JCIPatientSafety.orgHospital Quality Directory

Critical Access Hospitals · Voluntary non-profit - Private

UPMC Wellsboro

3 / 5

At a glance

UPMC Wellsboro carries a 3-star CMS overall rating — in line with 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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days579Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.158Not 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 LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.844Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days825Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.625Same 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 LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures5Not available
SSI - Colon Surgery: Predicted Cases0.088Not 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 LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days5718Not available
MRSA Bacteremia: Predicted Cases0.119Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.034Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit3.319Same as national
Clostridium Difficile (C.Diff): Patient Days5475Same as national
Clostridium Difficile (C.Diff): Predicted Cases1.486Same as national
Clostridium Difficile (C.Diff): Observed Cases1Same as national
Clostridium Difficile (C.Diff)0.673Same 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 patients3.1Same as national42
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.1Same as national217
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11.1Same as national60
Death rate for heart failure patients13.1Same as national72
Death rate for pneumonia patients16.5Same as national97
Death rate for stroke patients14Same as national34
Pressure ulcer rateNot available
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rateNot available
In-hospital fall-associated fracture rateNot available
Postoperative hemorrhage or hematoma rateNot available
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rateNot available
Postoperative sepsis rateNot available
Postoperative wound dehiscence rateNot available
Abdominopelvic accidental puncture or laceration rateNot available
CMS Medicare PSI 90: Patient safety and adverse events compositeNot available

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 patients38.1Not available74
Hospital return days for pneumonia patients-28.4Not available105
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.1Same as national336
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.4Same as national364
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.4Same as national40
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national40
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national45
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national59
Heart failure (HF) 30-Day Readmission Rate20.7Same as national74
Rate of readmission after hip/knee replacement4.5Same as national46
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national105

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 rating5273
Doctor communication - star rating5273
Communication about medicines - star rating4273
Discharge information - star rating4273
Cleanliness - star rating5273
Quietness - star rating4273
Overall hospital rating - star rating4273
Recommend hospital - star rating4273
Summary star rating4273

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 volumelow
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 vaccination90462
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 better202575
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 better187509
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better36324
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better38042
Left before being seen212679
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing18250
Appropriate care for severe sepsis and septic shock6677
Septic Shock 3-Hour Bundle7634
Septic Shock 6-Hour Bundle9417
Severe Sepsis 3-Hour Bundle8677
Severe Sepsis 6-Hour Bundle8745
Discharged on Antithrombotic Therapy9730
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 29328
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis59284

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 Wellsboro rated?
UPMC Wellsboro has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does UPMC Wellsboro have emergency services?
Yes. UPMC Wellsboro operates a 24/7 emergency department.
Where is UPMC Wellsboro located?
UPMC Wellsboro is located at 32-36 Central Avenue, Wellsboro, PA 16901.
What type of hospital is UPMC Wellsboro?
UPMC Wellsboro is classified by CMS as a Critical Access 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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