JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Clark Regional Medical Center

3 / 5

At a glance

Clark Regional Medical Center carries a 3-star CMS overall rating — in line with the national norm.

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 Limit0.029Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.876Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2075Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.715Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.583Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.381Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2835Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.170Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures29Not available
SSI - Colon Surgery: Predicted Cases0.747Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures38Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.365Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.048Same as national
MRSA Bacteremia: Upper Confidence Limit4.761Same as national
MRSA Bacteremia: Patient Days17015Same as national
MRSA Bacteremia: Predicted Cases1.036Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.965Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.051Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.004Same as national
Clostridium Difficile (C.Diff): Patient Days15944Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.583Same as national
Clostridium Difficile (C.Diff): Observed Cases2Same as national
Clostridium Difficile (C.Diff)0.304Same as 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 Rate4.9Same as national383
Death rate for heart attack patients12Same as national56
Death rate for CABG surgery patientsNot available
Death rate for COPD patients12.6Same as national64
Death rate for heart failure patients10Same as national106
Death rate for pneumonia patients16.7Same as national132
Death rate for stroke patients14.3Same as national51
Pressure ulcer rate0.43Same as national980
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1377
In-hospital fall-associated fracture rate0.26Same as national1397
Postoperative hemorrhage or hematoma rate2.23Same as national231
Postoperative acute kidney injury requiring dialysis rate1.62Same as national70
Postoperative respiratory failure rate9.83Same as national71
Perioperative pulmonary embolism or deep vein thrombosis rate3.18Same as national241
Postoperative sepsis rate5.74Same as national58
Postoperative wound dehiscence rate1.73Same as national40
Abdominopelvic accidental puncture or laceration rate1.02Same as national178
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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 patients32.8Not available60
Hospital return days for heart failure patients-17.6Not available120
Hospital return days for pneumonia patients6.2Not available135
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national520
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national360
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national33
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national33
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national126
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national60
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18Same as national69
Heart failure (HF) 30-Day Readmission Rate18.8Same as national120
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national135

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 rating4554
Doctor communication - star rating3554
Communication about medicines - star rating3554
Discharge information - star rating3554
Cleanliness - star rating4554
Quietness - star rating4554
Overall hospital rating - star rating3554
Recommend hospital - star rating4554
Summary star rating3554

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 Hyperglycemia54232
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination391210
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 better183436
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 better177384
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better17215
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better29140
Left before being seen133065
Head CT results8824
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients82100
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing151053
Appropriate care for severe sepsis and septic shock73105
Septic Shock 3-Hour Bundle8431
Septic Shock 6-Hour Bundle7516
Severe Sepsis 3-Hour Bundle85105
Severe Sepsis 6-Hour Bundle9564
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29861
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis100619

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 Clark Regional Medical Center rated?
Clark Regional Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Clark Regional Medical Center have emergency services?
Yes. Clark Regional Medical Center operates a 24/7 emergency department.
Where is Clark Regional Medical Center located?
Clark Regional Medical Center is located at 175 Hospital Drive, Winchester, KY 40391.
What type of hospital is Clark Regional Medical Center?
Clark Regional Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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