★★☆☆☆2 out of 5 StarsWhy 2 stars?Virtua Our Lady of Lourdes Hospital's 2-star rating reflects above-average performance on Timely Care and below-average performance on Patient Experience.
CMS Overall Hospital Quality Star Rating · Virtua Our Lady of Lourdes Hospital
How was Virtua Our Lady of Lourdes Hospital's 2-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Virtua Our Lady of Lourdes Hospital. CMS standardizes
every underlying measure against the national rate, computes
a weighted score for each of five domains, sums them by the
fixed weights below, and assigns 1–5 stars using k-means
clustering across all reporting hospitals.
Domains that fed Virtua Our Lady of Lourdes Hospital's rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
7 of 7
0 better7 same0 worse
Safety of Care
22%
17 of 19
1 better16 same0 worse
Readmissions
22%
5 of 6
1 better2 same2 worse
Timely & Effective Care
12%
18 of 22
7 better7 same4 worse
Patient Experience
22%
HCAHPS
See HCAHPS detail below
How star meaning varies by hospital type.
This CMS Overall Star Rating only applies to acute care
hospitals. Children's hospitals (Pediatric Quality), psychiatric
hospitals (IPFQR), inpatient rehabilitation facilities (IRF QRP),
long-term acute care hospitals (LTACH QRP), and VA medical centers
each use separate quality programs designed for their patient
populations. Comparing star ratings across these facility types
isn't meaningful — see the methodology page for the full mapping
of which program applies to which facility.
Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
Virtua Our Lady of Lourdes
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo Different Than the National RateHospital score: 4.60 95% interval: 3.80 – 5.40 Sample size: 1,238Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for CABG surgery patientsNo Different Than the National RateHospital score: 2.10 95% interval: 1.10 – 4.10 Sample size: 150Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABGDeath rate for COPD patientsNo Different Than the National RateHospital score: 7.80 95% interval: 5.00 – 11.80 Sample size: 104Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNo Different Than the National RateHospital score: 12.70 95% interval: 10.40 – 15.50 Sample size: 269Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for heart failure patientsNo Different Than the National RateHospital score: 12.80 95% interval: 10.20 – 15.60 Sample size: 425Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for pneumonia patientsNo Different Than the National RateHospital score: 16.90 95% interval: 13.30 – 21.40 Sample size: 215Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for stroke patientsNo Different Than the National RateHospital score: 14.30 95% interval: 11.80 – 17.20 Sample size: 299Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STK
Safety of Care
Same as National Average
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Virtua Our Lady of Lourdes
WorseUS AvgBetter
Underlying measures:Clostridium Difficile (C.Diff)Better than the National BenchmarkHospital score: 0.22 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRAbdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 1.26 95% interval: 0.31 – 2.22 Sample size: 1,199Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Catheter Associated Urinary Tract Infections (ICU + select Wards)No Different than National BenchmarkHospital score: 0.91 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)No Different than National BenchmarkHospital score: 0.54 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRIatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.25 95% interval: 0.07 – 0.43 Sample size: 6,348Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06In-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.24 95% interval: 0.05 – 0.44 Sample size: 6,827Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08MRSA BacteremiaNo Different than National BenchmarkHospital score: 0.92 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRPostoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 2.30 95% interval: 0.98 – 3.61 Sample size: 1,747Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 3.66 95% interval: 1.61 – 5.71 Sample size: 1,729Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 1.08 95% interval: 0.00 – 2.48 Sample size: 586Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 8.41 95% interval: 3.07 – 13.74 Sample size: 640Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 5.27 95% interval: 1.77 – 8.76 Sample size: 560Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 0.28 95% interval: 0.00 – 0.89 Sample size: 5,325Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_03CMS Medicare PSI 90: Patient safety and adverse events compositeNo Different Than the National ValueHospital score: 0.86 95% interval: 0.58 – 1.14 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90SSI - Colon SurgeryNo Different than National BenchmarkHospital score: 0.67 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_3_SIRDeath rate among surgical inpatients with serious treatable complicationsNo Different Than the National RateHospital score: 208.45 95% interval: 162.85 – 254.05 Sample size: 97Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 1.60 95% interval: 0.14 – 3.06 Sample size: 296Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14Rate of complications for hip/knee replacement patientsNot AvailableHospital score: — Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEESSI - Abdominal HysterectomyNot AvailableHospital score: — SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIR
Readmissions
Same as National Average
Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.
Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.
Virtua Our Lady of Lourdes
WorseUS AvgBetter
Patient survey detail — the questions feeding the Patient Experience domain above
expand ↓
CMS computes the Patient Experience domain from the federal HCAHPS survey.
Each bar below is one survey question; the percentage is the share of
Virtua's recent patients who gave the most positive
response. HCAHPS percentages aren't directly comparable across all measures —
see the methodology page for how CMS weights them.
Communication with Nurses74%
Communication with Doctors73%
Hospital Cleanliness56%
Hospital Quietness43%
Staff ResponsivenessN/A
Discharge Information81%
Overall Hospital Rating (9 or 10)59%
Would Recommend Hospital60%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Better than National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Virtua Our Lady of Lourdes
WorseUS AvgBetter
Underlying measures:Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patientsBetter than ~75% of hospitalsHospital score: 100.00 % National median: 97.00 % (higher is better)
Sample size: 39Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Left before being seenBetter than ~75% of hospitalsHospital score: 1.00 % National median: 1.00 % (lower is better)
Sample size: 46,418Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Appropriate care for severe sepsis and septic shockBetter than ~75% of hospitalsHospital score: 81.00 % National median: 64.00 % (higher is better)
Sample size: 478Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Septic Shock 3-Hour BundleBetter than ~75% of hospitalsHospital score: 86.00 % National median: 72.00 % (higher is better)
Sample size: 154Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSeptic Shock 6-Hour BundleBetter than ~75% of hospitalsHospital score: 98.00 % National median: 89.00 % (higher is better)
Sample size: 104Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_6HRSevere Sepsis 3-Hour BundleBetter than ~75% of hospitalsHospital score: 89.00 % National median: 81.00 % (higher is better)
Sample size: 478Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HRHealthcare workers given influenza vaccinationBetter than ~75% of hospitalsHospital score: 95.00 % National median: 79.00 % (higher is better)
Sample size: 2,559Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3Anticoagulation Therapy for Atrial Fibrillation/FlutterNear the national medianHospital score: 75.00 % National median: 75.00 % (higher is better)
Sample size: 130Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_03Discharged on Antithrombotic TherapyNear the national medianHospital score: 98.00 % National median: 98.00 % (higher is better)
Sample size: 384Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_02Safe Use of Opioids - Concurrent PrescribingNear the national medianHospital score: 17.00 % National median: 15.00 % (lower is better)
Sample size: 2,342Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSAverage (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 betterNear the national medianHospital score: 161.00 min National median: 148.00 min (lower is better)
Sample size: 373Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18bAverage (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 betterNear the national medianHospital score: 179.00 min National median: 154.00 min (lower is better)
Sample size: 421Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aHead CT resultsNear the national medianHospital score: 82.00 % National median: 74.00 % (higher is better)
Sample size: 11Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_23Severe Sepsis 6-Hour BundleNear the national medianHospital score: 95.00 % National median: 94.00 % (higher is better)
Sample size: 261Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HRAntithrombotic Therapy by End of Hospital Day 2Worse than ~75% of hospitalsHospital score: 87.00 % National median: 94.00 % (higher is better)
Sample size: 372Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_05Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterWorse than ~75% of hospitalsHospital score: 336.00 min National median: 248.00 min (lower is better)
Sample size: 26Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cAverage (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is betterWorse than ~75% of hospitalsHospital score: 508.00 min National median: 294.00 min (lower is better)
Sample size: 24Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18dST-Segment Elevation Myocardial Infarction (STEMI)Worse than ~75% of hospitalsHospital score: 74.00 min National median: 53.00 min (lower is better)
Sample size: 34Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_40
Clinical Staff
Virtua Our Lady of Lourdes Hospital has 770 CMS-affiliated
clinicians on its roster — physicians, advanced practice providers, and other
Medicare-enrolled professionals who list this hospital as an affiliated facility.
Top specialties
Nurse Practitioner90
Internal Medicine82
Physician Assistant74
Cardiovascular Disease (Cardiology)63
Family Practice60
Certified Registered Nurse Anesthetist (Crna)33
Gastroenterology31
Pulmonary Disease29
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
769(100%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
267(35%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
465 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 349
(75%) score above the national median of 85.5.
MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores
are not a reliable consumer signal. We surface roster-level coverage and the share
above the national median instead.
Source: CMS Doctors and Clinicians (Care Compare) national downloadable file
and MIPS Performance Year final scores, as of 2026-05-27.
Affiliations from the CMS Facility Affiliations dataset. About 16% of small
facilities (critical access, rural emergency, freestanding psych, IRF/LTCH)
do not appear in the affiliations file and therefore have no panel.
Find a Doctor
Search the 770 clinicians affiliated with Virtua Our Lady of Lourdes Hospital.
Each name links to that clinician's official Medicare Care Compare profile, where you can see
their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.
No clinicians match that search. Try a broader term like "internal medicine" or just a last name.
Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Quality and ratings data are sourced from the U.S. Centers for
Medicare & Medicaid Services (CMS) Hospital Compare program.
Star ratings are CMS's own calculation; CareRanks does not modify
or re-weight them. Facility-level details (address, beds,
ownership, teaching status) come from CMS provider files and the
CMS Provider of Services file.
Pricing data, where shown, is drawn from the hospital's own
Machine-Readable File (MRF) published under the federal Hospital
Price Transparency Rule. See our methodology for the full update
cadence and limitations.