JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Columbus Regional Hospital

4 / 5

At a glance

Columbus Regional Hospital carries a 4-star CMS overall rating — above 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.643Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2599Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.823Same 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 Limit1.733Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2496Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.729Same 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 Limit0.022Same as national
SSI - Colon Surgery: Upper Confidence Limit2.150Same as national
SSI - Colon Surgery: Number of Procedures87Same as national
SSI - Colon Surgery: Predicted Cases2.294Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.436Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures62Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.518Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.720Same as national
MRSA Bacteremia: Patient Days35811Same as national
MRSA Bacteremia: Predicted Cases1.742Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.127Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.766Better than national
Clostridium Difficile (C.Diff): Patient Days35811Better than national
Clostridium Difficile (C.Diff): Predicted Cases14.477Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.345Better 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 patients3.4Same as national49
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national1333
Death rate for heart attack patients11.6Same as national168
Death rate for CABG surgery patients5.3Same as national57
Death rate for COPD patients6.1Same as national150
Death rate for heart failure patients12.2Same as national328
Death rate for pneumonia patients16.1Same as national445
Death rate for stroke patients12.5Same as national161
Pressure ulcer rate0.75Same as national3377
Death rate among surgical inpatients with serious treatable complications143.55Same as national72
Iatrogenic pneumothorax rate0.16Same as national5554
In-hospital fall-associated fracture rate0.30Same as national5658
Postoperative hemorrhage or hematoma rate1.86Same as national912
Postoperative acute kidney injury requiring dialysis rate1.46Same as national342
Postoperative respiratory failure rate11.11Same as national355
Perioperative pulmonary embolism or deep vein thrombosis rate2.82Same as national965
Postoperative sepsis rate4.21Same as national338
Postoperative wound dehiscence rate1.66Same as national173
Abdominopelvic accidental puncture or laceration rate1.40Same as national761
CMS Medicare PSI 90: Patient safety and adverse events composite1.00Same 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 patients-2.9Not available196
Hospital return days for heart failure patients-12Not available434
Hospital return days for pneumonia patients-16.3Not available515
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15Same as national2240
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national1638
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.8Same as national146
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.7Same as national146
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national359
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national196
Rate of readmission for CABG11.1Same as national54
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.5Same as national164
Heart failure (HF) 30-Day Readmission Rate19.3Same as national434
Rate of readmission after hip/knee replacement5.1Same as national49
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national515

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 rating3921
Doctor communication - star rating3921
Communication about medicines - star rating3921
Discharge information - star rating5921
Cleanliness - star rating3921
Quietness - star rating2921
Overall hospital rating - star rating3921
Recommend hospital - star rating3921
Summary star rating3921

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 vaccination922952
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 better178368
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 better178348
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 better
Left before being seen235824
Head CT results8834
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients95365
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing123886
Appropriate care for severe sepsis and septic shock77310
Septic Shock 3-Hour Bundle75137
Septic Shock 6-Hour Bundle9170
Severe Sepsis 3-Hour Bundle91310
Severe Sepsis 6-Hour Bundle99196
Discharged on Antithrombotic Therapy99237
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis936708
Intensive Care Unit Venous Thromboembolism Prophylaxis951381

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 Columbus Regional Hospital rated?
Columbus Regional Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Columbus Regional Hospital have emergency services?
Yes. Columbus Regional Hospital operates a 24/7 emergency department.
Where is Columbus Regional Hospital located?
Columbus Regional Hospital is located at 2400 E 17th St, Columbus, IN 47201.
What type of hospital is Columbus Regional Hospital?
Columbus Regional Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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