JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Northside Hospital Forsyth

4 / 5

At a glance

Northside Hospital Forsyth carries a 4-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 Limit0.267Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.372Same as national
Central Line Associated Bloodstream Infection: Number of Device Days8617Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.094Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases6Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.660Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.207Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.062Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9363Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases11.746Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases6Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.511Same as national
SSI - Colon Surgery: Lower Confidence Limit0.989Same as national
SSI - Colon Surgery: Upper Confidence Limit2.847Same as national
SSI - Colon Surgery: Number of Procedures321Same as national
SSI - Colon Surgery: Predicted Cases8.054Same as national
SSI - Colon Surgery: Observed Cases14Same as national
SSI - Colon Surgery1.738Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.234Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.503Same as national
SSI - Abdominal Hysterectomy: Number of Procedures399Same as national
SSI - Abdominal Hysterectomy: Predicted Cases3.262Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy0.920Same as national
MRSA Bacteremia: Lower Confidence Limit0.149Same as national
MRSA Bacteremia: Upper Confidence Limit1.130Same as national
MRSA Bacteremia: Patient Days131519Same as national
MRSA Bacteremia: Predicted Cases8.542Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.468Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.089Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.313Better than national
Clostridium Difficile (C.Diff): Patient Days116257Better than national
Clostridium Difficile (C.Diff): Predicted Cases56.941Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.176Better 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 patients3.7Same as national86
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.1Better than national2297
Death rate for heart attack patients14.9Same as national188
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.4Same as national170
Death rate for heart failure patients9.8Same as national588
Death rate for pneumonia patients14.6Same as national591
Death rate for stroke patients10.5Same as national218
Pressure ulcer rate0.62Same as national7429
Death rate among surgical inpatients with serious treatable complications192.16Same as national79
Iatrogenic pneumothorax rate0.23Same as national8690
In-hospital fall-associated fracture rate0.30Same as national8862
Postoperative hemorrhage or hematoma rate3.22Same as national2044
Postoperative acute kidney injury requiring dialysis rate2.17Same as national990
Postoperative respiratory failure rate10.99Same as national1022
Perioperative pulmonary embolism or deep vein thrombosis rate3.61Same as national2122
Postoperative sepsis rate5.87Same as national943
Postoperative wound dehiscence rate1.86Same as national491
Abdominopelvic accidental puncture or laceration rate1.09Same as national1891
CMS Medicare PSI 90: Patient safety and adverse events composite1.11Same 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-17.6Not available149
Hospital return days for heart failure patients0Not available649
Hospital return days for pneumonia patients-14.7Not available605
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national3866
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national1143
Rate of inpatient admissions for patients receiving outpatient chemotherapy10Same as national71
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national71
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national1124
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.8Same as national149
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.1Same as national171
Heart failure (HF) 30-Day Readmission Rate19.1Same as national649
Rate of readmission after hip/knee replacement4.9Same as national73
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national605

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 rating33273
Doctor communication - star rating33273
Communication about medicines - star rating23273
Discharge information - star rating43273
Cleanliness - star rating53273
Quietness - star rating43273
Overall hospital rating - star rating43273
Recommend hospital - star rating53273
Summary star rating43273

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 vaccination806704
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 better173936
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 better171900
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24027
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 seen165895
Head CT results8020
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9775
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6629
Safe Use of Opioids - Concurrent Prescribing164835
Appropriate care for severe sepsis and septic shock68155
Septic Shock 3-Hour Bundle7651
Septic Shock 6-Hour Bundle9732
Severe Sepsis 3-Hour Bundle79156
Severe Sepsis 6-Hour Bundle9789
Discharged on Antithrombotic Therapy98166
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295223
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis971193

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 Northside Hospital Forsyth rated?
Northside Hospital Forsyth has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Northside Hospital Forsyth have emergency services?
Yes. Northside Hospital Forsyth operates a 24/7 emergency department.
Where is Northside Hospital Forsyth located?
Northside Hospital Forsyth is located at 1200 Northside Forsyth Drive, Cumming, GA 30041.
What type of hospital is Northside Hospital Forsyth?
Northside Hospital Forsyth 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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