JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

T J Samson Community Hospital

3 / 5

At a glance

T J Samson Community Hospital 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days833Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.742Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitBetter than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.772Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3942Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.881Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Better than national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures39Not available
SSI - Colon Surgery: Predicted Cases0.986Not 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 Procedures9Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.072Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.039Same as national
MRSA Bacteremia: Upper Confidence Limit3.844Same as national
MRSA Bacteremia: Patient Days25513Same as national
MRSA Bacteremia: Predicted Cases1.283Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.779Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.005Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.528Better than national
Clostridium Difficile (C.Diff): Patient Days23515Better than national
Clostridium Difficile (C.Diff): Predicted Cases9.339Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.107Better 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 patients3.2Same as national26
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.7Worse than national614
Death rate for heart attack patients11.9Same as national124
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.8Same as national113
Death rate for heart failure patients12.9Same as national250
Death rate for pneumonia patients19.5Same as national273
Death rate for stroke patients11.8Same as national77
Pressure ulcer rate0.77Same as national1842
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2456
In-hospital fall-associated fracture rate0.25Same as national2371
Postoperative hemorrhage or hematoma rate2.48Same as national426
Postoperative acute kidney injury requiring dialysis rate1.65Same as national79
Postoperative respiratory failure rate8.66Same as national83
Perioperative pulmonary embolism or deep vein thrombosis rate3.44Same as national436
Postoperative sepsis rate4.97Same as national75
Postoperative wound dehiscence rate1.70Same as national87
Abdominopelvic accidental puncture or laceration rate0.98Same as national326
CMS Medicare PSI 90: Patient safety and adverse events composite1.00Same 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-16Not available110
Hospital return days for heart failure patients27Not available280
Hospital return days for pneumonia patients42.9Not available282
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.3Same as national919
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12Same as national721
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.9Same as national70
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.7Same as national70
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national302
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12Same as national110
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national120
Heart failure (HF) 30-Day Readmission Rate20.3Same as national280
Rate of readmission after hip/knee replacement5Same as national27
Pneumonia (PN) 30-Day Readmission Rate16.5Same as national282

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 rating4357
Doctor communication - star rating3357
Communication about medicines - star rating2357
Discharge information - star rating4357
Cleanliness - star rating4357
Quietness - star rating4357
Overall hospital rating - star rating4357
Recommend hospital - star rating4357
Summary star rating4357

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 Hyperglycemia115539
Hospital Harm - Severe Hypoglycemia11258
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination851629
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 better189467
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 better184427
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better28024
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better35317
Left before being seen425167
Head CT results6123
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients93165
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing111171
Appropriate care for severe sepsis and septic shock65231
Septic Shock 3-Hour Bundle81100
Septic Shock 6-Hour Bundle9355
Severe Sepsis 3-Hour Bundle82233
Severe Sepsis 6-Hour Bundle92142
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis962140
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 T J Samson Community Hospital rated?
T J Samson Community Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does T J Samson Community Hospital have emergency services?
Yes. T J Samson Community Hospital operates a 24/7 emergency department.
Where is T J Samson Community Hospital located?
T J Samson Community Hospital is located at 1301 North Race Street, Glasgow, KY 42141.
What type of hospital is T J Samson Community Hospital?
T J Samson Community Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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