JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Northeast Georgia Medical Center, Inc

3 / 5

At a glance

Northeast Georgia Medical Center, Inc 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 18 and worse on 6.

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 Limit0.255Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.664Better than national
Central Line Associated Bloodstream Infection: Number of Device Days41856Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases40.183Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases17Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.423Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.137Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.480Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days31173Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases37.142Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases10Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.269Better than national
SSI - Colon Surgery: Lower Confidence Limit0.683Same as national
SSI - Colon Surgery: Upper Confidence Limit1.615Same as national
SSI - Colon Surgery: Number of Procedures709Same as national
SSI - Colon Surgery: Predicted Cases19.537Same as national
SSI - Colon Surgery: Observed Cases21Same as national
SSI - Colon Surgery1.075Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.598Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.540Same as national
SSI - Abdominal Hysterectomy: Number of Procedures254Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.125Same as national
SSI - Abdominal Hysterectomy: Observed Cases4Same as national
SSI - Abdominal Hysterectomy1.882Same as national
MRSA Bacteremia: Lower Confidence Limit1.065Worse than national
MRSA Bacteremia: Upper Confidence Limit2.306Worse than national
MRSA Bacteremia: Patient Days242397Worse than national
MRSA Bacteremia: Predicted Cases16.282Worse than national
MRSA Bacteremia: Observed Cases26Worse than national
MRSA Bacteremia1.597Worse than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.268Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.502Better than national
Clostridium Difficile (C.Diff): Patient Days221551Better than national
Clostridium Difficile (C.Diff): Predicted Cases105.061Better than national
Clostridium Difficile (C.Diff): Observed Cases39Better than national
Clostridium Difficile (C.Diff)0.371Better 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 patients3.6Same as national43
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national4279
Death rate for heart attack patients12.2Same as national675
Death rate for CABG surgery patients3.1Same as national272
Death rate for COPD patients7.9Same as national397
Death rate for heart failure patients13.2Same as national1248
Death rate for pneumonia patients15.2Same as national1156
Death rate for stroke patients11.8Same as national707
Pressure ulcer rate0.85Same as national15310
Death rate among surgical inpatients with serious treatable complications188.56Same as national274
Iatrogenic pneumothorax rate0.29Same as national16640
In-hospital fall-associated fracture rate0.37Same as national17188
Postoperative hemorrhage or hematoma rate3.00Same as national4760
Postoperative acute kidney injury requiring dialysis rate1.62Same as national1741
Postoperative respiratory failure rate7.05Same as national1716
Perioperative pulmonary embolism or deep vein thrombosis rate4.02Same as national4552
Postoperative sepsis rate3.23Same as national1435
Postoperative wound dehiscence rate1.57Same as national1143
Abdominopelvic accidental puncture or laceration rate0.80Same as national3238
CMS Medicare PSI 90: Patient safety and adverse events composite0.98Same 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-1.7Not available694
Hospital return days for heart failure patients6.6Not available1415
Hospital return days for pneumonia patients11.1Not available1222
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national7016
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national1418
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.4Same as national129
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national129
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national2021
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.3Same as national694
Rate of readmission for CABG11.7Same as national263
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national448
Heart failure (HF) 30-Day Readmission Rate19.3Same as national1415
Rate of readmission after hip/knee replacement5.1Same as national40
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national1222

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 rating22252
Doctor communication - star rating32252
Communication about medicines - star rating22252
Discharge information - star rating32252
Cleanliness - star rating22252
Quietness - star rating22252
Overall hospital rating - star rating32252
Recommend hospital - star rating32252
Summary star rating32252

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 Events
Healthcare workers given influenza vaccination909730
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 better228496
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 better226468
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25023
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 seen1149014
Head CT results5749
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96270
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)65189
Safe Use of Opioids - Concurrent Prescribing1912958
Appropriate care for severe sepsis and septic shock38424
Septic Shock 3-Hour Bundle58132
Septic Shock 6-Hour Bundle9166
Severe Sepsis 3-Hour Bundle60425
Severe Sepsis 6-Hour Bundle86204
Discharged on Antithrombotic Therapy94894
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 294764
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis935569

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 Northeast Georgia Medical Center, Inc rated?
Northeast Georgia Medical Center, Inc has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Northeast Georgia Medical Center, Inc have emergency services?
Yes. Northeast Georgia Medical Center, Inc operates a 24/7 emergency department.
Where is Northeast Georgia Medical Center, Inc located?
Northeast Georgia Medical Center, Inc is located at 743 Spring Street, Gainesville, GA 30501.
What type of hospital is Northeast Georgia Medical Center, Inc?
Northeast Georgia Medical Center, Inc 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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