Acute Care Hospitals · Voluntary non-profit - Private
Deaconess Hospital Inc
- 600 Mary St, Evansville, IN 47747
- (812) 450-5000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Deaconess Hospital Inc carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.066 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.400 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 26488 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 27.728 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 5 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.180 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.047 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.284 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 23787 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 38.994 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 5 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.128 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.113 | Better than national |
| SSI - Colon Surgery: Upper Confidence Limit | 0.684 | Better than national |
| SSI - Colon Surgery: Number of Procedures | 576 | Better than national |
| SSI - Colon Surgery: Predicted Cases | 16.207 | Better than national |
| SSI - Colon Surgery: Observed Cases | 5 | Better than national |
| SSI - Colon Surgery | 0.309 | Better than national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 29 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.304 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.331 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.245 | Same as national |
| MRSA Bacteremia: Patient Days | 172994 | Same as national |
| MRSA Bacteremia: Predicted Cases | 13.263 | Same as national |
| MRSA Bacteremia: Observed Cases | 9 | Same as national |
| MRSA Bacteremia | 0.679 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.240 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.472 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 172994 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 99.562 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 34 | Better than national |
| Clostridium Difficile (C.Diff) | 0.341 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 4.3 | Same as national | 182 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.7 | Same as national | 4672 |
| Death rate for heart attack patients | 13.9 | Same as national | 548 |
| Death rate for CABG surgery patients | 3.9 | Same as national | 168 |
| Death rate for COPD patients | 9.5 | Same as national | 361 |
| Death rate for heart failure patients | 11.3 | Same as national | 1262 |
| Death rate for pneumonia patients | 17.3 | Same as national | 913 |
| Death rate for stroke patients | 16.4 | Worse than national | 603 |
| Pressure ulcer rate | 0.62 | Same as national | 15988 |
| Death rate among surgical inpatients with serious treatable complications | 179.34 | Same as national | 276 |
| Iatrogenic pneumothorax rate | 0.17 | Same as national | 19983 |
| In-hospital fall-associated fracture rate | 0.34 | Same as national | 20165 |
| Postoperative hemorrhage or hematoma rate | 1.40 | Same as national | 4989 |
| Postoperative acute kidney injury requiring dialysis rate | 2.57 | Same as national | 1827 |
| Postoperative respiratory failure rate | 12.80 | Same as national | 1788 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.31 | Same as national | 5217 |
| Postoperative sepsis rate | 5.63 | Same as national | 1769 |
| Postoperative wound dehiscence rate | 2.11 | Same as national | 1231 |
| Abdominopelvic accidental puncture or laceration rate | 0.98 | Same as national | 4129 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.08 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 2.6 | Not available | 598 |
| Hospital return days for heart failure patients | 20.5 | Not available | 1467 |
| Hospital return days for pneumonia patients | 0.9 | Not available | 942 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.3 | Same as national | 8031 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12 | Same as national | 4605 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 11.8 | Same as national | 492 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 6 | Same as national | 492 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.1 | Same as national | 1627 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 12.9 | Same as national | 598 |
| Rate of readmission for CABG | 11.8 | Same as national | 164 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.3 | Same as national | 395 |
| Heart failure (HF) 30-Day Readmission Rate | 22 | Worse than national | 1467 |
| Rate of readmission after hip/knee replacement | 6 | Same as national | 188 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.9 | Same as national | 942 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 2119 |
| Doctor communication - star rating | 3 | 2119 |
| Communication about medicines - star rating | 2 | 2119 |
| Discharge information - star rating | 2 | 2119 |
| Cleanliness - star rating | 2 | 2119 |
| Quietness - star rating | 3 | 2119 |
| Overall hospital rating - star rating | 3 | 2119 |
| Recommend hospital - star rating | 4 | 2119 |
| Summary star rating | 3 | 2119 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 Hypoglycemia | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 79 | 7975 |
| 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 better | 189 | 404 |
| 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 better | 189 | 387 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 182 | 17 |
| 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 seen | 4 | 136480 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 98 | 96 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 37 | 30 |
| Safe Use of Opioids - Concurrent Prescribing | 20 | 10449 |
| Appropriate care for severe sepsis and septic shock | 66 | 119 |
| Septic Shock 3-Hour Bundle | 73 | 37 |
| Septic Shock 6-Hour Bundle | 91 | 23 |
| Severe Sepsis 3-Hour Bundle | 78 | 119 |
| Severe Sepsis 6-Hour Bundle | 95 | 64 |
| Discharged on Antithrombotic Therapy | 100 | 575 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | 93 | 121 |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | — | — |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 99 | 5903 |
Maternal Health
lower is better · 4 measures reported
Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Not Applicable (our hospital does not provide inpatient labor/delivery care) | — |
Frequently asked questions
- How is Deaconess Hospital Inc rated?
- Deaconess Hospital Inc has a 2 out of 5 CMS overall star rating as of the latest CMS release.
- Does Deaconess Hospital Inc have emergency services?
- Yes. Deaconess Hospital Inc operates a 24/7 emergency department.
- Where is Deaconess Hospital Inc located?
- Deaconess Hospital Inc is located at 600 Mary St, Evansville, IN 47747.
- What type of hospital is Deaconess Hospital Inc?
- Deaconess Hospital Inc is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.