JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Phoenixville Hospital

3 / 5

At a glance

Phoenixville Hospital carries a 3-star CMS overall rating — in line with the national norm.

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 Limit0.034Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.335Same as national
Central Line Associated Bloodstream Infection: Number of Device Days1815Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.479Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.676Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.651Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.943Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2450Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.952Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)2.049Same as national
SSI - Colon Surgery: Lower Confidence Limit0.028Same as national
SSI - Colon Surgery: Upper Confidence Limit2.801Same as national
SSI - Colon Surgery: Number of Procedures71Same as national
SSI - Colon Surgery: Predicted Cases1.761Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.568Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures94Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.762Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.032Same as national
MRSA Bacteremia: Upper Confidence Limit3.108Same as national
MRSA Bacteremia: Patient Days32756Same as national
MRSA Bacteremia: Predicted Cases1.587Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.630Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.226Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.021Same as national
Clostridium Difficile (C.Diff): Patient Days29654Same as national
Clostridium Difficile (C.Diff): Predicted Cases13.556Same as national
Clostridium Difficile (C.Diff): Observed Cases7Same as national
Clostridium Difficile (C.Diff)0.516Same as 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 Rate4.1Same as national1057
Death rate for heart attack patients11.7Same as national134
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.4Same as national118
Death rate for heart failure patients8.7Same as national320
Death rate for pneumonia patients15.9Same as national265
Death rate for stroke patients12.9Same as national73
Pressure ulcer rate0.53Same as national3114
Death rate among surgical inpatients with serious treatable complications209.81Same as national32
Iatrogenic pneumothorax rate0.23Same as national3847
In-hospital fall-associated fracture rate0.24Same as national3926
Postoperative hemorrhage or hematoma rate1.94Same as national654
Postoperative acute kidney injury requiring dialysis rate1.98Same as national209
Postoperative respiratory failure rate7.84Same as national212
Perioperative pulmonary embolism or deep vein thrombosis rate3.12Same as national682
Postoperative sepsis rate5.21Same as national197
Postoperative wound dehiscence rate1.70Same as national157
Abdominopelvic accidental puncture or laceration rate0.93Same as national649
CMS Medicare PSI 90: Patient safety and adverse events composite0.91Same 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 patients20.1Not available153
Hospital return days for heart failure patients25.4Not available365
Hospital return days for pneumonia patients20.7Not available269
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.5Same as national1700
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.3Same as national637
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national74
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national74
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national322
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate15.6Same as national153
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national132
Heart failure (HF) 30-Day Readmission Rate21.4Same as national365
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate18Same as national269

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 rating4713
Doctor communication - star rating3713
Communication about medicines - star rating3713
Discharge information - star rating3713
Cleanliness - star rating4713
Quietness - star rating3713
Overall hospital rating - star rating4713
Recommend hospital - star rating4713
Summary star rating3713

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 volumemedium
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 Events03663
Healthcare workers given influenza vaccination921374
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 better182440
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 better178415
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better39920
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 seen124847
Head CT results6913
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients71127
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing171702
Appropriate care for severe sepsis and septic shock47102
Septic Shock 3-Hour Bundle5246
Septic Shock 6-Hour Bundle6721
Severe Sepsis 3-Hour Bundle79103
Severe Sepsis 6-Hour Bundle9342
Discharged on Antithrombotic Therapy9975
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29971
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 Phoenixville Hospital rated?
Phoenixville Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Phoenixville Hospital have emergency services?
Yes. Phoenixville Hospital operates a 24/7 emergency department.
Where is Phoenixville Hospital located?
Phoenixville Hospital is located at 140 Nutt Road, Phoenixville, PA 19460.
What type of hospital is Phoenixville Hospital?
Phoenixville 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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