JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Lancaster General Hospital

5 / 5

At a glance

Lancaster General Hospital carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 and worse on 0. For 30-day readmissions, it beats the national rate on 2 measures and trails 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 Limit0.126Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.570Better than national
Central Line Associated Bloodstream Infection: Number of Device Days22791Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases24.290Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases7Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.288Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.404Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.085Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days17302Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases23.446Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases16Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.682Same as national
SSI - Colon Surgery: Lower Confidence Limit0.525Same as national
SSI - Colon Surgery: Upper Confidence Limit1.841Same as national
SSI - Colon Surgery: Number of Procedures368Same as national
SSI - Colon Surgery: Predicted Cases9.681Same as national
SSI - Colon Surgery: Observed Cases10Same as national
SSI - Colon Surgery1.033Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.087Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.713Same as national
SSI - Abdominal Hysterectomy: Number of Procedures431Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.857Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy0.519Same as national
MRSA Bacteremia: Lower Confidence Limit0.092Better than national
MRSA Bacteremia: Upper Confidence Limit0.988Better than national
MRSA Bacteremia: Patient Days167535Better than national
MRSA Bacteremia: Predicted Cases8.267Better than national
MRSA Bacteremia: Observed Cases3Better than national
MRSA Bacteremia0.363Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.212Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.465Better than national
Clostridium Difficile (C.Diff): Patient Days154039Better than national
Clostridium Difficile (C.Diff): Predicted Cases78.117Better than national
Clostridium Difficile (C.Diff): Observed Cases25Better than national
Clostridium Difficile (C.Diff)0.320Better 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 patients2.8Same as national258
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate2.9Better than national3762
Death rate for heart attack patients10.5Same as national442
Death rate for CABG surgery patients1.4Same as national173
Death rate for COPD patients9.6Same as national258
Death rate for heart failure patients8.2Better than national1104
Death rate for pneumonia patients10.4Better than national669
Death rate for stroke patients9.5Better than national648
Pressure ulcer rate0.67Same as national12569
Death rate among surgical inpatients with serious treatable complications187.26Same as national145
Iatrogenic pneumothorax rate0.14Same as national14183
In-hospital fall-associated fracture rate0.23Same as national14301
Postoperative hemorrhage or hematoma rate2.30Same as national3338
Postoperative acute kidney injury requiring dialysis rate1.03Same as national1624
Postoperative respiratory failure rate7.00Same as national1623
Perioperative pulmonary embolism or deep vein thrombosis rate4.38Same as national3900
Postoperative sepsis rate3.37Same as national1575
Postoperative wound dehiscence rate1.59Same as national855
Abdominopelvic accidental puncture or laceration rate0.92Same as national2404
CMS Medicare PSI 90: Patient safety and adverse events composite0.87Same 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 patients6.3Not available448
Hospital return days for heart failure patients-32.8Not available1209
Hospital return days for pneumonia patients-8.9Not available695
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)13.9Better than national6147
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.8Same as national1174
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.9Same as national578
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6Same as national578
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national1604
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.3Same as national448
Rate of readmission for CABG11.6Same as national172
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national264
Heart failure (HF) 30-Day Readmission Rate16.5Better than national1209
Rate of readmission after hip/knee replacement4.5Same as national240
Pneumonia (PN) 30-Day Readmission Rate14.5Same as national695

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 rating4434
Doctor communication - star rating3434
Communication about medicines - star rating2434
Discharge information - star rating4434
Cleanliness - star rating3434
Quietness - star rating3434
Overall hospital rating - star rating4434
Recommend hospital - star rating4434
Summary star rating3434

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 Hypoglycemia27164
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination938799
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 better207401
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 better206382
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28619
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 seen0104878
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients90155
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6926
Safe Use of Opioids - Concurrent Prescribing133479
Appropriate care for severe sepsis and septic shock65300
Septic Shock 3-Hour Bundle77135
Septic Shock 6-Hour Bundle9071
Severe Sepsis 3-Hour Bundle84300
Severe Sepsis 6-Hour Bundle92173
Discharged on Antithrombotic Therapy99291
Anticoagulation Therapy for Atrial Fibrillation/Flutter8559
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 Lancaster General Hospital rated?
Lancaster General Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Lancaster General Hospital have emergency services?
Yes. Lancaster General Hospital operates a 24/7 emergency department.
Where is Lancaster General Hospital located?
Lancaster General Hospital is located at 555 North Duke Street, Lancaster, PA 17602.
What type of hospital is Lancaster General Hospital?
Lancaster General 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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