JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

St Elizabeth Dearborn Hospital

5 / 5

At a glance

St Elizabeth Dearborn Hospital carries a 5-star CMS overall rating — above the national norm.

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 Limit0.189Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.725Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2216Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.774Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.127Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.031Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit3.090Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days1882Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.596Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.627Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures18Not available
SSI - Colon Surgery: Predicted Cases0.455Not available
SSI - Colon Surgery: Observed Cases0Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures14Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.134Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days13029Not available
MRSA Bacteremia: Predicted Cases0.669Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.110Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.176Same as national
Clostridium Difficile (C.Diff): Patient Days13029Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.940Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.432Same as 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 patients3.9Same as national42
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.5Same as national484
Death rate for heart attack patients11.3Same as national35
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.4Same as national82
Death rate for heart failure patients10.4Same as national133
Death rate for pneumonia patients10.5Better than national171
Death rate for stroke patients13.8Same as national27
Pressure ulcer rate0.33Same as national1730
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2200
In-hospital fall-associated fracture rate0.25Same as national2136
Postoperative hemorrhage or hematoma rate2.24Same as national287
Postoperative acute kidney injury requiring dialysis rate1.66Same as national74
Postoperative respiratory failure rate8.69Same as national73
Perioperative pulmonary embolism or deep vein thrombosis rate3.92Same as national319
Postoperative sepsis rate5.10Same as national68
Postoperative wound dehiscence rate1.70Same as national66
Abdominopelvic accidental puncture or laceration rate1.01Same as national254
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 patientsNot available
Hospital return days for heart failure patients-17.4Not available142
Hospital return days for pneumonia patients-13.9Not available183
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national773
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.5Same as national657
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national175
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.1Same as national99
Heart failure (HF) 30-Day Readmission Rate19.9Same as national142
Rate of readmission after hip/knee replacement4.4Same as national39
Pneumonia (PN) 30-Day Readmission Rate16.1Same as national183

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 rating5402
Doctor communication - star rating3402
Communication about medicines - star rating3402
Discharge information - star rating4402
Cleanliness - star rating5402
Quietness - star rating4402
Overall hospital rating - star rating4402
Recommend hospital - star rating4402
Summary star rating4402

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 Hypoglycemia2864
Hospital Harm - Opioid Related Adverse Events11416
Healthcare workers given influenza vaccination96616
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 better157405
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 better149367
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25218
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better33820
Left before being seen122431
Head CT results8825
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10071
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing24945
Appropriate care for severe sepsis and septic shock6386
Septic Shock 3-Hour Bundle6226
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle7986
Severe Sepsis 6-Hour Bundle9537
Discharged on Antithrombotic Therapy
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is St Elizabeth Dearborn Hospital rated?
St Elizabeth Dearborn Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does St Elizabeth Dearborn Hospital have emergency services?
Yes. St Elizabeth Dearborn Hospital operates a 24/7 emergency department.
Where is St Elizabeth Dearborn Hospital located?
St Elizabeth Dearborn Hospital is located at 600 Wilson Creek Rd, Lawrenceburg, IN 47025.
What type of hospital is St Elizabeth Dearborn Hospital?
St Elizabeth Dearborn Hospital is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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