Acute Care Hospitals · Voluntary non-profit - Private
Ephraim Mcdowell Regional Medical Center
- 217 South Third Street, Danville, KY 40422
- (859) 239-1000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Ephraim Mcdowell Regional Medical Center carries a 3-star CMS overall rating — in line with the national norm.
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 | 0.018 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.786 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 3026 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 2.761 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 1 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.362 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.012 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 1.198 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 3384 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 4.118 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 1 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.243 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.115 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.262 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 108 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 2.921 | Same as national |
| SSI - Colon Surgery: Observed Cases | 2 | Same as national |
| SSI - Colon Surgery | 0.685 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 40 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.323 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.414 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 4.430 | Same as national |
| MRSA Bacteremia: Patient Days | 31436 | Same as national |
| MRSA Bacteremia: Predicted Cases | 1.843 | Same as national |
| MRSA Bacteremia: Observed Cases | 3 | Same as national |
| MRSA Bacteremia | 1.628 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.251 | Same as national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 1.136 | Same as national |
| Clostridium Difficile (C.Diff): Patient Days | 30241 | Same as national |
| Clostridium Difficile (C.Diff): Predicted Cases | 12.190 | Same as national |
| Clostridium Difficile (C.Diff): Observed Cases | 7 | Same as national |
| Clostridium Difficile (C.Diff) | 0.574 | Same as 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 | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.5 | Same as national | 716 |
| Death rate for heart attack patients | 13.3 | Same as national | 119 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 10.4 | Same as national | 83 |
| Death rate for heart failure patients | 15 | Same as national | 212 |
| Death rate for pneumonia patients | 18.4 | Same as national | 316 |
| Death rate for stroke patients | 15.6 | Same as national | 72 |
| Pressure ulcer rate | 0.27 | Same as national | 2084 |
| Death rate among surgical inpatients with serious treatable complications | 200.32 | Same as national | 52 |
| Iatrogenic pneumothorax rate | 0.36 | Same as national | 2910 |
| In-hospital fall-associated fracture rate | 0.29 | Same as national | 2917 |
| Postoperative hemorrhage or hematoma rate | 4.33 | Worse than national | 661 |
| Postoperative acute kidney injury requiring dialysis rate | 1.58 | Same as national | 234 |
| Postoperative respiratory failure rate | 11.74 | Same as national | 241 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 2.97 | Same as national | 654 |
| Postoperative sepsis rate | 4.26 | Same as national | 221 |
| Postoperative wound dehiscence rate | 1.64 | Same as national | 193 |
| Abdominopelvic accidental puncture or laceration rate | 1.34 | Same as national | 659 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.96 | 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 | 20.4 | Not available | 115 |
| Hospital return days for heart failure patients | -18.9 | Not available | 250 |
| Hospital return days for pneumonia patients | 7.4 | Not available | 358 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.2 | Same as national | 1135 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 14.3 | Same as national | 1018 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 9.3 | Same as national | 160 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 6 | Same as national | 160 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.2 | Same as national | 349 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.6 | Same as national | 115 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.2 | Same as national | 95 |
| Heart failure (HF) 30-Day Readmission Rate | 18.4 | Same as national | 250 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 16.4 | Same as national | 358 |
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 | 4 | 915 |
| Doctor communication - star rating | 3 | 915 |
| Communication about medicines - star rating | 2 | 915 |
| Discharge information - star rating | 3 | 915 |
| Cleanliness - star rating | 3 | 915 |
| Quietness - star rating | 3 | 915 |
| Overall hospital rating - star rating | 3 | 915 |
| Recommend hospital - star rating | 3 | 915 |
| Summary star rating | 3 | 915 |
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 | medium | — |
| 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 | 11 | 10062 |
| Hospital Harm - Severe Hypoglycemia | — | — |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 97 | 1691 |
| 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 | 144 | 690 |
| 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 | 139 | 637 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 204 | 31 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 206 | 30 |
| Left before being seen | 2 | 28537 |
| Head CT results | 80 | 35 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 100 | 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 | 13 | 1762 |
| Appropriate care for severe sepsis and septic shock | 77 | 381 |
| Septic Shock 3-Hour Bundle | 94 | 143 |
| Septic Shock 6-Hour Bundle | 95 | 119 |
| Severe Sepsis 3-Hour Bundle | 81 | 381 |
| Severe Sepsis 6-Hour Bundle | 99 | 246 |
| Discharged on Antithrombotic Therapy | 97 | 58 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 91 | 57 |
| Venous Thromboembolism Prophylaxis | 50 | 3496 |
| 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.
| 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 Ephraim Mcdowell Regional Medical Center rated?
- Ephraim Mcdowell Regional Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Ephraim Mcdowell Regional Medical Center have emergency services?
- Yes. Ephraim Mcdowell Regional Medical Center operates a 24/7 emergency department.
- Where is Ephraim Mcdowell Regional Medical Center located?
- Ephraim Mcdowell Regional Medical Center is located at 217 South Third Street, Danville, KY 40422.
- What type of hospital is Ephraim Mcdowell Regional Medical Center?
- Ephraim Mcdowell Regional Medical Center 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.