JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Community Hospital North

3 / 5

At a glance

Community Hospital North 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 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 Limit0.302Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.236Same as national
Central Line Associated Bloodstream Infection: Number of Device Days11170Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.294Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases8Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.651Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.140Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.846Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days10168Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases13.105Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.382Better than national
SSI - Colon Surgery: Lower Confidence Limit0.209Same as national
SSI - Colon Surgery: Upper Confidence Limit1.264Same as national
SSI - Colon Surgery: Number of Procedures330Same as national
SSI - Colon Surgery: Predicted Cases8.770Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery0.570Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.242Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.774Same as national
SSI - Abdominal Hysterectomy: Number of Procedures141Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.384Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.445Same as national
MRSA Bacteremia: Lower Confidence Limit0.180Same as national
MRSA Bacteremia: Upper Confidence Limit1.363Same as national
MRSA Bacteremia: Patient Days102557Same as national
MRSA Bacteremia: Predicted Cases7.079Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.565Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.192Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.551Better than national
Clostridium Difficile (C.Diff): Patient Days88279Better than national
Clostridium Difficile (C.Diff): Predicted Cases41.600Better than national
Clostridium Difficile (C.Diff): Observed Cases14Better than national
Clostridium Difficile (C.Diff)0.337Better 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 patients2.8Same as national213
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national1409
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.8Same as national119
Death rate for heart failure patients13.5Same as national246
Death rate for pneumonia patients18.1Same as national347
Death rate for stroke patients15.4Same as national214
Pressure ulcer rate0.15Same as national5173
Death rate among surgical inpatients with serious treatable complications200.11Same as national70
Iatrogenic pneumothorax rate0.22Same as national6123
In-hospital fall-associated fracture rate0.35Same as national6219
Postoperative hemorrhage or hematoma rate1.82Same as national1433
Postoperative acute kidney injury requiring dialysis rate3.00Same as national884
Postoperative respiratory failure rate22.81Worse than national850
Perioperative pulmonary embolism or deep vein thrombosis rate3.82Same as national1560
Postoperative sepsis rate5.39Same as national859
Postoperative wound dehiscence rate1.56Same as national594
Abdominopelvic accidental puncture or laceration rate1.27Same as national1654
CMS Medicare PSI 90: Patient safety and adverse events composite1.30Same 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 patients18.2Not available262
Hospital return days for pneumonia patients-22.2Not available331
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national2368
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national681
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.3Same as national32
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.5Same as national32
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national278
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national131
Heart failure (HF) 30-Day Readmission Rate20.7Same as national262
Rate of readmission after hip/knee replacement3.9Same as national196
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national331

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 rating2331
Doctor communication - star rating3331
Communication about medicines - star rating2331
Discharge information - star rating4331
Cleanliness - star rating1331
Quietness - star rating3331
Overall hospital rating - star rating3331
Recommend hospital - star rating4331
Summary star rating3331

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 Hypoglycemia23655
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination943320
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 better222347
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 better207317
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better42024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better41216
Left before being seen462658
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97150
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing114465
Appropriate care for severe sepsis and septic shock20482
Septic Shock 3-Hour Bundle30185
Septic Shock 6-Hour Bundle4848
Severe Sepsis 3-Hour Bundle64483
Severe Sepsis 6-Hour Bundle73210
Discharged on Antithrombotic Therapy97212
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295202
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 Community Hospital North rated?
Community Hospital North has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Community Hospital North have emergency services?
Yes. Community Hospital North operates a 24/7 emergency department.
Where is Community Hospital North located?
Community Hospital North is located at 7150 Clearvista Dr, Indianapolis, IN 46256.
What type of hospital is Community Hospital North?
Community Hospital North is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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