JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Pikeville Medical Center

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At a glance

Pikeville Medical Center carries a 1-star CMS overall rating — below 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 Limit0.381Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.559Same as national
Central Line Associated Bloodstream Infection: Number of Device Days9074Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases9.744Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases8Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.821Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.538Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.402Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days13711Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases19.014Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases17Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.894Same as national
SSI - Colon Surgery: Lower Confidence Limit0.503Same as national
SSI - Colon Surgery: Upper Confidence Limit3.043Same as national
SSI - Colon Surgery: Number of Procedures123Same as national
SSI - Colon Surgery: Predicted Cases3.642Same as national
SSI - Colon Surgery: Observed Cases5Same as national
SSI - Colon Surgery1.373Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.318Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit6.269Same as national
SSI - Abdominal Hysterectomy: Number of Procedures109Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.054Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.898Same as national
MRSA Bacteremia: Lower Confidence Limit0.424Same as national
MRSA Bacteremia: Upper Confidence Limit1.919Same as national
MRSA Bacteremia: Patient Days79626Same as national
MRSA Bacteremia: Predicted Cases7.215Same as national
MRSA Bacteremia: Observed Cases7Same as national
MRSA Bacteremia0.970Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.306Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.695Better than national
Clostridium Difficile (C.Diff): Patient Days74590Better than national
Clostridium Difficile (C.Diff): Predicted Cases48.881Better than national
Clostridium Difficile (C.Diff): Observed Cases23Better than national
Clostridium Difficile (C.Diff)0.471Better 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 Rate5Same as national977
Death rate for heart attack patients14.8Same as national148
Death rate for CABG surgery patients3.7Same as national71
Death rate for COPD patients11.1Same as national150
Death rate for heart failure patients12.2Same as national240
Death rate for pneumonia patients17.1Same as national418
Death rate for stroke patients16.2Same as national123
Pressure ulcer rate0.31Same as national3792
Death rate among surgical inpatients with serious treatable complications224.57Worse than national106
Iatrogenic pneumothorax rate0.16Same as national4415
In-hospital fall-associated fracture rate0.27Same as national4820
Postoperative hemorrhage or hematoma rate3.63Same as national995
Postoperative acute kidney injury requiring dialysis rate3.59Worse than national243
Postoperative respiratory failure rate26.91Worse than national247
Perioperative pulmonary embolism or deep vein thrombosis rate4.89Same as national1005
Postoperative sepsis rate11.15Worse than national222
Postoperative wound dehiscence rate2.26Same as national151
Abdominopelvic accidental puncture or laceration rate1.40Same as national739
CMS Medicare PSI 90: Patient safety and adverse events composite1.74Worse than 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 patients33.2Not available166
Hospital return days for heart failure patients25.6Not available270
Hospital return days for pneumonia patients34.1Not available458
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16Same as national1633
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.9Same as national749
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.7Same as national139
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.8Same as national139
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national368
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.3Same as national166
Rate of readmission for CABG11.5Same as national66
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national168
Heart failure (HF) 30-Day Readmission Rate20.2Same as national270
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate17.4Same as national458

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 rating2870
Doctor communication - star rating3870
Communication about medicines - star rating2870
Discharge information - star rating2870
Cleanliness - star rating3870
Quietness - star rating2870
Overall hospital rating - star rating2870
Recommend hospital - star rating3870
Summary star rating2870

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 Events
Healthcare workers given influenza vaccination954659
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 better226681
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 better220652
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better29022
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 seen545141
Head CT results7117
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients98150
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing13852
Appropriate care for severe sepsis and septic shock81874
Septic Shock 3-Hour Bundle94376
Septic Shock 6-Hour Bundle98225
Severe Sepsis 3-Hour Bundle85874
Severe Sepsis 6-Hour Bundle97470
Discharged on Antithrombotic Therapy9730
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 28928
Venous Thromboembolism Prophylaxis831367
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 Pikeville Medical Center rated?
Pikeville Medical Center has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Pikeville Medical Center have emergency services?
Yes. Pikeville Medical Center operates a 24/7 emergency department.
Where is Pikeville Medical Center located?
Pikeville Medical Center is located at 911 Bypass Road, Pikeville, KY 41501.
What type of hospital is Pikeville Medical Center?
Pikeville 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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