JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

University Hospitals - Elyria Medical Center

4 / 5

At a glance

University Hospitals - Elyria Medical Center carries a 4-star CMS overall rating — above 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 Limit0.180Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit3.549Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2663Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.862Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases2Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.074Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.291Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3355Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.321Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence Limit0.030Same as national
SSI - Colon Surgery: Upper Confidence Limit2.989Same as national
SSI - Colon Surgery: Number of Procedures63Same as national
SSI - Colon Surgery: Predicted Cases1.650Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.606Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures1Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.012Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.031Same as national
MRSA Bacteremia: Upper Confidence Limit3.043Same as national
MRSA Bacteremia: Patient Days38480Same as national
MRSA Bacteremia: Predicted Cases1.621Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.617Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.047Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.504Better than national
Clostridium Difficile (C.Diff): Patient Days38480Better than national
Clostridium Difficile (C.Diff): Predicted Cases16.188Better than national
Clostridium Difficile (C.Diff): Observed Cases3Better than national
Clostridium Difficile (C.Diff)0.185Better 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 patients3.7Same as national52
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national834
Death rate for heart attack patients10.5Same as national116
Death rate for CABG surgery patients2.6Same as national41
Death rate for COPD patients7.9Same as national118
Death rate for heart failure patients10.7Same as national292
Death rate for pneumonia patients13.7Same as national294
Death rate for stroke patients12.3Same as national118
Pressure ulcer rate0.27Same as national2767
Death rate among surgical inpatients with serious treatable complications165.40Same as national29
Iatrogenic pneumothorax rate0.23Same as national3432
In-hospital fall-associated fracture rate0.36Same as national3444
Postoperative hemorrhage or hematoma rate2.37Same as national574
Postoperative acute kidney injury requiring dialysis rate1.59Same as national136
Postoperative respiratory failure rate9.43Same as national137
Perioperative pulmonary embolism or deep vein thrombosis rate3.19Same as national613
Postoperative sepsis rate4.93Same as national122
Postoperative wound dehiscence rate1.71Same as national97
Abdominopelvic accidental puncture or laceration rate0.97Same as national444
CMS Medicare PSI 90: Patient safety and adverse events composite0.88Same 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-51.3Not available125
Hospital return days for heart failure patients33.3Not available337
Hospital return days for pneumonia patients4.6Not available313
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national1414
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.8Same as national408
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 surgery1.2Same as national576
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate12.6Same as national125
Rate of readmission for CABG11Same as national40
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.2Same as national134
Heart failure (HF) 30-Day Readmission Rate21.6Same as national337
Rate of readmission after hip/knee replacement4.9Same as national57
Pneumonia (PN) 30-Day Readmission Rate17.1Same as national313

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 rating41346
Doctor communication - star rating31346
Communication about medicines - star rating31346
Discharge information - star rating31346
Cleanliness - star rating41346
Quietness - star rating31346
Overall hospital rating - star rating31346
Recommend hospital - star rating41346
Summary star rating31346

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 Events04014
Healthcare workers given influenza vaccination791114
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 better191406
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 better184374
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better27518
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better22414
Left before being seen145393
Head CT results8020
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10079
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing152067
Appropriate care for severe sepsis and septic shock7193
Septic Shock 3-Hour Bundle7439
Septic Shock 6-Hour Bundle9123
Severe Sepsis 3-Hour Bundle8794
Severe Sepsis 6-Hour Bundle9454
Discharged on Antithrombotic Therapy97148
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293136
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 University Hospitals - Elyria Medical Center rated?
University Hospitals - Elyria Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does University Hospitals - Elyria Medical Center have emergency services?
According to CMS records, University Hospitals - Elyria Medical Center does not report a 24/7 emergency department.
Where is University Hospitals - Elyria Medical Center located?
University Hospitals - Elyria Medical Center is located at 630 East River Street, Elyria, OH 44035.
What type of hospital is University Hospitals - Elyria Medical Center?
University Hospitals - Elyria Medical Center 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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