Acute Care Hospitals · Voluntary non-profit - Private
Emory Decatur Hospital
- 2701 N Decatur Road, Decatur, GA 30033
- (404) 501-1000
- Acute Care Hospitals
At a glance
Emory Decatur Hospital carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.039 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.764 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 7973 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 8.650 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 2 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.231 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.559 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.960 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 7129 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 9.093 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 10 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 1.100 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.104 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.041 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 122 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 3.237 | Same as national |
| SSI - Colon Surgery: Observed Cases | 2 | Same as national |
| SSI - Colon Surgery | 0.618 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 0.708 | Same as national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 5.372 | Same as national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 202 | Same as national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.796 | Same as national |
| SSI - Abdominal Hysterectomy: Observed Cases | 4 | Same as national |
| SSI - Abdominal Hysterectomy | 2.227 | Same as national |
| MRSA Bacteremia: Lower Confidence Limit | 0.073 | Better than national |
| MRSA Bacteremia: Upper Confidence Limit | 0.785 | Better than national |
| MRSA Bacteremia: Patient Days | 112306 | Better than national |
| MRSA Bacteremia: Predicted Cases | 10.396 | Better than national |
| MRSA Bacteremia: Observed Cases | 3 | Better than national |
| MRSA Bacteremia | 0.289 | Better than national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.177 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.491 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 98031 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 49.291 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 15 | Better than national |
| Clostridium Difficile (C.Diff) | 0.304 | 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 | 4.4 | Same as national | 50 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.1 | Same as national | 595 |
| Death rate for heart attack patients | 14.3 | Same as national | 90 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 10.1 | Same as national | 57 |
| Death rate for heart failure patients | 9.4 | Same as national | 216 |
| Death rate for pneumonia patients | 15.8 | Same as national | 170 |
| Death rate for stroke patients | 10.8 | Same as national | 74 |
| Pressure ulcer rate | 0.58 | Same as national | 2988 |
| Death rate among surgical inpatients with serious treatable complications | 213.29 | Same as national | 39 |
| Iatrogenic pneumothorax rate | 0.24 | Same as national | 3460 |
| In-hospital fall-associated fracture rate | 0.28 | Same as national | 3520 |
| Postoperative hemorrhage or hematoma rate | 2.55 | Same as national | 604 |
| Postoperative acute kidney injury requiring dialysis rate | 2.52 | Same as national | 169 |
| Postoperative respiratory failure rate | 19.74 | Worse than national | 187 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.46 | Same as national | 608 |
| Postoperative sepsis rate | 8.70 | Same as national | 163 |
| Postoperative wound dehiscence rate | 1.66 | Same as national | 142 |
| Abdominopelvic accidental puncture or laceration rate | 2.20 | Worse than national | 591 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.45 | Worse than 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 | 69 | Not available | 79 |
| Hospital return days for heart failure patients | 30.9 | Not available | 247 |
| Hospital return days for pneumonia patients | 5.2 | Not available | 171 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.7 | Same as national | 1033 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.3 | Same as national | 693 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.1 | Same as national | 46 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.3 | Same as national | 46 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 356 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.6 | Same as national | 79 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.1 | Same as national | 59 |
| Heart failure (HF) 30-Day Readmission Rate | 20 | Same as national | 247 |
| Rate of readmission after hip/knee replacement | 5.6 | Same as national | 49 |
| Pneumonia (PN) 30-Day Readmission Rate | 15.9 | Same as national | 171 |
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 | 532 |
| Doctor communication - star rating | 3 | 532 |
| Communication about medicines - star rating | 2 | 532 |
| Discharge information - star rating | 2 | 532 |
| Cleanliness - star rating | 3 | 532 |
| Quietness - star rating | 3 | 532 |
| Overall hospital rating - star rating | 3 | 532 |
| Recommend hospital - star rating | 3 | 532 |
| Summary star rating | 3 | 532 |
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 | 8 | 24144 |
| Hospital Harm - Severe Hypoglycemia | 4 | 4188 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 92 | 2920 |
| 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 | 253 | 388 |
| 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 | 246 | 361 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 279 | 19 |
| 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 | 68541 |
| Head CT results | 50 | 20 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 79 | 96 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 9 | 2910 |
| Appropriate care for severe sepsis and septic shock | 39 | 137 |
| Septic Shock 3-Hour Bundle | 65 | 37 |
| Septic Shock 6-Hour Bundle | 75 | 20 |
| Severe Sepsis 3-Hour Bundle | 70 | 137 |
| Severe Sepsis 6-Hour Bundle | 72 | 72 |
| Discharged on Antithrombotic Therapy | — | — |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 81 | 6396 |
| Intensive Care Unit Venous Thromboembolism Prophylaxis | 92 | 2784 |
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 | Yes | — |
Frequently asked questions
- How is Emory Decatur Hospital rated?
- Emory Decatur Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
- Does Emory Decatur Hospital have emergency services?
- According to CMS records, Emory Decatur Hospital does not report a 24/7 emergency department.
- Where is Emory Decatur Hospital located?
- Emory Decatur Hospital is located at 2701 N Decatur Road, Decatur, GA 30033.
- What type of hospital is Emory Decatur Hospital?
- Emory Decatur Hospital 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.