JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Upper Valley Medical Center

4 / 5

At a glance

Upper Valley 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 Limit0.029Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.857Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2558Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.726Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.579Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.017Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.697Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4102Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.906Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.344Same as national
SSI - Colon Surgery: Lower Confidence Limit0.034Same as national
SSI - Colon Surgery: Upper Confidence Limit3.344Same as national
SSI - Colon Surgery: Number of Procedures55Same as national
SSI - Colon Surgery: Predicted Cases1.475Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.678Same 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 Cases0.009Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.219Same as national
MRSA Bacteremia: Upper Confidence Limit4.322Same as national
MRSA Bacteremia: Patient Days27836Same as national
MRSA Bacteremia: Predicted Cases1.529Same as national
MRSA Bacteremia: Observed Cases2Same as national
MRSA Bacteremia1.308Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.164Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.992Better than national
Clostridium Difficile (C.Diff): Patient Days27836Better than national
Clostridium Difficile (C.Diff): Predicted Cases11.171Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.448Better 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 Rate4.3Same as national753
Death rate for heart attack patients12.4Same as national77
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.1Same as national51
Death rate for heart failure patients13.4Same as national227
Death rate for pneumonia patients14.3Same as national223
Death rate for stroke patients10.5Same as national101
Pressure ulcer rate0.31Same as national2514
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national3232
In-hospital fall-associated fracture rate0.29Same as national3244
Postoperative hemorrhage or hematoma rate2.19Same as national328
Postoperative acute kidney injury requiring dialysis rate1.64Same as national61
Postoperative respiratory failure rate8.02Same as national66
Perioperative pulmonary embolism or deep vein thrombosis rate3.44Same as national373
Postoperative sepsis rate4.89Same as national55
Postoperative wound dehiscence rate1.72Same as national123
Abdominopelvic accidental puncture or laceration rate0.97Same as national483
CMS Medicare PSI 90: Patient safety and adverse events composite0.85Same 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 patients49Not available65
Hospital return days for heart failure patients14.2Not available254
Hospital return days for pneumonia patients0.6Not available224
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16Same as national1245
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.8Same as national1418
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 surgery1Same as national331
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national65
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19.3Same as national56
Heart failure (HF) 30-Day Readmission Rate21.1Same as national254
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national224

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 rating3953
Doctor communication - star rating3953
Communication about medicines - star rating2953
Discharge information - star rating4953
Cleanliness - star rating3953
Quietness - star rating3953
Overall hospital rating - star rating3953
Recommend hospital - star rating3953
Summary star rating3953

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 Hypoglycemia11921
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination802618
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 better164400
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 better158360
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better17817
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better38825
Left before being seen133234
Head CT results7524
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9771
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing171180
Appropriate care for severe sepsis and septic shock7872
Septic Shock 3-Hour Bundle9133
Septic Shock 6-Hour Bundle9519
Severe Sepsis 3-Hour Bundle8573
Severe Sepsis 6-Hour Bundle9739
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis943008
Intensive Care Unit Venous Thromboembolism Prophylaxis97491

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 Upper Valley Medical Center rated?
Upper Valley Medical Center has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Upper Valley Medical Center have emergency services?
Yes. Upper Valley Medical Center operates a 24/7 emergency department.
Where is Upper Valley Medical Center located?
Upper Valley Medical Center is located at 3130 N Dixie Highway, Troy, OH 45373.
What type of hospital is Upper Valley Medical Center?
Upper Valley 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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