JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

UPMC Chautauqua at Wca

2 / 5

At a glance

UPMC Chautauqua at Wca carries a 2-star CMS overall rating — below the national norm.

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 Limit0.488Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit5.224Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2301Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.563Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.919Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.126Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.490Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3745Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.654Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.754Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures36Not available
SSI - Colon Surgery: Predicted Cases0.988Not available
SSI - Colon Surgery: Observed Cases2Not available
SSI - Colon SurgeryNot available
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures14Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.115Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.900Same as national
MRSA Bacteremia: Patient Days21013Same as national
MRSA Bacteremia: Predicted Cases1.033Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.315Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.289Same as national
Clostridium Difficile (C.Diff): Patient Days19488Same as national
Clostridium Difficile (C.Diff): Predicted Cases11.784Same as national
Clostridium Difficile (C.Diff): Observed Cases8Same as national
Clostridium Difficile (C.Diff)0.679Same as 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 patients3.5Same as national65
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national524
Death rate for heart attack patients11.5Same as national43
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.1Same as national36
Death rate for heart failure patients11.6Same as national199
Death rate for pneumonia patients17.5Same as national228
Death rate for stroke patients15.9Same as national55
Pressure ulcer rate0.36Same as national1692
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.26Same as national2082
In-hospital fall-associated fracture rate0.30Same as national2112
Postoperative hemorrhage or hematoma rate2.24Same as national220
Postoperative acute kidney injury requiring dialysis rate1.65Same as national62
Postoperative respiratory failure rate8.68Same as national64
Perioperative pulmonary embolism or deep vein thrombosis rate3.15Same as national225
Postoperative sepsis rate5.11Same as national50
Postoperative wound dehiscence rate2.05Same as national62
Abdominopelvic accidental puncture or laceration rate0.98Same as national330
CMS Medicare PSI 90: Patient safety and adverse events composite0.89Same 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 patientsNot available
Hospital return days for heart failure patients12.6Not available209
Hospital return days for pneumonia patients7.9Not available214
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16Same as national776
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13Same as national1302
Rate of inpatient admissions for patients receiving outpatient chemotherapy8.9Same as national69
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.4Same as national69
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national226
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.4Same as national28
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national37
Heart failure (HF) 30-Day Readmission Rate19.5Same as national209
Rate of readmission after hip/knee replacement4.7Same as national59
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national214

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 rating3483
Doctor communication - star rating3483
Communication about medicines - star rating2483
Discharge information - star rating3483
Cleanliness - star rating3483
Quietness - star rating2483
Overall hospital rating - star rating3483
Recommend hospital - star rating3483
Summary star rating3483

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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination961290
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 better164618
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 better160532
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better18965
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better22121
Left before being seen238721
Head CT results3918
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99622
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)634
Safe Use of Opioids - Concurrent Prescribing13903
Appropriate care for severe sepsis and septic shock44235
Septic Shock 3-Hour Bundle5671
Septic Shock 6-Hour Bundle9029
Severe Sepsis 3-Hour Bundle74235
Severe Sepsis 6-Hour Bundle75110
Discharged on Antithrombotic Therapy10045
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29354
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis81504

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 UPMC Chautauqua at Wca rated?
UPMC Chautauqua at Wca has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does UPMC Chautauqua at Wca have emergency services?
Yes. UPMC Chautauqua at Wca operates a 24/7 emergency department.
Where is UPMC Chautauqua at Wca located?
UPMC Chautauqua at Wca is located at 207 Foote Avenue, Jamestown, NY 14701.
What type of hospital is UPMC Chautauqua at Wca?
UPMC Chautauqua at Wca 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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