JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Adventhealth Gordon

3 / 5

At a glance

Adventhealth Gordon carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.045Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.451Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1743Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.108Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.903Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1875Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.979Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence Limit0.632Same as national
SSI - Colon Surgery: Upper Confidence Limit4.798Same as national
SSI - Colon Surgery: Number of Procedures74Same as national
SSI - Colon Surgery: Predicted Cases2.011Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery1.989Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures44Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.408Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days22691Not available
MRSA Bacteremia: Predicted Cases0.973Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.093Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.998Better than national
Clostridium Difficile (C.Diff): Patient Days21531Better than national
Clostridium Difficile (C.Diff): Predicted Cases8.178Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.367Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national482
Death rate for heart attack patients11.7Same as national51
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.9Same as national47
Death rate for heart failure patients12.5Same as national151
Death rate for pneumonia patients13.8Same as national222
Death rate for stroke patients13.2Same as national58
Pressure ulcer rate0.32Same as national1545
Death rate among surgical inpatients with serious treatable complications165.02Same as national25
Iatrogenic pneumothorax rate0.19Same as national1837
In-hospital fall-associated fracture rate0.25Same as national1779
Postoperative hemorrhage or hematoma rate2.22Same as national281
Postoperative acute kidney injury requiring dialysis rate1.64Same as national53
Postoperative respiratory failure rate11.09Same as national60
Perioperative pulmonary embolism or deep vein thrombosis rate3.81Same as national315
Postoperative sepsis rate5.96Same as national48
Postoperative wound dehiscence rate1.70Same as national79
Abdominopelvic accidental puncture or laceration rate0.97Same as national262
CMS Medicare PSI 90: Patient safety and adverse events composite0.98Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients-27Not available165
Hospital return days for pneumonia patients-17.8Not available223
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national706
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.8Same as national470
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.1Same as national57
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national57
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national219
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national36
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national48
Heart failure (HF) 30-Day Readmission Rate18.8Same as national165
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15Same as national223

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating4508
Doctor communication - star rating4508
Communication about medicines - star rating3508
Discharge information - star rating3508
Cleanliness - star rating4508
Quietness - star rating5508
Overall hospital rating - star rating4508
Recommend hospital - star rating4508
Summary star rating4508

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumemedium
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination711772
Average (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 better180512
Average (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 better178486
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better19612
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better39014
Left before being seen136538
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100227
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing151354
Appropriate care for severe sepsis and septic shock80463
Septic Shock 3-Hour Bundle80140
Septic Shock 6-Hour Bundle9283
Severe Sepsis 3-Hour Bundle92463
Severe Sepsis 6-Hour Bundle98339
Discharged on Antithrombotic Therapy9985
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29673
Venous Thromboembolism Prophylaxis942647
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Adventhealth Gordon rated?
Adventhealth Gordon has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Adventhealth Gordon have emergency services?
According to CMS records, Adventhealth Gordon does not report a 24/7 emergency department.
Where is Adventhealth Gordon located?
Adventhealth Gordon is located at 1035 Red Bud Road, Calhoun, GA 30701.
What type of hospital is Adventhealth Gordon?
Adventhealth Gordon is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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