JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Coffee Regional Medical Center, Inc

3 / 5

At a glance

Coffee Regional Medical Center, Inc 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.244Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1974Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.335Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same 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 Limit1.023Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4130Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.929Same 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 Procedures6Not available
SSI - Colon Surgery: Predicted Cases0.154Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures33Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.279Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days15321Not available
MRSA Bacteremia: Predicted Cases0.757Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.126Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.350Same as national
Clostridium Difficile (C.Diff): Patient Days13660Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.048Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.496Same 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 Rate5.3Same as national281
Death rate for heart attack patients12Same as national45
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.3Same as national65
Death rate for heart failure patients17.6Worse than national100
Death rate for pneumonia patients19.6Same as national157
Death rate for stroke patients12.5Same as national28
Pressure ulcer rate0.42Same as national1086
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.26Same as national1295
In-hospital fall-associated fracture rate0.26Same as national1274
Postoperative hemorrhage or hematoma rate2.21Same as national229
Postoperative acute kidney injury requiring dialysis rate1.62Same as national76
Postoperative respiratory failure rate7.15Same as national80
Perioperative pulmonary embolism or deep vein thrombosis rate3.70Same as national249
Postoperative sepsis rate4.99Same as national60
Postoperative wound dehiscence rate1.74Same as national33
Abdominopelvic accidental puncture or laceration rate1.03Same as national153
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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-3.8Not available118
Hospital return days for pneumonia patients31Not available172
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national417
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national89
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national40
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national40
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national170
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.5Same as national41
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.9Same as national70
Heart failure (HF) 30-Day Readmission Rate19.9Same as national118
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.4Same as national172

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 rating3359
Doctor communication - star rating3359
Communication about medicines - star rating3359
Discharge information - star rating3359
Cleanliness - star rating3359
Quietness - star rating4359
Overall hospital rating - star rating3359
Recommend hospital - star rating3359
Summary star rating3359

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 vaccination901553
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 better216395
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 better213377
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better23111
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen329347
Head CT results7520
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10020
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing17815
Appropriate care for severe sepsis and septic shock7288
Septic Shock 3-Hour Bundle8526
Septic Shock 6-Hour Bundle10013
Severe Sepsis 3-Hour Bundle8188
Severe Sepsis 6-Hour Bundle9354
Discharged on Antithrombotic Therapy8826
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis741904
Intensive Care Unit Venous Thromboembolism Prophylaxis79122

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 Coffee Regional Medical Center, Inc rated?
Coffee Regional Medical Center, Inc has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Coffee Regional Medical Center, Inc have emergency services?
Yes. Coffee Regional Medical Center, Inc operates a 24/7 emergency department.
Where is Coffee Regional Medical Center, Inc located?
Coffee Regional Medical Center, Inc is located at 1101 Ocilla Road, Douglas, GA 31642.
What type of hospital is Coffee Regional Medical Center, Inc?
Coffee Regional Medical Center, Inc is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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