A new analysis of federal patient survey data has ranked New Jersey as the second-worst state in the nation for hospital patient experience, according to a study based on Centers for Medicare & Medicaid Services (CMS) patient surveys.

The analysis, conducted by online fax service iFax, reviewed patient experience ratings from more than 3,100 hospitals across the country. New Jersey hospitals received an average score of 2.72 out of 5, ranking behind only Florida, which averaged 2.71. Neighboring New York ranked third-lowest with an average score of 2.76.

Researchers found that none of New Jersey’s 64 hospitals included in the CMS survey earned a five-star patient experience rating. Only four hospitals received four-star ratings: Valley Hospital in Paramus, Deborah Heart and Lung Center in Browns Mills, Monmouth Medical Center in Long Branch, and Inspira Medical Center Mullica Hill.

CareWell Health Medical Center in East Orange was the only New Jersey hospital to receive a one-star patient experience rating. An additional 19 hospitals across the state received two-star ratings, including facilities in Newark, Jersey City, Hoboken, Camden, Elizabeth, and Perth Amboy.

Among New Jersey cities, Newark posted the lowest average patient rating at 2.33 out of 5, while Camden and Jersey City each averaged 2.50 out of 5.

Nationally, Wisconsin ranked highest for patient experience with an average score of 4.06, followed by South Dakota, Idaho, Nebraska, Minnesota, Montana, Vermont, and Wyoming.

The rankings were calculated using CMS HCAHPS patient survey data, which measures patients’ experiences during hospital stays, including communication with doctors and nurses, hospital cleanliness, staff responsiveness, pain management, discharge information, and overall satisfaction.