Acute Care Hospitals · Voluntary non-profit - Private
Piedmont Fayette Hospital
- 1255 Highway 54 West, Fayetteville, GA 30214
- (770) 719-7000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Piedmont Fayette Hospital 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. For 30-day readmissions, it beats the national rate on 1 measure 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.004 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.383 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 12179 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 12.867 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 1 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.078 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | — | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.406 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 6128 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 7.384 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 0 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.000 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.645 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 2.263 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 304 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 7.878 | Same as national |
| SSI - Colon Surgery: Observed Cases | 10 | Same as national |
| SSI - Colon Surgery | 1.269 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 1.169 | Worse than national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 7.072 | Worse than national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 165 | Worse than national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 1.567 | Worse than national |
| SSI - Abdominal Hysterectomy: Observed Cases | 5 | Worse than national |
| SSI - Abdominal Hysterectomy | 3.191 | Worse than national |
| MRSA Bacteremia: Lower Confidence Limit | 0.054 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 1.058 | Same as national |
| MRSA Bacteremia: Patient Days | 105006 | Same as national |
| MRSA Bacteremia: Predicted Cases | 6.248 | Same as national |
| MRSA Bacteremia: Observed Cases | 2 | Same as national |
| MRSA Bacteremia | 0.320 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.077 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.291 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 94303 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 56.731 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 9 | Better than national |
| Clostridium Difficile (C.Diff) | 0.159 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 5.6 | Same as national | 50 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.7 | Same as national | 1817 |
| Death rate for heart attack patients | 9.2 | Same as national | 155 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 8.2 | Same as national | 107 |
| Death rate for heart failure patients | 9.2 | Better than national | 602 |
| Death rate for pneumonia patients | 15.2 | Same as national | 471 |
| Death rate for stroke patients | 13.9 | Same as national | 228 |
| Pressure ulcer rate | 0.58 | Same as national | 6102 |
| Death rate among surgical inpatients with serious treatable complications | 156.95 | Same as national | 67 |
| Iatrogenic pneumothorax rate | 0.20 | Same as national | 7456 |
| In-hospital fall-associated fracture rate | 0.22 | Same as national | 7546 |
| Postoperative hemorrhage or hematoma rate | 2.06 | Same as national | 1143 |
| Postoperative acute kidney injury requiring dialysis rate | 1.52 | Same as national | 364 |
| Postoperative respiratory failure rate | 9.28 | Same as national | 395 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 5.06 | Same as national | 1187 |
| Postoperative sepsis rate | 6.64 | Same as national | 336 |
| Postoperative wound dehiscence rate | 1.53 | Same as national | 390 |
| Abdominopelvic accidental puncture or laceration rate | 0.98 | Same as national | 1295 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.07 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | -14.2 | Not available | 145 |
| Hospital return days for heart failure patients | 4.5 | Not available | 689 |
| Hospital return days for pneumonia patients | 32.7 | Not available | 475 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.3 | Same as national | 2878 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.9 | Same as national | 948 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 11.1 | Same as national | 59 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.2 | Same as national | 59 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.7 | Better than national | 1049 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.4 | Same as national | 145 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.4 | Same as national | 114 |
| Heart failure (HF) 30-Day Readmission Rate | 20.8 | Same as national | 689 |
| Rate of readmission after hip/knee replacement | 5 | Same as national | 45 |
| Pneumonia (PN) 30-Day Readmission Rate | 16.7 | Same as national | 475 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 1081 |
| Doctor communication - star rating | 3 | 1081 |
| Communication about medicines - star rating | 2 | 1081 |
| Discharge information - star rating | 2 | 1081 |
| Cleanliness - star rating | 2 | 1081 |
| Quietness - star rating | 3 | 1081 |
| Overall hospital rating - star rating | 3 | 1081 |
| Recommend hospital - star rating | 4 | 1081 |
| Summary star rating | 3 | 1081 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | very 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 | 0 | 12866 |
| Healthcare workers given influenza vaccination | 45 | 3295 |
| 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 better | 282 | 402 |
| 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 better | 281 | 391 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | — | — |
| 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 seen | 5 | 88952 |
| Head CT results | 62 | 26 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 81 | 67 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 14 | 5562 |
| Appropriate care for severe sepsis and septic shock | 64 | 143 |
| Septic Shock 3-Hour Bundle | 79 | 28 |
| Septic Shock 6-Hour Bundle | 74 | 19 |
| Severe Sepsis 3-Hour Bundle | 78 | 143 |
| Severe Sepsis 6-Hour Bundle | 82 | 50 |
| Discharged on Antithrombotic Therapy | 99 | 346 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 99 | 300 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Piedmont Fayette Hospital rated?
- Piedmont Fayette Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Piedmont Fayette Hospital have emergency services?
- Yes. Piedmont Fayette Hospital operates a 24/7 emergency department.
- Where is Piedmont Fayette Hospital located?
- Piedmont Fayette Hospital is located at 1255 Highway 54 West, Fayetteville, GA 30214.
- What type of hospital is Piedmont Fayette Hospital?
- Piedmont Fayette Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.