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Acute Care Hospitals · Voluntary non-profit - Other

Upson Regional Medical Center

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At a glance

Upson Regional Medical Center carries a 1-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 LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days1103Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.791Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Not 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 Limit1.821Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2377Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.645Same 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 LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.975Same as national
SSI - Colon Surgery: Number of Procedures54Same as national
SSI - Colon Surgery: Predicted Cases1.517Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures10Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.095Not 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 Days13257Not available
MRSA Bacteremia: Predicted Cases0.707Not available
MRSA Bacteremia: Observed Cases0Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence Limit0.124Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.329Same as national
Clostridium Difficile (C.Diff): Patient Days12490Same as national
Clostridium Difficile (C.Diff): Predicted Cases6.144Same as national
Clostridium Difficile (C.Diff): Observed Cases3Same as national
Clostridium Difficile (C.Diff)0.488Same 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 patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate5.3Same as national286
Death rate for heart attack patients13.8Same as national47
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10.2Same as national50
Death rate for heart failure patients18.6Worse than national77
Death rate for pneumonia patients28.5Worse than national120
Death rate for stroke patients16.4Same as national44
Pressure ulcer rate0.40Same as national1049
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.20Same as national1348
In-hospital fall-associated fracture rate0.30Same as national1272
Postoperative hemorrhage or hematoma rate2.19Same as national292
Postoperative acute kidney injury requiring dialysis rateNot available
Postoperative respiratory failure rateNot available
Perioperative pulmonary embolism or deep vein thrombosis rate4.55Same as national288
Postoperative sepsis rateNot available
Postoperative wound dehiscence rate1.71Same as national66
Abdominopelvic accidental puncture or laceration rate0.99Same as national208
CMS Medicare PSI 90: Patient safety and adverse events composite1.04Same 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 patients72.4Not available80
Hospital return days for pneumonia patients7.5Not available107
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)16.4Same as national409
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national127
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 surgery0.9Same as national93
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.8Same as national49
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.7Same as national50
Heart failure (HF) 30-Day Readmission Rate21.4Same as national80
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate16.6Same as national107

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 rating5291
Doctor communication - star rating4291
Communication about medicines - star rating4291
Discharge information - star rating5291
Cleanliness - star rating4291
Quietness - star rating4291
Overall hospital rating - star rating4291
Recommend hospital - star rating4291
Summary star rating4291

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 vaccination791158
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 better163433
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 better160403
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34018
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better38014
Left before being seen129928
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients97116
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing14868
Appropriate care for severe sepsis and septic shock67172
Septic Shock 3-Hour Bundle7684
Septic Shock 6-Hour Bundle8852
Severe Sepsis 3-Hour Bundle88172
Severe Sepsis 6-Hour Bundle95119
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis571865
Intensive Care Unit Venous Thromboembolism Prophylaxis81435

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 Upson Regional Medical Center rated?
Upson Regional Medical Center has a 1 out of 5 CMS overall star rating as of the latest CMS release.
Does Upson Regional Medical Center have emergency services?
Yes. Upson Regional Medical Center operates a 24/7 emergency department.
Where is Upson Regional Medical Center located?
Upson Regional Medical Center is located at 801 W Gordon Street, Thomaston, GA 30286.
What type of hospital is Upson Regional Medical Center?
Upson Regional Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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