JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - State

University of Kentucky Hospital

4 / 5

At a glance

University of Kentucky Hospital carries a 4-star CMS overall rating — above 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.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit0.547Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.054Same as national
Central Line Associated Bloodstream Infection: Number of Device Days39584Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases46.760Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases36Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.770Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.259Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.589Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days34125Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases57.655Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases23Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.399Better than national
SSI - Colon Surgery: Lower Confidence Limit0.467Same as national
SSI - Colon Surgery: Upper Confidence Limit1.154Same as national
SSI - Colon Surgery: Number of Procedures883Same as national
SSI - Colon Surgery: Predicted Cases25.227Same as national
SSI - Colon Surgery: Observed Cases19Same as national
SSI - Colon Surgery0.753Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.133Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit1.423Same as national
SSI - Abdominal Hysterectomy: Number of Procedures597Same as national
SSI - Abdominal Hysterectomy: Predicted Cases5.737Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy0.523Same as national
MRSA Bacteremia: Lower Confidence Limit0.624Same as national
MRSA Bacteremia: Upper Confidence Limit1.224Same as national
MRSA Bacteremia: Patient Days363830Same as national
MRSA Bacteremia: Predicted Cases38.362Same as national
MRSA Bacteremia: Observed Cases34Same as national
MRSA Bacteremia0.886Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.254Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.431Better than national
Clostridium Difficile (C.Diff): Patient Days327346Better than national
Clostridium Difficile (C.Diff): Predicted Cases164.902Better than national
Clostridium Difficile (C.Diff): Observed Cases55Better than national
Clostridium Difficile (C.Diff)0.334Better 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national1878
Death rate for heart attack patients12.4Same as national91
Death rate for CABG surgery patients2.6Same as national133
Death rate for COPD patients7.4Same as national105
Death rate for heart failure patients11.7Same as national244
Death rate for pneumonia patients12Better than national239
Death rate for stroke patients13.2Same as national333
Pressure ulcer rate0.46Same as national9417
Death rate among surgical inpatients with serious treatable complications128.38Better than national297
Iatrogenic pneumothorax rate0.17Same as national9693
In-hospital fall-associated fracture rate0.32Same as national10471
Postoperative hemorrhage or hematoma rate2.53Same as national3449
Postoperative acute kidney injury requiring dialysis rate1.28Same as national1719
Postoperative respiratory failure rate11.50Same as national1503
Perioperative pulmonary embolism or deep vein thrombosis rate3.60Same as national3725
Postoperative sepsis rate6.85Same as national1691
Postoperative wound dehiscence rate1.62Same as national916
Abdominopelvic accidental puncture or laceration rate1.51Same as national2815
CMS Medicare PSI 90: Patient safety and adverse events composite1.06Same 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-11.4Not available161
Hospital return days for heart failure patients-31.2Not available312
Hospital return days for pneumonia patients-18.6Not available259
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.2Same as national3496
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.4Same as national639
Rate of inpatient admissions for patients receiving outpatient chemotherapy13.3Worse than national620
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national620
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national905
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.9Same as national161
Rate of readmission for CABG8.9Same as national129
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national111
Heart failure (HF) 30-Day Readmission Rate17.8Same as national312
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national259

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 rating41377
Doctor communication - star rating41377
Communication about medicines - star rating31377
Discharge information - star rating41377
Cleanliness - star rating31377
Quietness - star rating31377
Overall hospital rating - star rating41377
Recommend hospital - star rating41377
Summary star rating41377

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 volumevery 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 vaccination8615550
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 better217398
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 better217381
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better25117
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 seen1133484
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9280
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing1712941
Appropriate care for severe sepsis and septic shock20172
Septic Shock 3-Hour Bundle2829
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle53172
Severe Sepsis 6-Hour Bundle4158
Discharged on Antithrombotic Therapy96712
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 289602
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis967663

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 University of Kentucky Hospital rated?
University of Kentucky Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does University of Kentucky Hospital have emergency services?
Yes. University of Kentucky Hospital operates a 24/7 emergency department.
Where is University of Kentucky Hospital located?
University of Kentucky Hospital is located at 800 Rose Street, Lexington, KY 40536.
What type of hospital is University of Kentucky Hospital?
University of Kentucky Hospital is classified by CMS as a Acute Care Hospitals facility (Government - State).

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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