JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Hendricks Regional Health

5 / 5

At a glance

Hendricks Regional Health carries a 5-star CMS overall rating — above 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 Limit0.107Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.103Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3594Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.142Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.637Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.094Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.860Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3500Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.553Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.563Same as national
SSI - Colon Surgery: Lower Confidence Limit0.017Same as national
SSI - Colon Surgery: Upper Confidence Limit1.723Same as national
SSI - Colon Surgery: Number of Procedures106Same as national
SSI - Colon Surgery: Predicted Cases2.862Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.349Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures86Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.730Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.092Same as national
MRSA Bacteremia: Patient Days33337Same as national
MRSA Bacteremia: Predicted Cases1.432Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.068Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.519Better than national
Clostridium Difficile (C.Diff): Patient Days32775Better than national
Clostridium Difficile (C.Diff): Predicted Cases18.594Better than national
Clostridium Difficile (C.Diff): Observed Cases4Better than national
Clostridium Difficile (C.Diff)0.215Better 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 patients4.3Same as national52
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.2Same as national851
Death rate for heart attack patients12.1Same as national100
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.7Same as national101
Death rate for heart failure patients11.5Same as national229
Death rate for pneumonia patients14.6Same as national285
Death rate for stroke patients12.8Same as national124
Pressure ulcer rate0.29Same as national2557
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national3260
In-hospital fall-associated fracture rate0.29Same as national3215
Postoperative hemorrhage or hematoma rate2.13Same as national548
Postoperative acute kidney injury requiring dialysis rate1.64Same as national205
Postoperative respiratory failure rate7.58Same as national208
Perioperative pulmonary embolism or deep vein thrombosis rate3.18Same as national576
Postoperative sepsis rate4.83Same as national182
Postoperative wound dehiscence rate1.69Same as national129
Abdominopelvic accidental puncture or laceration rate1.22Same as national500
CMS Medicare PSI 90: Patient safety and adverse events composite0.82Same 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-8.5Not available91
Hospital return days for heart failure patients-4.6Not available256
Hospital return days for pneumonia patients-11.9Not available291
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national1322
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.2Same as national1774
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.7Same as national144
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.3Same as national144
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national484
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.7Same as national91
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national106
Heart failure (HF) 30-Day Readmission Rate19.8Same as national256
Rate of readmission after hip/knee replacement5Same as national55
Pneumonia (PN) 30-Day Readmission Rate15.1Same as national291

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 rating5673
Doctor communication - star rating4673
Communication about medicines - star rating3673
Discharge information - star rating5673
Cleanliness - star rating5673
Quietness - star rating4673
Overall hospital rating - star rating5673
Recommend hospital - star rating5673
Summary star rating4673

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 volumehigh
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 Hypoglycemia11604
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination932877
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 better170417
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 better168397
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better20412
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 seen246717
Head CT results8824
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10072
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing111606
Appropriate care for severe sepsis and septic shock76428
Septic Shock 3-Hour Bundle85156
Septic Shock 6-Hour Bundle95105
Severe Sepsis 3-Hour Bundle85428
Severe Sepsis 6-Hour Bundle98240
Discharged on Antithrombotic Therapy100118
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29899
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 Hendricks Regional Health rated?
Hendricks Regional Health has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Hendricks Regional Health have emergency services?
Yes. Hendricks Regional Health operates a 24/7 emergency department.
Where is Hendricks Regional Health located?
Hendricks Regional Health is located at 1000 E Main St, Danville, IN 46122.
What type of hospital is Hendricks Regional Health?
Hendricks Regional Health is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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