A | Number of cases too small |
Medicare Spending
| Measure | Score |
|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary) | 1.16 |
Maternal Health
Maternal care quality measures including C-section rates and outcomes
| Measure | Score |
|---|---|
| Cesarean Birth | N/A |
| Maternal Morbidity Structural Measure | N/A |
| Risk Adjusted Severe Obstetric Complications (All) | N/A |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | N/A |
Nearby Hospitals in New York
Other Medicare-certified hospitals in New York — tap any card for its full quality profile.
Adirondack Medical Center - Saranac Lake
Saranac Lake, NY
4/5
Acute Care Hospitals
Albany Medical Center Hospital
Albany, NY
2/5
Acute Care Hospitals
Albany VA Medical Center
Albany, NY
3/5
Acute Care - Veterans Administration
Arnot Ogden Medical Center
Elmira, NY
1/5
Acute Care Hospitals
Auburn Community Hospital
Auburn, NY
2/5
Acute Care Hospitals
Aurelia Osborn Fox Memorial Hospital
Oneonta, NY
3/5
Acute Care Hospitals
Compare St John's Episcopal Hospital at South Shore vs Adirondack Medical Center - Saranac Lake →
Hospital Quality Guides
Learn how to interpret hospital quality data and make informed healthcare decisions
Frequently Asked Questions
What is the CMS star rating for St John's Episcopal Hospital at South Shore?
St John's Episcopal Hospital at South Shore has an overall CMS star rating of 1 out of 5. CMS star ratings are based on multiple quality measures including mortality, safety of care, readmission rates, patient experience, and timely and effective care.
How does St John's Episcopal Hospital at South Shore perform on quality measures?
St John's Episcopal Hospital at South Shore has 0 quality measures rated better than the national average and 5 rated worse. 20 total quality measures are tracked for this facility.
What do patients say about St John's Episcopal Hospital at South Shore?
Patient experience at St John's Episcopal Hospital at South Shore is measured through HCAHPS surveys covering 68 categories including communication with doctors, responsiveness of staff, cleanliness, and discharge information. Patient survey star ratings range from 1 to 2 out of 5.
What are the infection rates at St John's Episcopal Hospital at South Shore?
St John's Episcopal Hospital at South Shore tracks 36 healthcare-associated infection measures. 0 are better than the national benchmark, 12 are worse, and 12 are at the national average.
Does St John's Episcopal Hospital at South Shore have emergency services?
Yes, St John's Episcopal Hospital at South Shore provides emergency services.
What type of hospital is St John's Episcopal Hospital at South Shore?
St John's Episcopal Hospital at South Shore is a Acute Care Hospitals facility with Voluntary non-profit - Private ownership, located in Far Rockaway, NY. This facility has received the CMS Birthing-Friendly designation.
How much does Medicare spend at St John's Episcopal Hospital at South Shore?
Medicare spending data is available for St John's Episcopal Hospital at South Shore across 1 spending categories. These measures compare the hospital's spending per episode to the national median.
Does St John's Episcopal Hospital at South Shore offer maternal health services?
Yes, St John's Episcopal Hospital at South Shore reports maternal health data including 4 measures such as C-section rates and maternal morbidity outcomes. This facility has been designated as Birthing-Friendly by CMS.
Data Sources
Source: Centers for Medicare & Medicaid Services (CMS) Hospital Compare. Last refreshed from CMS: .
Hospital quality data is sourced from the CMS Hospital Compare program, with patient-experience scores drawn from the HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) survey. Data includes overall star ratings, quality measures, healthcare-associated infections, unplanned visits, Medicare spending, and maternal health measures.
Source: CMS Hospital Compare. This information is not medical advice. Learn more
Read our methodology — how this data is sourced, computed, and verified.
All federal data sources used on this page
- CMS Hospital General Information (HGI) — hospital identifier + ownership + general info. data.cms.gov/hospital-general-information
- CMS Care Compare — Hospital Quality — patient experience + safety + outcome measures. medicare.gov/care-compare
- CMS Provider Data Catalog — all hospital-related Medicare provider data. data.cms.gov/provider-data
- AHRQ HCUP — hospital utilization + readmission rates. hcup-us.ahrq.gov
- CDC National Healthcare Safety Network (NHSN) — hospital-acquired infection surveillance. cdc.gov/nhsn
- HRSA Health Resources Files — hospital service-area + workforce data. data.hrsa.gov
