JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Fairview Park Hospital

4 / 5

At a glance

Fairview Park 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 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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.010Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.974Better than national
Central Line Associated Bloodstream Infection: Number of Device Days6234Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.064Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.197Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.011Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.129Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5357Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases4.368Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.229Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures30Not available
SSI - Colon Surgery: Predicted Cases0.820Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures69Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.634Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitBetter than national
MRSA Bacteremia: Upper Confidence Limit0.977Better than national
MRSA Bacteremia: Patient Days86807Better than national
MRSA Bacteremia: Predicted Cases3.065Better than national
MRSA Bacteremia: Observed Cases0Better than national
MRSA Bacteremia0.000Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.002Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.151Better than national
Clostridium Difficile (C.Diff): Patient Days84974Better than national
Clostridium Difficile (C.Diff): Predicted Cases32.687Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.031Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national644
Death rate for heart attack patients14.7Same as national79
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10Same as national58
Death rate for heart failure patients10.4Same as national185
Death rate for pneumonia patients16.5Same as national322
Death rate for stroke patients12.1Same as national73
Pressure ulcer rate0.26Same as national2268
Death rate among surgical inpatients with serious treatable complications169.26Same as national25
Iatrogenic pneumothorax rate0.18Same as national2845
In-hospital fall-associated fracture rate0.29Same as national2854
Postoperative hemorrhage or hematoma rate2.18Same as national298
Postoperative acute kidney injury requiring dialysis rate1.66Same as national46
Postoperative respiratory failure rate8.58Same as national46
Perioperative pulmonary embolism or deep vein thrombosis rate3.87Same as national316
Postoperative sepsis rate5.14Same as national43
Postoperative wound dehiscence rate1.70Same as national91
Abdominopelvic accidental puncture or laceration rate0.99Same as national295
CMS Medicare PSI 90: Patient safety and adverse events composite0.87Same 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-43.8Not available56
Hospital return days for heart failure patients39.1Not available207
Hospital return days for pneumonia patients40Not available345
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.3Same as national999
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.6Same as national696
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 national159
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national56
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national58
Heart failure (HF) 30-Day Readmission Rate19.7Same as national207
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.9Same as national345

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 rating4639
Doctor communication - star rating4639
Communication about medicines - star rating3639
Discharge information - star rating3639
Cleanliness - star rating3639
Quietness - star rating4639
Overall hospital rating - star rating4639
Recommend hospital - star rating4639
Summary star rating4639

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 vaccination601127
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 better138437
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 better132417
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 better36611
Left before being seen050237
Head CT results9123
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients91105
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing122175
Appropriate care for severe sepsis and septic shock77159
Septic Shock 3-Hour Bundle6749
Septic Shock 6-Hour Bundle9329
Severe Sepsis 3-Hour Bundle89160
Severe Sepsis 6-Hour Bundle99101
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295147
Venous Thromboembolism Prophylaxis884831
Intensive Care Unit Venous Thromboembolism Prophylaxis971288

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 Fairview Park Hospital rated?
Fairview Park Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Fairview Park Hospital have emergency services?
Yes. Fairview Park Hospital operates a 24/7 emergency department.
Where is Fairview Park Hospital located?
Fairview Park Hospital is located at 200 Industrial Boulevard, Dublin, GA 31021.
What type of hospital is Fairview Park Hospital?
Fairview Park 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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