JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Federal

Piedmont Hospital, Inc

4 / 5

At a glance

Piedmont Hospital, Inc carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.163Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.537Better than national
Central Line Associated Bloodstream Infection: Number of Device Days32795Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases35.591Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases11Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.309Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.211Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.697Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days18297Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases27.435Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases11Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.401Better than national
SSI - Colon Surgery: Lower Confidence Limit0.540Same as national
SSI - Colon Surgery: Upper Confidence Limit1.450Same as national
SSI - Colon Surgery: Number of Procedures657Same as national
SSI - Colon Surgery: Predicted Cases17.536Same as national
SSI - Colon Surgery: Observed Cases16Same as national
SSI - Colon Surgery0.912Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.021Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit2.092Same as national
SSI - Abdominal Hysterectomy: Number of Procedures293Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.357Same as national
SSI - Abdominal Hysterectomy: Observed Cases1Same as national
SSI - Abdominal Hysterectomy0.424Same as national
MRSA Bacteremia: Lower Confidence Limit0.066Better than national
MRSA Bacteremia: Upper Confidence Limit0.501Better than national
MRSA Bacteremia: Patient Days190768Better than national
MRSA Bacteremia: Predicted Cases19.240Better than national
MRSA Bacteremia: Observed Cases4Better than national
MRSA Bacteremia0.208Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.157Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.331Better than national
Clostridium Difficile (C.Diff): Patient Days185472Better than national
Clostridium Difficile (C.Diff): Predicted Cases120.560Better than national
Clostridium Difficile (C.Diff): Observed Cases28Better than national
Clostridium Difficile (C.Diff)0.232Better 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 patients4.1Same as national73
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national3033
Death rate for heart attack patients10Same as national187
Death rate for CABG surgery patients2.4Same as national315
Death rate for COPD patients7.7Same as national71
Death rate for heart failure patients9.1Better than national752
Death rate for pneumonia patients11.4Better than national325
Death rate for stroke patients11.1Same as national258
Pressure ulcer rate0.28Same as national10279
Death rate among surgical inpatients with serious treatable complications143.05Same as national211
Iatrogenic pneumothorax rate0.34Same as national11869
In-hospital fall-associated fracture rate0.23Same as national12984
Postoperative hemorrhage or hematoma rate2.17Same as national4299
Postoperative acute kidney injury requiring dialysis rate2.26Same as national2357
Postoperative respiratory failure rate8.14Same as national2374
Perioperative pulmonary embolism or deep vein thrombosis rate3.82Same as national4919
Postoperative sepsis rate6.57Same as national2386
Postoperative wound dehiscence rate1.42Same as national1591
Abdominopelvic accidental puncture or laceration rate1.00Same as national3478
CMS Medicare PSI 90: Patient safety and adverse events composite0.96Same 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 patients7.1Not available283
Hospital return days for heart failure patients4.7Not available924
Hospital return days for pneumonia patients-10.6Not available333
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national4921
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.7Same as national1974
Rate of inpatient admissions for patients receiving outpatient chemotherapy12.8Same as national113
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.1Same as national113
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Worse than national1318
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national283
Rate of readmission for CABG11.4Same as national311
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national79
Heart failure (HF) 30-Day Readmission Rate19.9Same as national924
Rate of readmission after hip/knee replacement4.9Same as national78
Pneumonia (PN) 30-Day Readmission Rate15.8Same as national333

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 rating21834
Doctor communication - star rating31834
Communication about medicines - star rating21834
Discharge information - star rating21834
Cleanliness - star rating31834
Quietness - star rating31834
Overall hospital rating - star rating31834
Recommend hospital - star rating41834
Summary star rating31834

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 Events118953
Healthcare workers given influenza vaccination545807
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 better258420
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 better255402
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better31614
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 seen168499
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8265
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing158106
Appropriate care for severe sepsis and septic shock46101
Septic Shock 3-Hour Bundle6523
Septic Shock 6-Hour Bundle6411
Severe Sepsis 3-Hour Bundle64101
Severe Sepsis 6-Hour Bundle8539
Discharged on Antithrombotic Therapy99505
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis985058

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 Hospital, Inc rated?
Piedmont Hospital, Inc has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Piedmont Hospital, Inc have emergency services?
According to CMS records, Piedmont Hospital, Inc does not report a 24/7 emergency department.
Where is Piedmont Hospital, Inc located?
Piedmont Hospital, Inc is located at 1968 Peachtree Rd Nw, Atlanta, GA 30309.
What type of hospital is Piedmont Hospital, Inc?
Piedmont Hospital, Inc is classified by CMS as a Acute Care Hospitals facility (Government - Federal).

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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