Major Teaching HospitalTeaching hospitals often receive lower CMS star ratings because they treat more complex cases. This does not necessarily reflect lower quality of care.Safety Net HospitalServes a high proportion of low-income and uninsured patients.Level II Trauma Center24/7 Emergency ServicesNonprofit
★★★☆☆3 out of 5 StarsWhy 3 stars?Danbury Hospital (Acute Care)'s 3-star rating reflects above-average performance on Safety of Care and below-average performance on Timely Care. As a teaching hospital that treats more complex cases, the CMS rating often runs lower than the actual care quality suggests.
How was Danbury Hospital (Acute Care)'s 3-star rating calculated?
The CMS Overall Hospital Quality Star Rating applies to
acute care hospitals like Danbury Hospital (Acute Care). 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 Danbury Hospital (Acute Care)'s rating
Domain
Weight
Measures reported
Hospital performance vs. national
Mortality
22%
7 of 7
0 better7 same0 worse
Safety of Care
22%
19 of 19
4 better15 same0 worse
Readmissions
22%
6 of 6
2 better3 same1 worse
Timely & Effective Care
12%
15 of 22
1 better6 same8 worse
Patient Experience
22%
HCAHPS
See HCAHPS detail below
Context that affects how to read this rating
As a Major Teaching hospital, Danbury Hospital (Acute Care) treats more medically complex cases than community hospitals. CMS itself acknowledges this often pushes teaching-hospital star ratings down relative to their actual care quality — particularly on mortality and readmissions, where higher-acuity patients carry more risk.
Danbury Hospital (Acute Care) is a Disproportionate Share Hospital (DSH), meaning it serves a high proportion of low-income and uninsured patients. Star ratings don't adjust for patient socioeconomic mix.
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.
How this emergency department performs on the measures that
matter most when you need care fast.
204 minTypical ER visit before heading homeWorse than ~75% of hospitals · national median 148 min
2%Walked out before being seenWorse than ~75% of hospitals · national median 1%
42%Recommended sepsis care givenWorse than ~75% of hospitals · national median 64%
From CMS Timely & Effective Care reporting.
Quality measures
Mortality
Same as National Average
Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.
Danbury Hospital
WorseUS AvgBetter
Underlying measures:Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateNo Different Than the National RateHospital score: 3.80 95% interval: 3.20 – 4.30 Sample size: 2,577Reporting period: 07/01/2023 – 06/30/2024CMS measure id: Hybrid_HWMDeath rate for CABG surgery patientsNo Different Than the National RateHospital score: 2.90 95% interval: 1.40 – 6.00 Sample size: 75Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_CABGDeath rate for COPD patientsNo Different Than the National RateHospital score: 7.30 95% interval: 5.30 – 10.00 Sample size: 245Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_COPDDeath rate for heart attack patientsNo Different Than the National RateHospital score: 12.40 95% interval: 10.00 – 15.10 Sample size: 270Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_AMIDeath rate for heart failure patientsNo Different Than the National RateHospital score: 10.50 95% interval: 8.90 – 12.40 Sample size: 813Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_HFDeath rate for pneumonia patientsNo Different Than the National RateHospital score: 16.10 95% interval: 14.20 – 18.20 Sample size: 937Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_PNDeath rate for stroke patientsNo Different Than the National RateHospital score: 12.60 95% interval: 10.30 – 15.30 Sample size: 399Reporting period: 07/01/2021 – 06/30/2024CMS measure id: MORT_30_STK
Safety of Care
Better than National Average
Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.
Danbury Hospital
WorseUS AvgBetter
Underlying measures:Clostridium Difficile (C.Diff)Better than the National BenchmarkHospital score: 0.21 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_6_SIRCatheter Associated Urinary Tract Infections (ICU + select Wards)Better than the National BenchmarkHospital score: 0.30 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_2_SIRCentral Line Associated Bloodstream Infection (ICU + select Wards)Better than the National BenchmarkHospital score: 0.22 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_1_SIRMRSA BacteremiaBetter than the National BenchmarkHospital score: 0.00 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_5_SIRAbdominopelvic accidental puncture or laceration rateNo Different Than the National RateHospital score: 1.06 95% interval: 0.18 – 1.94 Sample size: 1,768Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_15Iatrogenic pneumothorax rateNo Different Than the National RateHospital score: 0.26 95% interval: 0.09 – 0.44 Sample size: 11,256Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_06Rate of complications for hip/knee replacement patientsNo Different Than the National RateHospital score: 2.60 95% interval: 1.60 – 4.10 Sample size: 396Reporting period: 04/01/2021 – 03/31/2024CMS measure id: COMP_HIP_KNEEIn-hospital fall-associated fracture rateNo Different Than the National RateHospital score: 0.28 95% interval: 0.10 – 0.46 Sample size: 11,451Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_08Postoperative hemorrhage or hematoma rateNo Different Than the National RateHospital score: 1.89 95% interval: 0.51 – 3.26 Sample size: 2,328Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_09Perioperative pulmonary embolism or deep vein thrombosis rateNo Different Than the National RateHospital score: 3.19 95% interval: 1.42 – 4.96 Sample size: 2,488Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_12Postoperative acute kidney injury requiring dialysis rateNo Different Than the National RateHospital score: 1.79 95% interval: 0.37 – 3.21 Sample size: 1,173Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_10Postoperative respiratory failure rateNo Different Than the National RateHospital score: 11.85 95% interval: 6.48 – 17.22 Sample size: 1,164Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_11Postoperative sepsis rateNo Different Than the National RateHospital score: 5.03 95% interval: 1.80 – 8.27 Sample size: 1,122Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_13Pressure ulcer rateNo Different Than the National RateHospital score: 0.10 95% interval: 0.00 – 0.64 Sample size: 9,151Reporting 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: 0.90 95% interval: 0.64 – 1.16 Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_90SSI - Abdominal HysterectomyNo Different than National BenchmarkHospital score: 0.79 SIR Reporting period: 07/01/2024 – 06/30/2025CMS measure id: HAI_4_SIRSSI - Colon SurgeryNo Different than National BenchmarkHospital score: 1.12 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: 180.92 95% interval: 136.38 – 225.47 Sample size: 117Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_04Postoperative wound dehiscence rateNo Different Than the National RateHospital score: 2.33 95% interval: 0.94 – 3.73 Sample size: 563Reporting period: 07/01/2022 – 06/30/2024CMS measure id: PSI_14
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.
Danbury Hospital
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
Danbury'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 Nurses76%
Communication with Doctors77%
Hospital Cleanliness74%
Hospital Quietness46%
Staff ResponsivenessN/A
Discharge Information89%
Overall Hospital Rating (9 or 10)67%
Would Recommend Hospital69%
Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.
Timely & Effective Care
Below National Average
Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.
Danbury Hospital
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: 96Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_29Discharged on Antithrombotic TherapyNear the national medianHospital score: 97.00 % National median: 98.00 % (higher is better)
Sample size: 296Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_02Safe Use of Opioids - Concurrent PrescribingNear the national medianHospital score: 16.00 % National median: 15.00 % (lower is better)
Sample size: 3,257Reporting period: 01/01/2024 – 12/31/2024CMS measure id: SAFE_USE_OF_OPIOIDSAverage (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is betterNear the national medianHospital score: 309.00 min National median: 248.00 min (lower is better)
Sample size: 25Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18cSevere Sepsis 6-Hour BundleNear the national medianHospital score: 91.00 % National median: 94.00 % (higher is better)
Sample size: 46Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_6HRHealthcare workers given influenza vaccinationNear the national medianHospital score: 77.00 % National median: 79.00 % (higher is better)
Sample size: 4,228Reporting period: 10/01/2024 – 03/31/2025CMS measure id: IMM_3ST-Segment Elevation Myocardial Infarction (STEMI)Near the national medianHospital score: 59.00 min National median: 53.00 min (lower is better)
Sample size: 29Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_40Anticoagulation Therapy for Atrial Fibrillation/FlutterWorse than ~75% of hospitalsHospital score: 63.00 % National median: 75.00 % (higher is better)
Sample size: 99Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_03Antithrombotic Therapy by End of Hospital Day 2Worse than ~75% of hospitalsHospital score: 87.00 % National median: 94.00 % (higher is better)
Sample size: 326Reporting period: 01/01/2024 – 12/31/2024CMS measure id: STK_05Average (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 betterWorse than ~75% of hospitalsHospital score: 204.00 min National median: 148.00 min (lower is better)
Sample size: 366Reporting 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 betterWorse than ~75% of hospitalsHospital score: 209.00 min National median: 154.00 min (lower is better)
Sample size: 392Reporting period: 07/01/2024 – 06/30/2025CMS measure id: OP_18aLeft before being seenWorse than ~75% of hospitalsHospital score: 2.00 % National median: 1.00 % (lower is better)
Sample size: 84,166Reporting period: 01/01/2024 – 12/31/2024CMS measure id: OP_22Appropriate care for severe sepsis and septic shockWorse than ~75% of hospitalsHospital score: 42.00 % National median: 64.00 % (higher is better)
Sample size: 98Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_1Septic Shock 3-Hour BundleWorse than ~75% of hospitalsHospital score: 38.00 % National median: 72.00 % (higher is better)
Sample size: 21Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEP_SH_3HRSevere Sepsis 3-Hour BundleWorse than ~75% of hospitalsHospital score: 61.00 % National median: 81.00 % (higher is better)
Sample size: 98Reporting period: 07/01/2024 – 06/30/2025CMS measure id: SEV_SEP_3HR
Psychiatric Unit Quality (IPFQR)
Danbury Hospital (Acute Care) operates a Medicare-certified inpatient psychiatric unit that reports under the federal IPFQR program. The measures are specific to that unit — not the hospital as a whole. They cover restraint and seclusion use, screening for medication side effects, substance-use and tobacco treatment, transitions of care, follow-up after discharge, and readmissions.
Show the psychiatric unit's 9 reported measures expand ↓
Physical Restraint Use 0.6 hours per 1,000 patient-hours
National median: 0.1 hours Worse than national median
HBIPS-2 — hours of physical restraint use per 1,000 patient-hours. Lower is better; restraints carry physical and psychological risks.
Seclusion Use 0.1 hours per 1,000 patient-hours
National median: 0.0 hours Worse than national median
HBIPS-3 — hours of seclusion per 1,000 patient-hours. Lower is better; seclusion is used only when no other intervention works.
Metabolic Screening (SMD) 28.0 %
National median: 92.0 % Worse than national median
SMD — % of patients on antipsychotics screened for metabolic side effects (BMI, blood glucose, cholesterol). Antipsychotics raise metabolic-syndrome risk; screening catches it early.
Substance-Use Treatment Provided 13.0 %
National median: 74.0 % Worse than national median
SUB-2 — % of patients with alcohol/drug use referred for treatment during admission.
Substance-Use Treatment at Discharge 88.0 %
National median: 77.0 % Better than national median
SUB-3 — % of patients with substance-use disorder offered or referred to treatment at discharge.
Tobacco-Use Treatment at Discharge 23.0 %
National median: 64.0 % Worse than national median
TOB-3 — % of patients using tobacco who received counseling and/or medication at discharge.
Transition Record Completed 5.0 %
National median: 77.0 % Worse than national median
TR-1 — % of discharges with a completed transition record including medications, follow-up plan, and crisis instructions.
30-Day Readmission Rate 16.7 %
National median: 19.1 % Better than national median
READM-30-IPF — risk-standardized 30-day readmission rate. No Different Than the National Rate
Influenza Immunization 84.0 %
National median: 87.0 % Near national median
IMM-2 — % of patients given a flu vaccine during the inpatient stay.
Danbury Hospital (Acute Care) has 1,150 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
Internal Medicine180
Physician Assistant140
Nurse Practitioner138
Family Practice51
Diagnostic Radiology50
Anesthesiology48
Cardiovascular Disease (Cardiology)45
Emergency Medicine40
Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.
Practice characteristics
Accept Medicare assignment
1,119(97%)
Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.
Offer telehealth
390(34%)
Indicated by the clinician in their CMS profile as routinely providing virtual visits.
Medicare quality scoring (MIPS)
682 of these clinicians have a published
Merit-based Incentive Payment System (MIPS) final score.
Of those, 544
(80%) 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 2026-07-18.
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 1,150 clinicians affiliated with Danbury Hospital (Acute Care).
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 2026-07-18.
A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS
profile, not that they exclusively work here.
Procedure volumes are Medicare fee-for-service counts from the CMS
clinician utilization file (all practice locations, not just this
hospital). Industry payment totals are from CMS Open Payments,
program year 2024, and include meals, travel, consulting, and
speaking fees; payments are legal and common — we show them for
transparency, not as a quality judgment.
Pricing & Costs
Facility Information
Licensed beds
371
Facility type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
NPI
1851682744
Emergency services
Yes — 24/7
Ownership & Finances
Ownership
Nonprofit
Charity care spend (FY2023)
$8.1M
List prices vs. actual cost
≈ 3.7× actual cost
From the hospital's FY2023 Medicare cost report (HCRIS).
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Compared with the 8 other acute-care hospitals within 25 miles
— 9 facilities in all, CMS data only.
Among the 9 acute-care hospitals within 25 miles, Danbury Hospital (Acute Care)'s overall star rating is 4★; the median among the 8 peers reporting it is 4★.
Measure
This facility
Nearby median
Best nearby
Overall star rating
reported by 8 of 8 nearby peers
4★
4★
5★
Patient experience (HCAHPS) star
reported by 8 of 8 nearby peers
Cohort: within 25 miles · CMS data period 2026-06 · method cohort-v1
· comparisons are never affected by claiming or payment.
How nearby comparisons work
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.