JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Piedmont Rockdale Hospital

3 / 5

At a glance

Piedmont Rockdale 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 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 Limit0.246Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.869Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6441Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.162Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases4Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.775Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.142Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.800Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3471Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.360Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.847Same as national
SSI - Colon Surgery: Lower Confidence Limit0.031Same as national
SSI - Colon Surgery: Upper Confidence Limit3.028Same as national
SSI - Colon Surgery: Number of Procedures64Same as national
SSI - Colon Surgery: Predicted Cases1.629Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.614Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures48Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.440Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit1.338Same as national
MRSA Bacteremia: Patient Days51082Same as national
MRSA Bacteremia: Predicted Cases2.239Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.028Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.302Better than national
Clostridium Difficile (C.Diff): Patient Days46553Better than national
Clostridium Difficile (C.Diff): Predicted Cases27.028Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.111Better 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 Rate4.1Same as national633
Death rate for heart attack patients11.6Same as national76
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.8Same as national40
Death rate for heart failure patients10.8Same as national225
Death rate for pneumonia patients14.4Same as national209
Death rate for stroke patients11.3Same as national93
Pressure ulcer rate0.25Same as national2367
Death rate among surgical inpatients with serious treatable complications150.71Same as national29
Iatrogenic pneumothorax rate0.25Same as national2985
In-hospital fall-associated fracture rate0.25Same as national3047
Postoperative hemorrhage or hematoma rate2.15Same as national312
Postoperative acute kidney injury requiring dialysis rate1.65Same as national56
Postoperative respiratory failure rate8.18Same as national59
Perioperative pulmonary embolism or deep vein thrombosis rate3.92Same as national333
Postoperative sepsis rate5.79Same as national58
Postoperative wound dehiscence rate1.71Same as national102
Abdominopelvic accidental puncture or laceration rate1.22Same as national509
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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-13.1Not available74
Hospital return days for heart failure patients0Not available249
Hospital return days for pneumonia patients25.3Not available220
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national977
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national245
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.7Same as national36
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.8Same as national36
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national151
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.5Same as national74
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national41
Heart failure (HF) 30-Day Readmission Rate20.9Same as national249
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.7Same as national220

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 rating2483
Doctor communication - star rating3483
Communication about medicines - star rating2483
Discharge information - star rating1483
Cleanliness - star rating3483
Quietness - star rating4483
Overall hospital rating - star rating2483
Recommend hospital - star rating2483
Summary star rating2483

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 Hypoglycemia23179
Hospital Harm - Opioid Related Adverse Events06544
Healthcare workers given influenza vaccination501722
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 better224406
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 better220385
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better52115
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 seen151569
Head CT results8425
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8957
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing142429
Appropriate care for severe sepsis and septic shock49114
Septic Shock 3-Hour Bundle4015
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle68114
Severe Sepsis 6-Hour Bundle8346
Discharged on Antithrombotic Therapy98228
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
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 Piedmont Rockdale Hospital rated?
Piedmont Rockdale Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Piedmont Rockdale Hospital have emergency services?
According to CMS records, Piedmont Rockdale Hospital does not report a 24/7 emergency department.
Where is Piedmont Rockdale Hospital located?
Piedmont Rockdale Hospital is located at 1412 Milstead Avenue, Ne, Conyers, GA 30012.
What type of hospital is Piedmont Rockdale Hospital?
Piedmont Rockdale Hospital is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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.

Report an issue with this page