JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Elkhart General Hospital

4 / 5

At a glance

Elkhart General 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 Limit0.075Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.479Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6224Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases4.468Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.448Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.013Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.247Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4550Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.956Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.253Same as national
SSI - Colon Surgery: Lower Confidence Limit0.296Same as national
SSI - Colon Surgery: Upper Confidence Limit3.166Same as national
SSI - Colon Surgery: Number of Procedures106Same as national
SSI - Colon Surgery: Predicted Cases2.579Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.163Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.041Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.043Same as national
SSI - Abdominal Hysterectomy: Number of Procedures132Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.220Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.820Same as national
MRSA Bacteremia: Lower Confidence Limit0.015Same as national
MRSA Bacteremia: Upper Confidence Limit1.523Same as national
MRSA Bacteremia: Patient Days57854Same as national
MRSA Bacteremia: Predicted Cases3.239Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.309Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.104Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.535Better than national
Clostridium Difficile (C.Diff): Patient Days55224Better than national
Clostridium Difficile (C.Diff): Predicted Cases23.315Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.257Better 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 national57
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.9Same as national1224
Death rate for heart attack patients12.8Same as national137
Death rate for CABG surgery patients1.6Same as national111
Death rate for COPD patients6.7Same as national140
Death rate for heart failure patients9.8Same as national278
Death rate for pneumonia patients14.8Same as national346
Death rate for stroke patients14.3Same as national179
Pressure ulcer rate0.21Same as national3948
Death rate among surgical inpatients with serious treatable complications175.81Same as national39
Iatrogenic pneumothorax rate0.23Same as national4633
In-hospital fall-associated fracture rate0.31Same as national4920
Postoperative hemorrhage or hematoma rate2.49Same as national1035
Postoperative acute kidney injury requiring dialysis rate1.89Same as national542
Postoperative respiratory failure rate13.36Same as national531
Perioperative pulmonary embolism or deep vein thrombosis rate2.46Same as national1114
Postoperative sepsis rate5.06Same as national529
Postoperative wound dehiscence rate1.68Same as national156
Abdominopelvic accidental puncture or laceration rate1.18Same as national540
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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 patients5.3Not available137
Hospital return days for heart failure patients9.7Not available303
Hospital return days for pneumonia patients-24.3Not available358
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national1995
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national499
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.6Same as national54
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5Same as national54
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national278
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national137
Rate of readmission for CABG10.9Same as national111
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national165
Heart failure (HF) 30-Day Readmission Rate20.6Same as national303
Rate of readmission after hip/knee replacement4.9Same as national49
Pneumonia (PN) 30-Day Readmission Rate14Same as national358

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 rating2577
Doctor communication - star rating3577
Communication about medicines - star rating2577
Discharge information - star rating3577
Cleanliness - star rating3577
Quietness - star rating3577
Overall hospital rating - star rating3577
Recommend hospital - star rating3577
Summary star rating3577

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 volumehigh
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 vaccination942093
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 better206469
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 better196440
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30622
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 seen447761
Head CT results7516
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients87108
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)4025
Safe Use of Opioids - Concurrent Prescribing65095
Appropriate care for severe sepsis and septic shock57187
Septic Shock 3-Hour Bundle7666
Septic Shock 6-Hour Bundle6743
Severe Sepsis 3-Hour Bundle80187
Severe Sepsis 6-Hour Bundle90105
Discharged on Antithrombotic Therapy88208
Anticoagulation Therapy for Atrial Fibrillation/Flutter6247
Antithrombotic Therapy by End of Hospital Day 282151
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 Elkhart General Hospital rated?
Elkhart General Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Elkhart General Hospital have emergency services?
Yes. Elkhart General Hospital operates a 24/7 emergency department.
Where is Elkhart General Hospital located?
Elkhart General Hospital is located at 600 E Blvd, Elkhart, IN 46514.
What type of hospital is Elkhart General Hospital?
Elkhart General 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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