PHELPS MEMORIAL HOSPITAL CENTER Review

Get Information, Ratings, Surveys, and Compare PHELPS MEMORIAL HOSPITAL CENTER to other hospitals

Overall Hospital Rating: ; HCAPS approval: 67%

Database data as of January 31, 2024

A Review of the Data

Prepared by Richard Saunders as of January 31, 2024.

The Centers for Medicare & Medicaid Services ("CMS") distributes more than 80 tables of data on hospitals on a quarterly basis. That is a lot of information to pour through to try and build a comprehensive review of PHELPS MEMORIAL HOSPITAL CENTER. Luckily, we are here to help! I’ve put together this page to help you to get a better idea of what the hospital does, who is affiliated with it, share any patient survey data and much more. (If you want to jump to a specific section of the review, here are the section headers: General Hospital Data, Ratings, Cost Analysis, Infections, Comparison, Nearby Skilled Nursing Facilities, Doctors Associated with PHELPS MEMORIAL HOSPITAL CENTER, Survey Analysis.)

In the briefest summary, PHELPS MEMORIAL HOSPITAL CENTER is one of the types of hospitals called Acute Care Hospitals. It is in SLEEPY HOLLOW, NY. Its five star rating is 3 . Its type of ownership is Voluntary non-profit - Other. The facility's Medicare ID is 330261. It does provide emergency services. There are 533 medical professionals and 103 doctor groups affiliated with the hospital. On average at PHELPS MEMORIAL HOSPITAL CENTER, emergency patients were charged $27,017. This is higher than the state average of $26,475. It is also higher than the national average of $25,828.

According to the Hospital Consumer Assessment of Healthcare Providers and Systems ("HCAHPS") that ended in September 30, 2021, 67% of the patients surveyed definitely recommended PHELPS MEMORIAL HOSPITAL CENTER, while only 10% did not recommend going to PHELPS MEMORIAL HOSPITAL CENTER.

The information presented below is based on data provided by U.S. Centers for Medicare & Medicaid Services (CMS). It is updated as new data is made available.

General Information for PHELPS MEMORIAL HOSPITAL CENTER

Address:

701 N BROADWAY
SLEEPY HOLLOW, NY 10591
(914) 366-3000
Click for Map

Medicare Provider Number:

330261

Type:

Acute Care Hospitals

Ownership:

Voluntary non-profit - Other

Overall Hospital Quality Star Rating for PHELPS MEMORIAL HOSPITAL CENTER

Overall Rating:



The Overall Hospital Quality Star Rating for PHELPS MEMORIAL HOSPITAL CENTER summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. Once reporting thresholds are met, a hospital’s Overall Star Rating is calculated using only those measures for which data are available. Hospitals report data to The Centers for Medicare & Medicaid Services ("CMS") through the Hospital Inpatient Quality Reporting (IQR) Program, Hospital Outpatient Quality Reporting (OQR) Program, Hospital Readmission Reduction Program (HRRP), Hospital-Acquired Condition (HAC) Reduction Program, and Hospital Value-Based Purchasing (VBP) Program. Overall Star Ratings aren’t calculated for Veterans Health Administration (VHA) or Department of Defense (DoD) hospitals.

Most hospitals will have an Overall Hospital Quality Star Rating of 3.

National distribution of the Overall Hospital Quality Star Rating The following table shows the national distribution of the Overall Star Rating based on July 2022 results.

Overall rating Number of hospitals / Percentage
1 star 198 (6.34%)
2 stars 702 (22.49%)
3 stars 895 (28.68%)
4 stars 895 (28.68%)
5 stars 431 (13.81%)
N/A 1,368 (30.47%)

Additional detailed on the method for calculating the Overall Hospital Quality Star Rating from this document.

Patient Survey Results

Below is information compiled by CMS on the percentage of patients who respond to specific treatments and a comparison of the results for PHELPS MEMORIAL HOSPITAL CENTER to the national results for similar facilities.

Survey Question Response
Patients who reported that their nurses "Always" communicated well 71 %
Patients who reported that their nurses "Sometimes" or "Never" communicated well 7 %
Patients who reported that their nurses "Usually" communicated well 22 %
Nurse communication - linear mean score Not Applicable
Nurse communication - star rating Not Applicable
Patients who reported that their nurses "Always" treated them with courtesy and respect 78 %
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect 5 %
Patients who reported that their nurses "Usually" treated them with courtesy and respect 17 %
Patients who reported that their nurses "Always" listened carefully to them 69 %
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them 8 %
Patients who reported that their nurses "Usually" listened carefully to them 23 %
Patients who reported that their nurses "Always" explained things in a way they could understand 66 %
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand 9 %
Patients who reported that their nurses "Usually" explained things in a way they could understand 25 %
Patients who reported that their doctors "Always" communicated well 77 %
Patients who reported that their doctors "Sometimes" or "Never" communicated well 6 %
Patients who reported that their doctors "Usually" communicated well 17 %
Doctor communication - linear mean score Not Applicable
Doctor communication - star rating Not Applicable
Patients who reported that their doctors "Always" treated them with courtesy and respect 85 %
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect 3 %
Patients who reported that their doctors "Usually" treated them with courtesy and respect 12 %
Patients who reported that their doctors "Always" listened carefully to them 73 %
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them 6 %
Patients who reported that their doctors "Usually" listened carefully to them 21 %
Patients who reported that their doctors "Always" explained things in a way they could understand 73 %
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand 8 %
Patients who reported that their doctors "Usually" explained things in a way they could understand 19 %
Patients who reported that they "Always" received help as soon as they wanted 55 %
Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted 14 %
Patients who reported that they "Usually" received help as soon as they wanted 31 %
Staff responsiveness - linear mean score Not Applicable
Staff responsiveness - star rating Not Applicable
Patients who reported that they "Always" received help after using the call button as soon as they wanted 53 %
Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wanted 13 %
Patients who reported that they "Usually" received help after using the call button as soon as they wanted 34 %
Patients who reported that they "Always" received bathroom help as soon as they wanted 58 %
Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wanted 14 %
Patients who reported that they "Usually" received bathroom help as soon as they wanted 28 %
Patients who reported that staff "Always" explained about medicines before giving it to them 57 %
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them 25 %
Patients who reported that staff "Usually" explained about medicines before giving it to them 18 %
Communication about medicines - linear mean score Not Applicable
Communication about medicines - star rating Not Applicable
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for 69 %
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for 14 %
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. 17 %
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects 44 %
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects 36 %
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects 20 %
Patients who reported that NO, they were not given information about what to do during their recovery at home 17 %
Patients who reported that YES, they were given information about what to do during their recovery at home 83 %
Discharge information - linear mean score Not Applicable
Discharge information - star rating Not Applicable
Patients who reported that NO, they did not discuss whether they would need help after discharge 20 %
Patients who reported that YES, they did discuss whether they would need help after discharge 80 %
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge 15 %
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge 85 %
Patients who "Agree" they understood their care when they left the hospital 47 %
Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospital 6 %
Patients who "Strongly Agree" they understood their care when they left the hospital 47 %
Care transition - linear mean score Not Applicable
Care transition - star rating Not Applicable
Patients who "Agree" that the staff took my preferences into account when determining my health care needs 52 %
Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs 8 %
Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs 40 %
Patients who "Agree" that they understood their responsiblities in managing their health 47 %
Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health 6 %
Patients who "Strongly Agree" that they understood their responsiblities in managing their health 47 %
Patients who "Agree" that they understood the purposes of their medications when leaving the hospital 39 %
Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital 6 %
Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital 55 %
Patients who reported that their room and bathroom were "Always" clean 66 %
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean 15 %
Patients who reported that their room and bathroom were "Usually" clean 19 %
Cleanliness - linear mean score Not Applicable
Cleanliness - star rating Not Applicable
Patients who reported that the area around their room was "Always" quiet at night 43 %
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night 22 %
Patients who reported that the area around their room was "Usually" quiet at night 35 %
Quietness - linear mean score Not Applicable
Quietness - star rating Not Applicable
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) 15 %
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) 22 %
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) 63 %
Overall hospital rating - linear mean score Not Applicable
Overall hospital rating - star rating Not Applicable
Patients who reported NO, they would probably not or definitely not recommend the hospital 10 %
Patients who reported YES, they would definitely recommend the hospital 67 %
Patients who reported YES, they would probably recommend the hospital 23 %
Recommend hospital - linear mean score Not Applicable
Recommend hospital - star rating Not Applicable
Summary star rating Not Applicable

Cost of PHELPS MEMORIAL HOSPITAL CENTER, Compare to National and State Averages

Understanding how much a hospital is going to cost is extremely difficult. Hospitals themselves actively obscure what they charge and have negotiated different rates with different insurers. Then you have the problem of the wide variety of treatments which the PHELPS MEMORIAL HOSPITAL CENTER provides.

To provide some standard metric to compare hospital costs, CMS publishes the MSPB (or "Medicare Spending Per Beneficiary"). Even though you may not be on Medicare, this metric may still be useful. The MSPB is expressed as a percentage compared to the national average for costs that Medicare incurs. A percentage higher than 100% means the hospital charges more than the national average while a percentage less than 100% means the hospital charges less than the national average.

MSPB for PHELPS MEMORIAL HOSPITAL CENTER: Not Available

Detailed table for spending and period for patients at PHELPS MEMORIAL HOSPITAL CENTER:

Type Amount
Home Health Agency (1 to 3 days Prior to Index Hospital Admission) $13
Hospice (1 to 3 days Prior to Index Hospital Admission) $0
Inpatient (1 to 3 days Prior to Index Hospital Admission) $12
Outpatient (1 to 3 days Prior to Index Hospital Admission) $41
Skilled Nursing Facility (1 to 3 days Prior to Index Hospital Admission) $25
Durable Medical Equipment (1 to 3 days Prior to Index Hospital Admission) $4
Carrier (1 to 3 days Prior to Index Hospital Admission) $652
Home Health Agency (During Index Hospital Admission) $0
Hospice (During Index Hospital Admission) $0
Inpatient (During Index Hospital Admission) $11,028
Outpatient (During Index Hospital Admission) $0
Skilled Nursing Facility (During Index Hospital Admission) $0
Durable Medical Equipment (During Index Hospital Admission) $15
Carrier (During Index Hospital Admission) $1,649
Home Health Agency (1 through 30 days After Discharge from Index Hospital Admission) $574
Hospice (1 through 30 days After Discharge from Index Hospital Admission) $164
Inpatient (1 through 30 days After Discharge from Index Hospital Admission) $2,820
Outpatient (1 through 30 days After Discharge from Index Hospital Admission) $1,006
Skilled Nursing Facility (1 through 30 days After Discharge from Index Hospital Admission) $7,451
Durable Medical Equipment (1 through 30 days After Discharge from Index Hospital Admission) $53
Carrier (1 through 30 days After Discharge from Index Hospital Admission) $1,512
Total (Complete Episode) $27,017

Infection Rates at PHELPS MEMORIAL HOSPITAL CENTER

These measures show how often patients at PHELPS MEMORIAL HOSPITAL CENTER contract certain infections during the course of their medical treatment, when compared to other hospitals nationally.

Infection Type Score / Compare to National Average
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit 0.03 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit 2.73 / Same
Central Line Associated Bloodstream Infection: Number of Device Days 2,267.00 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases 1.81 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases 1.00 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards) 0.55 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit 0.14 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit 2.70 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days 3,036.00 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases 2.45 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases 2.00 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards) 0.82 / Same
SSI - Colon Surgery: Lower Confidence Limit -- / Same
SSI - Colon Surgery: Upper Confidence Limit 1.57 / Same
SSI - Colon Surgery: Number of Procedures 71.00 / Same
SSI - Colon Surgery: Predicted Cases 1.91 / Same
SSI - Colon Surgery: Observed Cases 0.00 / Same
SSI - Colon Surgery 0.00 / Same
SSI - Abdominal Hysterectomy: Lower Confidence Limit Not Available / Not Available
SSI - Abdominal Hysterectomy: Upper Confidence Limit Not Available / Not Available
SSI - Abdominal Hysterectomy: Number of Procedures 28.00 / Not Available
SSI - Abdominal Hysterectomy: Predicted Cases 0.18 / Not Available
SSI - Abdominal Hysterectomy: Observed Cases 0.00 / Not Available
SSI - Abdominal Hysterectomy Not Available / Not Available
MRSA Bacteremia: Lower Confidence Limit 0.60 / Same
MRSA Bacteremia: Upper Confidence Limit 4.55 / Same
MRSA Bacteremia: Patient Days 38,170.00 / Same
MRSA Bacteremia: Predicted Cases 2.12 / Same
MRSA Bacteremia: Observed Cases 4.00 / Same
MRSA Bacteremia 1.89 / Same
Clostridium Difficile (C.Diff): Lower Confidence Limit 0.07 / Better
Clostridium Difficile (C.Diff): Upper Confidence Limit 0.52 / Better
Clostridium Difficile (C.Diff): Patient Days 35,945.00 / Better
Clostridium Difficile (C.Diff): Predicted Cases 18.58 / Better
Clostridium Difficile (C.Diff): Observed Cases 4.00 / Better
Clostridium Difficile (C.Diff) 0.22 / Better

How PHELPS MEMORIAL HOSPITAL CENTER Compares to Other Similar Facilities

This is how PHELPS MEMORIAL HOSPITAL CENTER compares to other similar hospitals nationally based on data provided to CMS.

Top Hospitals in SLEEPY HOLLOW, NY

Worst Hospitals in SLEEPY HOLLOW, NY

Percentages of Complications and Deaths at PHELPS MEMORIAL HOSPITAL CENTER

Measure Score Compared to National Rates
Rate of complications for hip/knee replacement patients 3% SAME
Death rate for heart attack patients 12.3% SAME
Death rate for CABG surgery patients NA Not Enough Data
Death rate for COPD patients 10.6% SAME
Death rate for heart failure patients 10.9% SAME
Death rate for pneumonia patients 16.7% SAME
Death rate for stroke patients 12.9% SAME
Pressure ulcer rate 0.34% SAME
Death rate among surgical inpatients with serious treatable complications 163.9% SAME
Iatrogenic pneumothorax rate 0.21% SAME
In-hospital fall with hip fracture rate 0.08% SAME
Postoperative hemorrhage or hematoma rate 2.49% SAME
Postoperative acute kidney injury requiring dialysis rate 1.89% SAME
Postoperative respiratory failure rate 7.38% SAME
Perioperative pulmonary embolism or deep vein thrombosis rate 3.27% SAME
Postoperative sepsis rate 5.7% SAME
Postoperative wound dehiscence rate 2.4% SAME
Abdominopelvic accidental puncture or laceration rate 1.11% SAME
CMS Medicare PSI 90: Patient safety and adverse events composite 0.9% SAME

Skilled Nursing Facilities Near PHELPS MEMORIAL HOSPITAL CENTER

Many hospital patients are not ready to return home after a hospital visit. If recovery is going to be protracted, doctors will often advise that the patients recuperate at a skilled nursing facility. Below is a list of the skilled nursing homes near PHELPS MEMORIAL HOSPITAL CENTER ranked by their CMS 5-Star Overall Rating.

Facility Name Overall Rating
Edgehill Health Center 5:
Inglemoor Rehabilitation and Care Center of Living 5:
Alaris Health at St Mary's 5:
Spring Hills Post Acute Livingston 5:
White House Healthcare and Rehabilitation Center 5:
Northwell Health Stern Family Center For Rehab 5:
Methodist Home For Nursing and Rehabilitation 5:
The Villa at Stamford 5:
Excel Care at Wayne 5:
Emerson Health Care Center 5:
Union Plaza Care Center 5:
Careone at Teaneck 5:
Family of Caring Healthcare at Montclair 5:
The Actors Fund Home 5:
Epic Rehabilitation and Nursing at White Plains 5:
Atrium Post Acute Care of Park Ridge 5:
The Enclave at Rye Rehab and Nursing Ctr 5:
Dumont Center For Rehabilitation and Nursing Care 5:
Job Haines Home For Aged People 5:
Complete Care at West Caldwell LLC 5:
Havencare at Hancock Hall 5:
Split Rock Rehabilition and Health Care Center 5:
Waterview Hills Rehabilitation and Nursing Center 5:
Henry J Carter Skilled Nursing Facility 5:
Northern Westchester Hospital T C U 5:
The Knolls 5:
Barnert Subacute Rehabilitation Center, LLC 5:
Kendal On Hudson 5:
The Steven and Alexandra Cohen Ped L T C Pavilion 5:
Waveny Care Center 5:
United Hebrew Geriatric Center 5:
The Amsterdam at Harborside 5:
Jewish Home at Rockleigh 5:
New York Center For Rehabilitation and Nursing 5:
Arbor Ridge Rehabilitation and Healthcare Center 5:
Woodcliff Lake Health and Rehabilitation Center 5:
Complete Care at Prospect Heights LLC 5:
St Marys Hospital For Children 5:
Doctors Subacute Healthcare, LLC 5:
Bainbridge Nursing and Rehabilitation Center 5:
Arbor Glen Center 5:
Glen Cove Center For Nursing and Rehabilitation 5:
Gold Crest Care Center 5:
N J Veterans Mem Home Paramus 5:
Glen Arden Inc 5:
Havencare at Filosa 5:
University Center For Rehabilitation and Nursing 5:
North Westchester Restorative Therapy and Nrsg Crt 5:
Parker Jewish Institute For Health Care and Rehab 5:
Careone at Wayne 5:
Eastchester Rehabilitation and Health Care Center 5:
Helen Hayes Hospital R H C F 5:
Huntington Hills Ctr For Health and Rehabilitation 5:
Helen Hayes Hospital T C U 5:
Careone at Ridgewood Avenue 5:
Careone at Valley 5:
Northern Metropolitan Res Health Care Facility Inc 5:
Cliffside Rehab and Residential Health Care Center 5:
Upper East Side Rehabilitation and Nursing Center 5:
Elizabeth Seton Children's Center 5:
Ridge Crest at Meadow Ridge 5:
Sunshine Children's Home and Rehab Center 5:
Family of Caring Healthcare at Tenafly, LLC 5:
St Marys Center Inc 5:
Tarrytown Hall Care Center 4:
Excel at Woodbury For Rehab and Nursing, L L C 4:
The Pavilion at Queens For Rehabilitation and Nrsing 4:
Little Neck Care Center 4:
Green Hill 4:
Alaris Health at The Chateau 4:
Bronx Center For Rehabilitation and Health Care 4:
Highfield Gardens Care Center of Great Neck 4:
Throgs Neck Extended Care Facility 4:
Workmens Circle Multicare Center 4:
New Glen Oaks Nursing Home, Inc 4:
Notre Dame Convalescent Home I 4:
Concourse Rehabilitation and Nursing Center Inc 4:
Atlas Rehabilitation and Healthcare at Maywood 4:
Coler Rehabilitation and Nursing Care Center 4:
Park Crescent Healthcare and Rehabilitation Center 4:
Bayberry Nursing Home 4:
The Plaza Rehab and Nursing Center 4:
Sprain Brook Manor Rehab 4:
Brookhaven Health Care Center 4:
Kings Harbor Multicare Center 4:
Alaris Health at Kearny 4:
Bronx Gardens Rehabilitation and Nursing Center 4:
Christian Health Care Center 4:
Laconia Nursing Home 4:
The Grand Rehabilitation and Nursing at Queens 4:
Greenwich Woods Rehabilitation 4:
Cedar Crest/mountainview Gardens 4:
Emerge Nursing and Rehabilitation at Glen Cove 4:
Carillon Nursing and Rehabilitation Center 4:
Fort Tryon Center For Rehabilitation and Nursing 4:
Family of Caring Healthcare at Ridgewood 4:
Adira at Riverside Rehabilitation and Nursing 4:
Dellridge Health and Rehabilitation Center 4:
Wayne Center For Nursing and Rehabilitation 4:
Harbour View Senior Living Corp 4:

Medical Groups Affiliated with PHELPS MEMORIAL HOSPITAL CENTER

There are 533 doctors and 103 medical groups that are affiliated with PHELPS MEMORIAL HOSPITAL CENTER.

Affiliated Doctor Groups


The list of medical professionals associated with PHELPS MEMORIAL HOSPITAL CENTER is very long, so we have added another pages. See a list of medical professionals associated with PHELPS MEMORIAL HOSPITAL CENTER.