JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

St Francis Hospital- Emory Healthcare

3 / 5

At a glance

St Francis Hospital- Emory Healthcare 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 12 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 Limit0.285Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.726Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6822Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.422Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases5Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.779Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.128Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.971Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days9515Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases9.937Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.403Better than national
SSI - Colon Surgery: Lower Confidence Limit0.373Same as national
SSI - Colon Surgery: Upper Confidence Limit2.834Same as national
SSI - Colon Surgery: Number of Procedures128Same as national
SSI - Colon Surgery: Predicted Cases3.404Same as national
SSI - Colon Surgery: Observed Cases4Same as national
SSI - Colon Surgery1.175Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures18Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.163Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.225Same as national
MRSA Bacteremia: Upper Confidence Limit1.706Same as national
MRSA Bacteremia: Patient Days99902Same as national
MRSA Bacteremia: Predicted Cases5.657Same as national
MRSA Bacteremia: Observed Cases4Same as national
MRSA Bacteremia0.707Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.043Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.218Better than national
Clostridium Difficile (C.Diff): Patient Days99902Better than national
Clostridium Difficile (C.Diff): Predicted Cases57.172Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.105Better 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 patients4Same as national25
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national981
Death rate for heart attack patients12.6Same as national170
Death rate for CABG surgery patients2.5Same as national82
Death rate for COPD patients9Same as national101
Death rate for heart failure patients12.4Same as national386
Death rate for pneumonia patients16.3Same as national299
Death rate for stroke patients15.6Same as national112
Pressure ulcer rate0.42Same as national3310
Death rate among surgical inpatients with serious treatable complications150.67Same as national66
Iatrogenic pneumothorax rate0.16Same as national3806
In-hospital fall-associated fracture rate0.31Same as national4094
Postoperative hemorrhage or hematoma rate2.80Same as national881
Postoperative acute kidney injury requiring dialysis rate1.75Same as national399
Postoperative respiratory failure rate11.19Same as national411
Perioperative pulmonary embolism or deep vein thrombosis rate5.21Same as national953
Postoperative sepsis rate4.62Same as national389
Postoperative wound dehiscence rate1.62Same as national184
Abdominopelvic accidental puncture or laceration rate1.13Same as national640
CMS Medicare PSI 90: Patient safety and adverse events composite1.05Same 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-4.6Not available175
Hospital return days for heart failure patients-9.2Not available437
Hospital return days for pneumonia patients12Not available292
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.6Same as national1438
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.4Same as national1306
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.1Same as national25
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national25
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national573
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.3Same as national175
Rate of readmission for CABG10.6Same as national80
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national108
Heart failure (HF) 30-Day Readmission Rate19Same as national437
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16Same as national292

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 rating21221
Doctor communication - star rating31221
Communication about medicines - star rating21221
Discharge information - star rating31221
Cleanliness - star rating31221
Quietness - star rating31221
Overall hospital rating - star rating31221
Recommend hospital - star rating31221
Summary star rating31221

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 vaccination752511
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 better233451
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 better221394
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better57455
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 seen346432
Head CT results2512
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97151
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing132357
Appropriate care for severe sepsis and septic shock44158
Septic Shock 3-Hour Bundle5643
Septic Shock 6-Hour Bundle6221
Severe Sepsis 3-Hour Bundle68158
Severe Sepsis 6-Hour Bundle8771
Discharged on Antithrombotic Therapy98175
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis925787
Intensive Care Unit Venous Thromboembolism Prophylaxis971473

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 St Francis Hospital- Emory Healthcare rated?
St Francis Hospital- Emory Healthcare has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does St Francis Hospital- Emory Healthcare have emergency services?
According to CMS records, St Francis Hospital- Emory Healthcare does not report a 24/7 emergency department.
Where is St Francis Hospital- Emory Healthcare located?
St Francis Hospital- Emory Healthcare is located at 2122 Manchester Expressway, Columbus, GA 31995.
What type of hospital is St Francis Hospital- Emory Healthcare?
St Francis Hospital- Emory Healthcare 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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