JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Church

Kettering Health Main Campus

3 / 5

At a glance

Kettering Health Main Campus 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 12 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 Limit0.508Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.324Same as national
Central Line Associated Bloodstream Infection: Number of Device Days18831Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases20.134Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases17Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.844Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.169Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.689Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days15787Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases22.043Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases8Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.363Better than national
SSI - Colon Surgery: Lower Confidence Limit0.386Same as national
SSI - Colon Surgery: Upper Confidence Limit1.451Same as national
SSI - Colon Surgery: Number of Procedures416Same as national
SSI - Colon Surgery: Predicted Cases11.384Same as national
SSI - Colon Surgery: Observed Cases9Same as national
SSI - Colon Surgery0.791Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.221Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.362Same as national
SSI - Abdominal Hysterectomy: Number of Procedures352Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.457Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy0.868Same as national
MRSA Bacteremia: Lower Confidence Limit0.236Same as national
MRSA Bacteremia: Upper Confidence Limit1.209Same as national
MRSA Bacteremia: Patient Days122285Same as national
MRSA Bacteremia: Predicted Cases10.325Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia0.581Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.366Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.751Better than national
Clostridium Difficile (C.Diff): Patient Days113096Better than national
Clostridium Difficile (C.Diff): Predicted Cases56.292Better than national
Clostridium Difficile (C.Diff): Observed Cases30Better than national
Clostridium Difficile (C.Diff)0.533Better 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 Rate3.9Same as national2175
Death rate for heart attack patients11.2Same as national158
Death rate for CABG surgery patients1.8Same as national116
Death rate for COPD patients7.8Same as national96
Death rate for heart failure patients11.6Same as national523
Death rate for pneumonia patients16Same as national344
Death rate for stroke patients15.9Same as national265
Pressure ulcer rate0.19Same as national7074
Death rate among surgical inpatients with serious treatable complications172.73Same as national119
Iatrogenic pneumothorax rate0.27Same as national9182
In-hospital fall-associated fracture rate0.22Same as national9437
Postoperative hemorrhage or hematoma rate1.50Same as national2453
Postoperative acute kidney injury requiring dialysis rate1.48Same as national1183
Postoperative respiratory failure rate8.28Same as national1177
Perioperative pulmonary embolism or deep vein thrombosis rate3.25Same as national2757
Postoperative sepsis rate4.28Same as national1195
Postoperative wound dehiscence rate2.27Same as national600
Abdominopelvic accidental puncture or laceration rate0.79Same as national2056
CMS Medicare PSI 90: Patient safety and adverse events composite0.77Same 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 patients12Not available208
Hospital return days for heart failure patients25.4Not available653
Hospital return days for pneumonia patients-8.1Not available385
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national3903
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.4Same as national220
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national714
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national208
Rate of readmission for CABG12.6Same as national114
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients20.3Same as national116
Heart failure (HF) 30-Day Readmission Rate21.7Same as national653
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.3Same as national385

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 rating31523
Doctor communication - star rating31523
Communication about medicines - star rating31523
Discharge information - star rating41523
Cleanliness - star rating31523
Quietness - star rating31523
Overall hospital rating - star rating41523
Recommend hospital - star rating41523
Summary star rating31523

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 Hypoglycemia
Hospital Harm - Opioid Related Adverse Events014584
Healthcare workers given influenza vaccination983779
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 better149404
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 better144375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27216
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better36216
Left before being seen275142
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients4669
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing147077
Appropriate care for severe sepsis and septic shock65131
Septic Shock 3-Hour Bundle7553
Septic Shock 6-Hour Bundle9626
Severe Sepsis 3-Hour Bundle84131
Severe Sepsis 6-Hour Bundle8663
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis9312376
Intensive Care Unit Venous Thromboembolism Prophylaxis972930

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 Kettering Health Main Campus rated?
Kettering Health Main Campus has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Kettering Health Main Campus have emergency services?
Yes. Kettering Health Main Campus operates a 24/7 emergency department.
Where is Kettering Health Main Campus located?
Kettering Health Main Campus is located at 3535 Southern Boulevard, Kettering, OH 45429.
What type of hospital is Kettering Health Main Campus?
Kettering Health Main Campus is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Church).

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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