JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Georgetown Community Hospital

3 / 5

At a glance

Georgetown Community Hospital 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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days809Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.500Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence LimitNot available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1054Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases0.551Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards)Not available
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures9Not available
SSI - Colon Surgery: Predicted Cases0.185Not available
SSI - Colon Surgery: Observed Cases1Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures54Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.501Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days7353Not available
MRSA Bacteremia: Predicted Cases0.235Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitSame as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.287Same as national
Clostridium Difficile (C.Diff): Patient Days6630Same as national
Clostridium Difficile (C.Diff): Predicted Cases2.328Same as national
Clostridium Difficile (C.Diff): Observed Cases0Same as national
Clostridium Difficile (C.Diff)0.000Same 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.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.6Same as national165
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patientsNot available
Death rate for heart failure patients9.7Same as national48
Death rate for pneumonia patients18.7Same as national56
Death rate for stroke patientsNot available
Pressure ulcer rate0.51Same as national400
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national609
In-hospital fall-associated fracture rate0.27Same as national635
Postoperative hemorrhage or hematoma rate2.28Same as national122
Postoperative acute kidney injury requiring dialysis rate1.63Same as national69
Postoperative respiratory failure rate8.66Same as national70
Perioperative pulmonary embolism or deep vein thrombosis rate3.36Same as national125
Postoperative sepsis rate4.98Same as national66
Postoperative wound dehiscence rate1.76Same as national31
Abdominopelvic accidental puncture or laceration rate1.03Same as national142
CMS Medicare PSI 90: Patient safety and adverse events composite0.92Same 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 patients71.2Not available56
Hospital return days for pneumonia patients38.8Not available59
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national220
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.6Same as national369
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.9Same as national27
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national27
Ratio of unplanned hospital visits after hospital outpatient surgery1.3Same as national93
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsNot available
Heart failure (HF) 30-Day Readmission Rate20.3Same as national56
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.7Same as national59

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 rating3319
Doctor communication - star rating3319
Communication about medicines - star rating3319
Discharge information - star rating4319
Cleanliness - star rating2319
Quietness - star rating3319
Overall hospital rating - star rating3319
Recommend hospital - star rating3319
Summary star rating3319

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 Hyperglycemia81473
Hospital Harm - Severe Hypoglycemia0421
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination251011
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 better138498
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 better133467
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better17214
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better31019
Left before being seen124765
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97101
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing12525
Appropriate care for severe sepsis and septic shock72110
Septic Shock 3-Hour Bundle9020
Septic Shock 6-Hour Bundle10012
Severe Sepsis 3-Hour Bundle78111
Severe Sepsis 6-Hour Bundle9263
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
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 MeasureYes

Frequently asked questions

How is Georgetown Community Hospital rated?
Georgetown Community Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Georgetown Community Hospital have emergency services?
Yes. Georgetown Community Hospital operates a 24/7 emergency department.
Where is Georgetown Community Hospital located?
Georgetown Community Hospital is located at 1140 Lexington Road, Georgetown, KY 40324.
What type of hospital is Georgetown Community Hospital?
Georgetown Community 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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