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Acute Care Hospitals · Government - Hospital District or Authority

Emory Hillandale Hospital

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At a glance

Emory Hillandale Hospital carries a 1-star CMS overall rating — below 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 Limit0.131Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.587Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2862Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases2.554Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.783Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.022Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.206Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2226Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.236Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.447Same as national
SSI - Colon Surgery: Lower Confidence Limit—Same as national
SSI - Colon Surgery: Upper Confidence Limit2.826Same as national
SSI - Colon Surgery: Number of Procedures39Same as national
SSI - Colon Surgery: Predicted Cases1.060Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Upper Confidence Limit—Not available
SSI - Abdominal Hysterectomy: Number of Procedures—Not available
SSI - Abdominal Hysterectomy: Predicted Cases—Not available
SSI - Abdominal Hysterectomy: Observed Cases—Not available
SSI - Abdominal Hysterectomy—Not available
MRSA Bacteremia: Lower Confidence Limit0.156Same as national
MRSA Bacteremia: Upper Confidence Limit3.071Same as national
MRSA Bacteremia: Patient Days27835Same as national
MRSA Bacteremia: Predicted Cases2.152Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia0.929Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.027Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.523Better than national
Clostridium Difficile (C.Diff): Patient Days27835Better than national
Clostridium Difficile (C.Diff): Predicted Cases12.627Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.158Better 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 patients—Not available—
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.8Same as national184
Death rate for heart attack patients—Not available—
Death rate for CABG surgery patients—Not available—
Death rate for COPD patients—Not available—
Death rate for heart failure patients12.1Same as national70
Death rate for pneumonia patients16.5Same as national52
Death rate for stroke patients12.9Same as national25
Pressure ulcer rate0.38Same as national993
Death rate among surgical inpatients with serious treatable complications—Not available—
Iatrogenic pneumothorax rate0.27Same as national1202
In-hospital fall-associated fracture rate0.26Same as national1213
Postoperative hemorrhage or hematoma rate2.27Same as national97
Postoperative acute kidney injury requiring dialysis rate—Not available—
Postoperative respiratory failure rate—Not available—
Perioperative pulmonary embolism or deep vein thrombosis rate3.36Same as national97
Postoperative sepsis rate—Not available—
Postoperative wound dehiscence rate1.75Same as national25
Abdominopelvic accidental puncture or laceration rate1.60Same as national174
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—Not available—
Hospital return days for heart failure patients133Not available77
Hospital return days for pneumonia patients78.4Not available55
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national284
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national64
Rate of inpatient admissions for patients receiving outpatient chemotherapy—Not available—
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy—Not available—
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national55
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate—Not available—
Rate of readmission for CABG—Not available—
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients—Not available—
Heart failure (HF) 30-Day Readmission Rate21.9Same as national77
Rate of readmission after hip/knee replacement—Not available—
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national55

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 rating2464
Doctor communication - star rating3464
Communication about medicines - star rating2464
Discharge information - star rating2464
Cleanliness - star rating4464
Quietness - star rating4464
Overall hospital rating - star rating3464
Recommend hospital - star rating3464
Summary star rating3464

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 Hyperglycemia118652
Hospital Harm - Severe Hypoglycemia41637
Hospital Harm - Opioid Related Adverse Events——
Healthcare workers given influenza vaccination90877
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 better220395
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 better216382
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better——
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 seen266149
Head CT results——
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients7633
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery——
ST-Segment Elevation Myocardial Infarction (STEMI)——
Safe Use of Opioids - Concurrent Prescribing191028
Appropriate care for severe sepsis and septic shock54115
Septic Shock 3-Hour Bundle7128
Septic Shock 6-Hour Bundle8614
Severe Sepsis 3-Hour Bundle80115
Severe Sepsis 6-Hour Bundle7268
Discharged on Antithrombotic Therapy——
Anticoagulation Therapy for Atrial Fibrillation/Flutter——
Antithrombotic Therapy by End of Hospital Day 2——
Venous Thromboembolism Prophylaxis813087
Intensive Care Unit Venous Thromboembolism Prophylaxis92823

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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)—

Frequently asked questions

How is Emory Hillandale Hospital rated?
Emory Hillandale Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Emory Hillandale Hospital have emergency services?
Yes. Emory Hillandale Hospital operates a 24/7 emergency department.
Where is Emory Hillandale Hospital located?
Emory Hillandale Hospital is located at 2801 Dekalb Medical Parkway, Lithonia, GA 30058.
What type of hospital is Emory Hillandale Hospital?
Emory Hillandale Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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