JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Doctors Hospital

3 / 5

At a glance

Doctors Hospital 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 24 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 Limit0.091Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.411Better than national
Central Line Associated Bloodstream Infection: Number of Device Days14507Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases33.698Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.208Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.010Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.199Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13469Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases33.170Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.060Better than national
SSI - Colon Surgery: Lower Confidence Limit0.010Better than national
SSI - Colon Surgery: Upper Confidence Limit0.941Better than national
SSI - Colon Surgery: Number of Procedures174Better than national
SSI - Colon Surgery: Predicted Cases5.240Better than national
SSI - Colon Surgery: Observed Cases1Better than national
SSI - Colon Surgery0.191Better than national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures109Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.927Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.605Same as national
MRSA Bacteremia: Upper Confidence Limit2.276Same as national
MRSA Bacteremia: Patient Days88764Same as national
MRSA Bacteremia: Predicted Cases7.258Same as national
MRSA Bacteremia: Observed Cases9Same as national
MRSA Bacteremia1.240Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.070Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.287Better than national
Clostridium Difficile (C.Diff): Patient Days84215Better than national
Clostridium Difficile (C.Diff): Predicted Cases52.912Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.151Better 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 patients3.6Same as national41
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national1143
Death rate for heart attack patients11.5Same as national95
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11.5Same as national74
Death rate for heart failure patients13.4Same as national163
Death rate for pneumonia patients17.8Same as national304
Death rate for stroke patients15.5Same as national87
Pressure ulcer rate0.21Same as national3766
Death rate among surgical inpatients with serious treatable complications184.06Same as national138
Iatrogenic pneumothorax rate0.17Same as national4736
In-hospital fall-associated fracture rate0.25Same as national4654
Postoperative hemorrhage or hematoma rate2.15Same as national1363
Postoperative acute kidney injury requiring dialysis rate2.27Same as national477
Postoperative respiratory failure rate12.97Same as national584
Perioperative pulmonary embolism or deep vein thrombosis rate3.97Same as national1434
Postoperative sepsis rate3.73Same as national362
Postoperative wound dehiscence rate1.62Same as national208
Abdominopelvic accidental puncture or laceration rate0.82Same as national982
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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-36.1Not available87
Hospital return days for heart failure patients1.3Not available178
Hospital return days for pneumonia patients7Not available320
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1820
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11Same as national1070
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national301
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national87
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national83
Heart failure (HF) 30-Day Readmission Rate19.9Same as national178
Rate of readmission after hip/knee replacement5Same as national37
Pneumonia (PN) 30-Day Readmission Rate16Same as national320

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 rating2569
Doctor communication - star rating3569
Communication about medicines - star rating2569
Discharge information - star rating2569
Cleanliness - star rating3569
Quietness - star rating3569
Overall hospital rating - star rating3569
Recommend hospital - star rating4569
Summary star rating3569

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination652538
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 better174435
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 better171412
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better44817
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 seen172889
Head CT results6721
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients85103
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing137241
Appropriate care for severe sepsis and septic shock74203
Septic Shock 3-Hour Bundle8354
Septic Shock 6-Hour Bundle8935
Severe Sepsis 3-Hour Bundle87203
Severe Sepsis 6-Hour Bundle91110
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 292161
Venous Thromboembolism Prophylaxis958539
Intensive Care Unit Venous Thromboembolism Prophylaxis991475

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 Doctors Hospital rated?
Doctors Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Doctors Hospital have emergency services?
Yes. Doctors Hospital operates a 24/7 emergency department.
Where is Doctors Hospital located?
Doctors Hospital is located at 3651 Wheeler Road, Augusta, GA 30909.
What type of hospital is Doctors Hospital?
Doctors Hospital 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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