JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Gettysburg Hospital

4 / 5

At a glance

Gettysburg Hospital carries a 4-star CMS overall rating — above the national norm. For 30-day readmissions, it beats the national rate on 1 measure and trails 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.840Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2617Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.628Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.220Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.341Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2904Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.522Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.314Same as national
SSI - Colon Surgery: Lower Confidence Limit0.026Same as national
SSI - Colon Surgery: Upper Confidence Limit2.609Same as national
SSI - Colon Surgery: Number of Procedures78Same as national
SSI - Colon Surgery: Predicted Cases1.890Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.529Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures23Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.221Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.307Same as national
MRSA Bacteremia: Upper Confidence Limit6.046Same as national
MRSA Bacteremia: Patient Days24171Same as national
MRSA Bacteremia: Predicted Cases1.093Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.830Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.416Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.880Same as national
Clostridium Difficile (C.Diff): Patient Days23413Same as national
Clostridium Difficile (C.Diff): Predicted Cases7.365Same as national
Clostridium Difficile (C.Diff): Observed Cases7Same as national
Clostridium Difficile (C.Diff)0.950Same 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 Rate3.8Same as national860
Death rate for heart attack patients11.6Same as national167
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.7Same as national90
Death rate for heart failure patients11.9Same as national315
Death rate for pneumonia patients18.6Same as national229
Death rate for stroke patients13.8Same as national122
Pressure ulcer rate0.62Same as national2835
Death rate among surgical inpatients with serious treatable complications164.18Same as national26
Iatrogenic pneumothorax rate0.18Same as national3497
In-hospital fall-associated fracture rate0.25Same as national3505
Postoperative hemorrhage or hematoma rate2.80Same as national383
Postoperative acute kidney injury requiring dialysis rate1.65Same as national53
Postoperative respiratory failure rate8.44Same as national52
Perioperative pulmonary embolism or deep vein thrombosis rate3.38Same as national392
Postoperative sepsis rate5.02Same as national49
Postoperative wound dehiscence rate1.69Same as national117
Abdominopelvic accidental puncture or laceration rate0.93Same as national500
CMS Medicare PSI 90: Patient safety and adverse events composite0.95Same 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-32.8Not available128
Hospital return days for heart failure patients-46.6Not available317
Hospital return days for pneumonia patients-15.1Not available234
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.9Same as national1384
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.5Same as national1971
Rate of inpatient admissions for patients receiving outpatient chemotherapy10Same as national123
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.5Same as national123
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national556
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.6Same as national128
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national98
Heart failure (HF) 30-Day Readmission Rate16.4Better than national317
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national234

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 rating4369
Doctor communication - star rating3369
Communication about medicines - star rating2369
Discharge information - star rating3369
Cleanliness - star rating3369
Quietness - star rating1369
Overall hospital rating - star rating3369
Recommend hospital - star rating3369
Summary star rating3369

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination921234
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 better153381
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 better146348
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better35018
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better29815
Left before being seen032293
Head CT results7114
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10071
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5030
Safe Use of Opioids - Concurrent Prescribing22868
Appropriate care for severe sepsis and septic shock61207
Septic Shock 3-Hour Bundle6060
Septic Shock 6-Hour Bundle7124
Severe Sepsis 3-Hour Bundle77207
Severe Sepsis 6-Hour Bundle9891
Discharged on Antithrombotic Therapy9799
Anticoagulation Therapy for Atrial Fibrillation/Flutter7726
Antithrombotic Therapy by End of Hospital Day 29370
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 Gettysburg Hospital rated?
Gettysburg Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Gettysburg Hospital have emergency services?
Yes. Gettysburg Hospital operates a 24/7 emergency department.
Where is Gettysburg Hospital located?
Gettysburg Hospital is located at 147 Gettys Street, Gettysburg, PA 17325.
What type of hospital is Gettysburg Hospital?
Gettysburg Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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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