JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Geneva General Hospital

2 / 5

At a glance

Geneva General 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 6 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.039Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.844Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2058Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.283Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.779Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.038Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.751Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2469Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.315Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.760Same as national
SSI - Colon Surgery: Lower Confidence Limit0.174Same as national
SSI - Colon Surgery: Upper Confidence Limit3.434Same as national
SSI - Colon Surgery: Number of Procedures77Same as national
SSI - Colon Surgery: Predicted Cases1.924Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.040Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days13498Not available
MRSA Bacteremia: Predicted Cases0.622Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.010Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.948Better than national
Clostridium Difficile (C.Diff): Patient Days13498Better than national
Clostridium Difficile (C.Diff): Predicted Cases5.204Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.192Better 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 patients3.5Same as national39
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national317
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11.7Same as national65
Death rate for heart failure patients11.3Same as national97
Death rate for pneumonia patients19.9Same as national144
Death rate for stroke patients12.1Same as national44
Pressure ulcer rate1.35Same as national1116
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1523
In-hospital fall-associated fracture rate0.30Same as national1489
Postoperative hemorrhage or hematoma rate2.26Same as national183
Postoperative acute kidney injury requiring dialysis rate1.65Same as national66
Postoperative respiratory failure rate8.31Same as national64
Perioperative pulmonary embolism or deep vein thrombosis rate3.17Same as national190
Postoperative sepsis rate4.99Same as national60
Postoperative wound dehiscence rate1.70Same as national57
Abdominopelvic accidental puncture or laceration rate0.98Same as national141
CMS Medicare PSI 90: Patient safety and adverse events composite1.15Same 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 patientsNot available
Hospital return days for heart failure patients57.9Not available112
Hospital return days for pneumonia patients48.6Not available149
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.9Worse than national539
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.9Same as national914
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 surgery0.9Same as national126
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.9Same as national68
Heart failure (HF) 30-Day Readmission Rate21.4Same as national112
Rate of readmission after hip/knee replacement4.3Same as national34
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national149

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 rating2405
Doctor communication - star rating3405
Communication about medicines - star rating1405
Discharge information - star rating3405
Cleanliness - star rating1405
Quietness - star rating2405
Overall hospital rating - star rating2405
Recommend hospital - star rating2405
Summary star rating2405

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 volumemedium
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 Hypoglycemia0756
Hospital Harm - Opioid Related Adverse Events11212
Healthcare workers given influenza vaccination87780
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 better189491
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 better183459
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22518
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better32515
Left before being seen322407
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98172
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing20596
Appropriate care for severe sepsis and septic shock57269
Septic Shock 3-Hour Bundle7956
Septic Shock 6-Hour Bundle8238
Severe Sepsis 3-Hour Bundle77269
Severe Sepsis 6-Hour Bundle79153
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis891608
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Geneva General Hospital rated?
Geneva General Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Geneva General Hospital have emergency services?
Yes. Geneva General Hospital operates a 24/7 emergency department.
Where is Geneva General Hospital located?
Geneva General Hospital is located at 196 -198 North Street, Geneva, NY 14456.
What type of hospital is Geneva General Hospital?
Geneva General Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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