JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Baptist Health Lexington

4 / 5

At a glance

Baptist Health Lexington carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 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 Limit0.041Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.806Better than national
Central Line Associated Bloodstream Infection: Number of Device Days9724Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases8.203Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.244Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.834Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.616Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8971Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.798Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases12Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.539Same as national
SSI - Colon Surgery: Lower Confidence Limit0.230Same as national
SSI - Colon Surgery: Upper Confidence Limit1.389Same as national
SSI - Colon Surgery: Number of Procedures294Same as national
SSI - Colon Surgery: Predicted Cases7.979Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery0.627Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.164Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.239Same as national
SSI - Abdominal Hysterectomy: Number of Procedures246Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.040Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy0.980Same as national
MRSA Bacteremia: Lower Confidence Limit0.223Same as national
MRSA Bacteremia: Upper Confidence Limit1.347Same as national
MRSA Bacteremia: Patient Days132288Same as national
MRSA Bacteremia: Predicted Cases8.225Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia0.608Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.044Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.227Better than national
Clostridium Difficile (C.Diff): Patient Days116057Better than national
Clostridium Difficile (C.Diff): Predicted Cases54.917Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.109Better 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 patients2.7Same as national78
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.4Better than national2352
Death rate for heart attack patients12.9Same as national196
Death rate for CABG surgery patients3.7Same as national187
Death rate for COPD patients6.4Same as national189
Death rate for heart failure patients12Same as national586
Death rate for pneumonia patients15.7Same as national707
Death rate for stroke patients12Same as national568
Pressure ulcer rate0.13Same as national6629
Death rate among surgical inpatients with serious treatable complications167.33Same as national125
Iatrogenic pneumothorax rate0.14Same as national9135
In-hospital fall-associated fracture rate0.22Same as national9432
Postoperative hemorrhage or hematoma rate1.51Same as national2337
Postoperative acute kidney injury requiring dialysis rate1.72Same as national975
Postoperative respiratory failure rate13.03Same as national942
Perioperative pulmonary embolism or deep vein thrombosis rate2.71Same as national2491
Postoperative sepsis rate7.68Same as national919
Postoperative wound dehiscence rate1.47Same as national451
Abdominopelvic accidental puncture or laceration rate0.85Same as national1745
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same 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 patients12.7Not available278
Hospital return days for heart failure patients-10.6Not available708
Hospital return days for pneumonia patients-7.1Not available776
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national3850
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national113
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.6Same as national228
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.9Same as national228
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national732
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.1Same as national278
Rate of readmission for CABG11.8Same as national181
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national212
Heart failure (HF) 30-Day Readmission Rate18.9Same as national708
Rate of readmission after hip/knee replacement5.1Same as national67
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national776

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 rating41597
Doctor communication - star rating41597
Communication about medicines - star rating31597
Discharge information - star rating41597
Cleanliness - star rating31597
Quietness - star rating41597
Overall hospital rating - star rating51597
Recommend hospital - star rating51597
Summary star rating41597

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 volumevery high
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 Hypoglycemia14246
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination946569
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 better1835283
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 better1815074
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better234148
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better22668
Left before being seen062519
Head CT results9213
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9432
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)8873
Safe Use of Opioids - Concurrent Prescribing124689
Appropriate care for severe sepsis and septic shock61680
Septic Shock 3-Hour Bundle79233
Septic Shock 6-Hour Bundle80138
Severe Sepsis 3-Hour Bundle78680
Severe Sepsis 6-Hour Bundle90399
Discharged on Antithrombotic Therapy98505
Anticoagulation Therapy for Atrial Fibrillation/Flutter68129
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
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 Baptist Health Lexington rated?
Baptist Health Lexington has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Baptist Health Lexington have emergency services?
Yes. Baptist Health Lexington operates a 24/7 emergency department.
Where is Baptist Health Lexington located?
Baptist Health Lexington is located at 1740 Nicholasville Road, Lexington, KY 40503.
What type of hospital is Baptist Health Lexington?
Baptist Health Lexington is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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