of 5 stars
Endless Mountains Health Systems
- Location
- Montrose, PA 18801
- Ownership
- Voluntary non-profit - Private
- CMS Facility ID
- 391306
- Phone
- (570) 278-3801
The CMS overall star (1 = lowest, 5 = highest) summarizes up to 5 quality groups — see what drives it below.
What's behind this 1-star rating
CMS builds the overall star from up to five measure groups, weighted as shown. This is how Endless Mountains Health Systems compares to national on the measures in each group — it explains the rating without reproducing CMS's exact internal model. More on the data →
The group(s) marked Below average pull the overall rating down most. Full measure detail is below.
Patient experience
From the CMS HCAHPS patient survey (Medicare). Star ratings are 1–5; higher is better. Reporting period: Jul 2024 – Jun 2025
Mortality & safety
Reporting period: Jul 2021 – Jun 2024
| Measure | This hospital | National | vs. national |
|---|---|---|---|
| Death rate — COPD (30-day) | 9.6% | 8.8% | No different |
| Death rate — heart failure (30-day) | 13.8% | 11.6% | No different |
| Death rate — pneumonia (30-day) | 22.7% | 16.2% | No different |
Readmissions
Reporting period: Jul 2021 – Jun 2024
| Measure | This hospital | National | vs. national |
|---|---|---|---|
| Hospital-wide readmission (30-day) | 16.6% | 15.0% | No different |
| Readmission — COPD | 18.6% | 18.2% | No different |
| Readmission — heart failure | 20.3% | 19.7% | No different |
| Readmission — pneumonia | 16.0% | 16.0% | No different |
Timely & effective care
Reporting period: Jul 2024 – Jun 2025
| Measure | This hospital | National | vs. national |
|---|---|---|---|
| Healthcare workers vaccinated for flu | 26.0% | 78.0% | |
| Median ED time before leaving | 126 min | 161 min |
CMS Care Compare measures (largely a Medicare population). Rates are this hospital's reported value vs the national figure for the same measure; “better / worse than average” is CMS's own statistical comparison. Mortality, readmission, and infection measures are risk-adjusted; lower is better for those, higher is better for screening, sepsis care, and patient experience. How to read these →
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