Acute Care Hospitals · Voluntary non-profit - Private
St Mary's Hospital
- 1230 Baxter Street, Athens, GA 30606
- (706) 389-3000
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
St Mary's Hospital carries a 1-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 12 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.
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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.019 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.825 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 2958 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 2.703 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 1 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.370 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | — | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.686 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 3047 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 4.369 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 0 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.000 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.013 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.320 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 140 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 3.736 | Same as national |
| SSI - Colon Surgery: Observed Cases | 1 | Same as national |
| SSI - Colon Surgery | 0.268 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 39 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.308 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 1 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | 0.343 | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 3.670 | Same as national |
| MRSA Bacteremia: Patient Days | 48631 | Same as national |
| MRSA Bacteremia: Predicted Cases | 2.225 | Same as national |
| MRSA Bacteremia: Observed Cases | 3 | Same as national |
| MRSA Bacteremia | 1.348 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.097 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.589 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 44027 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 18.813 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 5 | Better than national |
| Clostridium Difficile (C.Diff) | 0.266 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 9.3 | Worse than national | 98 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.4 | Same as national | 1081 |
| Death rate for heart attack patients | 13.8 | Same as national | 139 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 10.3 | Same as national | 52 |
| Death rate for heart failure patients | 12.5 | Same as national | 168 |
| Death rate for pneumonia patients | 20.1 | Same as national | 181 |
| Death rate for stroke patients | 14 | Same as national | 193 |
| Pressure ulcer rate | 1.58 | Worse than national | 2726 |
| Death rate among surgical inpatients with serious treatable complications | 158.96 | Same as national | 49 |
| Iatrogenic pneumothorax rate | 0.27 | Same as national | 4000 |
| In-hospital fall-associated fracture rate | 0.23 | Same as national | 3861 |
| Postoperative hemorrhage or hematoma rate | 2.38 | Same as national | 1364 |
| Postoperative acute kidney injury requiring dialysis rate | 1.55 | Same as national | 753 |
| Postoperative respiratory failure rate | 15.98 | Same as national | 763 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.72 | Same as national | 1387 |
| Postoperative sepsis rate | 5.18 | Same as national | 709 |
| Postoperative wound dehiscence rate | 1.69 | Same as national | 331 |
| Abdominopelvic accidental puncture or laceration rate | 1.66 | Same as national | 766 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.47 | Worse 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | -7.2 | Not available | 132 |
| Hospital return days for heart failure patients | 36.9 | Not available | 202 |
| Hospital return days for pneumonia patients | 12.6 | Not available | 201 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.9 | Same as national | 1648 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.6 | Same as national | 286 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not available | — |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not available | — |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 930 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.8 | Same as national | 132 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.9 | Same as national | 54 |
| Heart failure (HF) 30-Day Readmission Rate | 20.6 | Same as national | 202 |
| Rate of readmission after hip/knee replacement | 7.2 | Worse than national | 111 |
| Pneumonia (PN) 30-Day Readmission Rate | 16 | Same as national | 201 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 495 |
| Doctor communication - star rating | 3 | 495 |
| Communication about medicines - star rating | 2 | 495 |
| Discharge information - star rating | 2 | 495 |
| Cleanliness - star rating | 2 | 495 |
| Quietness - star rating | 3 | 495 |
| Overall hospital rating - star rating | 3 | 495 |
| Recommend hospital - star rating | 4 | 495 |
| Summary star rating | 3 | 495 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | high | — |
| 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 vaccination | 21 | 2621 |
| 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 better | 134 | 417 |
| 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 better | 133 | 399 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 197 | 17 |
| 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 seen | 1 | 55348 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 97 | 255 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | — | — |
| Safe Use of Opioids - Concurrent Prescribing | 18 | 3655 |
| Appropriate care for severe sepsis and septic shock | 73 | 52 |
| Septic Shock 3-Hour Bundle | 94 | 16 |
| Septic Shock 6-Hour Bundle | — | — |
| Severe Sepsis 3-Hour Bundle | 79 | 52 |
| Severe Sepsis 6-Hour Bundle | 94 | 33 |
| Discharged on Antithrombotic Therapy | 98 | 283 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | 65 | 81 |
| Antithrombotic Therapy by End of Hospital Day 2 | 93 | 226 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is St Mary's Hospital rated?
- St Mary's Hospital has a 1 out of 5 CMS overall star rating as of the latest CMS release.
- Does St Mary's Hospital have emergency services?
- Yes. St Mary's Hospital operates a 24/7 emergency department.
- Where is St Mary's Hospital located?
- St Mary's Hospital is located at 1230 Baxter Street, Athens, GA 30606.
- What type of hospital is St Mary's Hospital?
- St Mary's Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
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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.