JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Pottstown Hospital

2 / 5

At a glance

Pottstown Hospital carries a 2-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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.660Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2013Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.805Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.375Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.010Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1952Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.036Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.473Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.909Same as national
SSI - Colon Surgery: Number of Procedures63Same as national
SSI - Colon Surgery: Predicted Cases1.569Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of ProceduresNot available
SSI - Abdominal Hysterectomy: Predicted CasesNot available
SSI - Abdominal Hysterectomy: Observed CasesNot available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.026Same as national
MRSA Bacteremia: Upper Confidence Limit2.527Same as national
MRSA Bacteremia: Patient Days33403Same as national
MRSA Bacteremia: Predicted Cases1.952Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.512Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.219Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.990Better than national
Clostridium Difficile (C.Diff): Patient Days33403Better than national
Clostridium Difficile (C.Diff): Predicted Cases13.980Better than national
Clostridium Difficile (C.Diff): Observed Cases7Better than national
Clostridium Difficile (C.Diff)0.501Better 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 patients4.4Same as national47
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.7Same as national959
Death rate for heart attack patients11.3Same as national54
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.5Same as national88
Death rate for heart failure patients11.7Same as national222
Death rate for pneumonia patients14.4Same as national288
Death rate for stroke patients13.1Same as national101
Pressure ulcer rate1.70Worse than national3252
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national3829
In-hospital fall-associated fracture rate0.28Same as national3868
Postoperative hemorrhage or hematoma rate2.62Same as national546
Postoperative acute kidney injury requiring dialysis rate2.04Same as national190
Postoperative respiratory failure rate8.82Same as national199
Perioperative pulmonary embolism or deep vein thrombosis rate3.97Same as national585
Postoperative sepsis rate6.24Same as national181
Postoperative wound dehiscence rate1.71Same as national129
Abdominopelvic accidental puncture or laceration rate0.91Same as national665
CMS Medicare PSI 90: Patient safety and adverse events composite1.36Same 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 patientsNot available
Hospital return days for heart failure patients-4Not available232
Hospital return days for pneumonia patients19.9Not available281
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national1601
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12Same as national274
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.5Same as national94
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national94
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national292
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13Same as national26
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.4Same as national99
Heart failure (HF) 30-Day Readmission Rate19.5Same as national232
Rate of readmission after hip/knee replacement5.4Same as national49
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national281

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 rating3561
Doctor communication - star rating2561
Communication about medicines - star rating2561
Discharge information - star rating2561
Cleanliness - star rating4561
Quietness - star rating2561
Overall hospital rating - star rating2561
Recommend hospital - star rating2561
Summary star rating2561

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 volumemedium
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 Events03310
Healthcare workers given influenza vaccination931146
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 better204425
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 better200388
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better26827
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 seen129456
Head CT results8513
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9627
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing201575
Appropriate care for severe sepsis and septic shock45131
Septic Shock 3-Hour Bundle4736
Septic Shock 6-Hour Bundle7914
Severe Sepsis 3-Hour Bundle65131
Severe Sepsis 6-Hour Bundle9452
Discharged on Antithrombotic Therapy9883
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29679
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Pottstown Hospital rated?
Pottstown Hospital has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Pottstown Hospital have emergency services?
Yes. Pottstown Hospital operates a 24/7 emergency department.
Where is Pottstown Hospital located?
Pottstown Hospital is located at 1600 East High Street, Pottstown, PA 19464.
What type of hospital is Pottstown Hospital?
Pottstown Hospital 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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