JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Lake Cumberland Regional Hospital

2 / 5

At a glance

Lake Cumberland Regional 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 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.898Better than national
Central Line Associated Bloodstream Infection: Number of Device Days3022Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.337Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.108Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.154Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3947Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases7.076Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.424Same as national
SSI - Colon Surgery: Lower Confidence Limit0.323Same as national
SSI - Colon Surgery: Upper Confidence Limit3.458Same as national
SSI - Colon Surgery: Number of Procedures83Same as national
SSI - Colon Surgery: Predicted Cases2.361Same as national
SSI - Colon Surgery: Observed Cases3Same as national
SSI - Colon Surgery1.271Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.037Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.675Same as national
SSI - Abdominal Hysterectomy: Number of Procedures138Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.342Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.745Same as national
MRSA Bacteremia: Lower Confidence Limit0.022Same as national
MRSA Bacteremia: Upper Confidence Limit2.165Same as national
MRSA Bacteremia: Patient Days38700Same as national
MRSA Bacteremia: Predicted Cases2.278Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.439Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.070Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.426Better than national
Clostridium Difficile (C.Diff): Patient Days36673Better than national
Clostridium Difficile (C.Diff): Predicted Cases26.019Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.192Better 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 Rate5.7Worse than national830
Death rate for heart attack patients12.9Same as national190
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11.6Same as national131
Death rate for heart failure patients11.6Same as national192
Death rate for pneumonia patients18.4Same as national332
Death rate for stroke patients12.7Same as national134
Pressure ulcer rate0.51Same as national2879
Death rate among surgical inpatients with serious treatable complications205.82Same as national39
Iatrogenic pneumothorax rate0.18Same as national3664
In-hospital fall-associated fracture rate0.32Same as national3578
Postoperative hemorrhage or hematoma rate1.97Same as national715
Postoperative acute kidney injury requiring dialysis rate1.50Same as national376
Postoperative respiratory failure rate8.80Same as national406
Perioperative pulmonary embolism or deep vein thrombosis rate3.12Same as national715
Postoperative sepsis rate4.13Same as national353
Postoperative wound dehiscence rate1.70Same as national109
Abdominopelvic accidental puncture or laceration rate0.97Same as national540
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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 patients15.3Not available189
Hospital return days for heart failure patients49.6Not available219
Hospital return days for pneumonia patients26.7Not available334
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national1251
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.3Same as national332
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 surgery1Same as national282
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.1Same as national189
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.8Same as national146
Heart failure (HF) 30-Day Readmission Rate21.2Same as national219
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national334

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 rating31108
Doctor communication - star rating31108
Communication about medicines - star rating21108
Discharge information - star rating31108
Cleanliness - star rating11108
Quietness - star rating31108
Overall hospital rating - star rating21108
Recommend hospital - star rating21108
Summary star rating31108

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 Hyperglycemia1510285
Hospital Harm - Severe Hypoglycemia02289
Hospital Harm - Opioid Related Adverse Events13941
Healthcare workers given influenza vaccination402183
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 better169444
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 better169424
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better17812
Left before being seen143639
Head CT results9626
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients5565
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)7726
Safe Use of Opioids - Concurrent Prescribing112162
Appropriate care for severe sepsis and septic shock45119
Septic Shock 3-Hour Bundle6939
Septic Shock 6-Hour Bundle9624
Severe Sepsis 3-Hour Bundle64119
Severe Sepsis 6-Hour Bundle8860
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Lake Cumberland Regional Hospital rated?
Lake Cumberland Regional Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Lake Cumberland Regional Hospital have emergency services?
Yes. Lake Cumberland Regional Hospital operates a 24/7 emergency department.
Where is Lake Cumberland Regional Hospital located?
Lake Cumberland Regional Hospital is located at 305 Langdon Street, Somerset, KY 42503.
What type of hospital is Lake Cumberland Regional Hospital?
Lake Cumberland Regional Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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