JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Grady Memorial Hospital

2 / 5

At a glance

Grady Memorial 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 12 and worse on 12.

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 Limit0.865Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.933Same as national
Central Line Associated Bloodstream Infection: Number of Device Days15929Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases18.189Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases24Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.319Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.134Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.549Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days20566Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases27.694Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.289Better than national
SSI - Colon Surgery: Lower Confidence Limit0.232Same as national
SSI - Colon Surgery: Upper Confidence Limit1.050Same as national
SSI - Colon Surgery: Number of Procedures366Same as national
SSI - Colon Surgery: Predicted Cases13.184Same as national
SSI - Colon Surgery: Observed Cases7Same as national
SSI - Colon Surgery0.531Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit1.582Worse than national
SSI - Abdominal Hysterectomy: Upper Confidence Limit9.570Worse than national
SSI - Abdominal Hysterectomy: Number of Procedures110Worse than national
SSI - Abdominal Hysterectomy: Predicted Cases1.158Worse than national
SSI - Abdominal Hysterectomy: Observed Cases5Worse than national
SSI - Abdominal Hysterectomy4.318Worse than national
MRSA Bacteremia: Lower Confidence Limit1.039Worse than national
MRSA Bacteremia: Upper Confidence Limit2.157Worse than national
MRSA Bacteremia: Patient Days289905Worse than national
MRSA Bacteremia: Predicted Cases19.054Worse than national
MRSA Bacteremia: Observed Cases29Worse than national
MRSA Bacteremia1.522Worse than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.255Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.407Better than national
Clostridium Difficile (C.Diff): Patient Days269272Better than national
Clostridium Difficile (C.Diff): Predicted Cases215.825Better than national
Clostridium Difficile (C.Diff): Observed Cases70Better than national
Clostridium Difficile (C.Diff)0.324Better 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 Rate3.7Same as national921
Death rate for heart attack patients11Same as national30
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.4Same as national31
Death rate for heart failure patients11.4Same as national170
Death rate for pneumonia patients14.9Same as national106
Death rate for stroke patients13.5Same as national361
Pressure ulcer rate0.71Same as national5344
Death rate among surgical inpatients with serious treatable complications165.15Same as national121
Iatrogenic pneumothorax rate0.37Same as national5874
In-hospital fall-associated fracture rate0.25Same as national5441
Postoperative hemorrhage or hematoma rate1.79Same as national1062
Postoperative acute kidney injury requiring dialysis rate1.61Same as national133
Postoperative respiratory failure rate15.37Same as national159
Perioperative pulmonary embolism or deep vein thrombosis rate5.03Same as national949
Postoperative sepsis rate4.47Same as national135
Postoperative wound dehiscence rate1.61Same as national114
Abdominopelvic accidental puncture or laceration rate1.15Same as national670
CMS Medicare PSI 90: Patient safety and adverse events composite1.23Same 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 patients47.3Not available203
Hospital return days for pneumonia patients14.1Not available110
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national1793
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national95
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.8Same as national70
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national70
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national32
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national29
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national38
Heart failure (HF) 30-Day Readmission Rate22Same as national203
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national110

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 rating2733
Doctor communication - star rating3733
Communication about medicines - star rating2733
Discharge information - star rating2733
Cleanliness - star rating2733
Quietness - star rating2733
Overall hospital rating - star rating3733
Recommend hospital - star rating3733
Summary star rating2733

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 volumevery high
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 Hypoglycemia48794
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination7613480
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 better317365
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 better324332
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24933
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 seen2154827
Head CT results6715
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients95439
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing910082
Appropriate care for severe sepsis and septic shock56180
Septic Shock 3-Hour Bundle7257
Septic Shock 6-Hour Bundle9327
Severe Sepsis 3-Hour Bundle79180
Severe Sepsis 6-Hour Bundle82125
Discharged on Antithrombotic Therapy98882
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9716593
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 Grady Memorial Hospital rated?
Grady Memorial Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Grady Memorial Hospital have emergency services?
Yes. Grady Memorial Hospital operates a 24/7 emergency department.
Where is Grady Memorial Hospital located?
Grady Memorial Hospital is located at 80 Jesse Hill, Jr Drive Se, Atlanta, GA 30303.
What type of hospital is Grady Memorial Hospital?
Grady Memorial 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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