JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Goshen Hospital

3 / 5

At a glance

Goshen Hospital carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.340Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1930Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.280Same 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 Limit0.287Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit5.648Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1608Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.170Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.709Same as national
SSI - Colon Surgery: Lower Confidence Limit0.101Same as national
SSI - Colon Surgery: Upper Confidence Limit1.981Same as national
SSI - Colon Surgery: Number of Procedures120Same as national
SSI - Colon Surgery: Predicted Cases3.336Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.600Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures99Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.854Not available
SSI - Abdominal Hysterectomy: Observed Cases2Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.049Same as national
MRSA Bacteremia: Upper Confidence Limit4.859Same as national
MRSA Bacteremia: Patient Days24800Same as national
MRSA Bacteremia: Predicted Cases1.015Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.985Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.227Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.926Better than national
Clostridium Difficile (C.Diff): Patient Days23211Better than national
Clostridium Difficile (C.Diff): Predicted Cases16.403Better than national
Clostridium Difficile (C.Diff): Observed Cases8Better than national
Clostridium Difficile (C.Diff)0.488Better 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 Rate5.6Worse than national606
Death rate for heart attack patients12.3Same as national98
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11.5Same as national40
Death rate for heart failure patients15.5Worse than national181
Death rate for pneumonia patients18.4Same as national182
Death rate for stroke patients14.1Same as national46
Pressure ulcer rate0.36Same as national1367
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national2145
In-hospital fall-associated fracture rate0.25Same as national2172
Postoperative hemorrhage or hematoma rate2.05Same as national483
Postoperative acute kidney injury requiring dialysis rate1.58Same as national160
Postoperative respiratory failure rate10.95Same as national151
Perioperative pulmonary embolism or deep vein thrombosis rate4.12Same as national504
Postoperative sepsis rate5.08Same as national159
Postoperative wound dehiscence rate1.68Same as national127
Abdominopelvic accidental puncture or laceration rate1.18Same as national401
CMS Medicare PSI 90: Patient safety and adverse events composite0.97Same 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 patients25.4Not available85
Hospital return days for heart failure patients-20.4Not available202
Hospital return days for pneumonia patients4.4Not available201
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.4Same as national877
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national472
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.1Same as national157
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national157
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national304
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national85
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.8Same as national40
Heart failure (HF) 30-Day Readmission Rate18.3Same as national202
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.5Same as national201

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 rating4746
Doctor communication - star rating4746
Communication about medicines - star rating2746
Discharge information - star rating4746
Cleanliness - star rating4746
Quietness - star rating4746
Overall hospital rating - star rating4746
Recommend hospital - star rating4746
Summary star rating4746

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 vaccination901742
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 better163405
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 better161368
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better19328
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen232317
Head CT results7030
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9978
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing131165
Appropriate care for severe sepsis and septic shock60252
Septic Shock 3-Hour Bundle73112
Septic Shock 6-Hour Bundle6455
Severe Sepsis 3-Hour Bundle85252
Severe Sepsis 6-Hour Bundle92158
Discharged on Antithrombotic Therapy8945
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis982380
Intensive Care Unit Venous Thromboembolism Prophylaxis99570

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 Goshen Hospital rated?
Goshen Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Goshen Hospital have emergency services?
Yes. Goshen Hospital operates a 24/7 emergency department.
Where is Goshen Hospital located?
Goshen Hospital is located at 200 High Park Ave, Goshen, IN 46526.
What type of hospital is Goshen Hospital?
Goshen 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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