Legacy Mount Hood Medical Center

Gresham, OR 97030 · CMS Facility ID 380025

No elevated signal CMS reporting period 07/01/2024 – 06/30/2025

No elevated signal — This hospital is at the national benchmark on 4 reported HAI measures.

Infection measures

Measure	SIR	95% CI	Compared to national
CLABSI Central Line Associated Bloodstream Infection	1.050	0.18 – 3.47	No Different than National Benchmark
CAUTI Catheter Associated Urinary Tract Infection	1.387	0.35 – 3.77	No Different than National Benchmark
MRSA MRSA Bacteremia	—	—	Not Available
C. diff Clostridioides difficile (C. diff)	0.380	0.14 – 0.84	Better than the National Benchmark
SSI: Colon Surgical Site Infection from Colon Surgery	0.000	—	No Different than National Benchmark
SSI: Hyst Surgical Site Infection from Abdominal Hysterectomy	—	—	Not Available

SIR (Standardized Infection Ratio) = observed infections divided by predicted infections, with case-mix and facility-size adjustment per CMS methodology. 1.0 means the hospital saw exactly the number of infections predicted given its case mix and size.

Facility

Name: Legacy Mount Hood Medical Center
CMS Facility ID: 380025
Address: 24800 Se Stark Street, Gresham, OR 97030
County: Multnomah County
Phone: (503) 674-1122

Primary source

The measures above are published by the Centers for Medicare & Medicaid Services as part of the Hospital Compare HAI dataset, derived from CDC's National Healthcare Safety Network (NHSN) data. For the official CMS record on this hospital, visit Medicare Care Compare.

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