JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Piedmont Cartersville Medical Center

3 / 5

At a glance

Piedmont Cartersville Medical Center 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 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 Limit0.942Better than national
Central Line Associated Bloodstream Infection: Number of Device Days4531Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.181Better 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 Limit0.023Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.280Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3036Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.163Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.462Same as national
SSI - Colon Surgery: Lower Confidence Limit0.278Same as national
SSI - Colon Surgery: Upper Confidence Limit5.479Same as national
SSI - Colon Surgery: Number of Procedures46Same as national
SSI - Colon Surgery: Predicted Cases1.206Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.658Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures28Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.265Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.179Same as national
MRSA Bacteremia: Upper Confidence Limit3.522Same as national
MRSA Bacteremia: Patient Days42895Same as national
MRSA Bacteremia: Predicted Cases1.876Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.066Same as national
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.128Better than national
Clostridium Difficile (C.Diff): Patient Days41241Better than national
Clostridium Difficile (C.Diff): Predicted Cases23.376Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better 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 Rate3.9Same as national766
Death rate for heart attack patients11.7Same as national82
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.8Same as national86
Death rate for heart failure patients10.5Same as national222
Death rate for pneumonia patients12.4Better than national285
Death rate for stroke patients15.4Same as national78
Pressure ulcer rate0.55Same as national2640
Death rate among surgical inpatients with serious treatable complications166.60Same as national30
Iatrogenic pneumothorax rate0.25Same as national3223
In-hospital fall-associated fracture rate0.24Same as national3125
Postoperative hemorrhage or hematoma rate2.77Same as national405
Postoperative acute kidney injury requiring dialysis rate1.65Same as national71
Postoperative respiratory failure rate7.15Same as national82
Perioperative pulmonary embolism or deep vein thrombosis rate2.90Same as national415
Postoperative sepsis rate4.84Same as national64
Postoperative wound dehiscence rate1.73Same as national68
Abdominopelvic accidental puncture or laceration rate0.98Same as national451
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 patients7.2Not available74
Hospital return days for heart failure patients21.7Not available249
Hospital return days for pneumonia patients9.6Not available305
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.6Same as national1246
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national329
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 surgery0.9Same as national228
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.9Same as national74
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national96
Heart failure (HF) 30-Day Readmission Rate20.4Same as national249
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national305

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 rating3667
Doctor communication - star rating2667
Communication about medicines - star rating2667
Discharge information - star rating2667
Cleanliness - star rating3667
Quietness - star rating4667
Overall hospital rating - star rating3667
Recommend hospital - star rating3667
Summary star rating3667

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events05349
Healthcare workers given influenza vaccination411286
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 better170426
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 better168410
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better61412
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 seen152529
Head CT results7512
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9087
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing192462
Appropriate care for severe sepsis and septic shock48125
Septic Shock 3-Hour Bundle6531
Septic Shock 6-Hour Bundle8715
Severe Sepsis 3-Hour Bundle67126
Severe Sepsis 6-Hour Bundle8352
Discharged on Antithrombotic Therapy100160
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis991226

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 Piedmont Cartersville Medical Center rated?
Piedmont Cartersville Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Piedmont Cartersville Medical Center have emergency services?
Yes. Piedmont Cartersville Medical Center operates a 24/7 emergency department.
Where is Piedmont Cartersville Medical Center located?
Piedmont Cartersville Medical Center is located at 960 Joe Frank Harris Parkway, Cartersville, GA 30120.
What type of hospital is Piedmont Cartersville Medical Center?
Piedmont Cartersville Medical Center 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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