JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Wellspan Chambersburg Hospital

4 / 5

At a glance

Wellspan Chambersburg 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 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 Limit0.147Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.570Same as national
Central Line Associated Bloodstream Infection: Number of Device Days5717Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.202Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.577Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.227Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.723Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5697Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.599Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.714Same as national
SSI - Colon Surgery: Lower Confidence LimitNot available
SSI - Colon Surgery: Upper Confidence LimitNot available
SSI - Colon Surgery: Number of Procedures22Not available
SSI - Colon Surgery: Predicted Cases0.474Not 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 Procedures56Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.528Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.780Same as national
MRSA Bacteremia: Upper Confidence Limit4.001Same as national
MRSA Bacteremia: Patient Days67049Same as national
MRSA Bacteremia: Predicted Cases3.119Same as national
MRSA Bacteremia: Observed Cases6Same as national
MRSA Bacteremia1.924Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.068Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.411Better than national
Clostridium Difficile (C.Diff): Patient Days62945Better than national
Clostridium Difficile (C.Diff): Predicted Cases26.957Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.185Better 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 Rate3.5Better than national1832
Death rate for heart attack patients12.7Same as national304
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.8Same as national142
Death rate for heart failure patients11.5Same as national581
Death rate for pneumonia patients18Same as national489
Death rate for stroke patients14.5Same as national165
Pressure ulcer rate0.34Same as national6307
Death rate among surgical inpatients with serious treatable complications156.02Same as national44
Iatrogenic pneumothorax rate0.18Same as national7392
In-hospital fall-associated fracture rate0.29Same as national7347
Postoperative hemorrhage or hematoma rate2.33Same as national1164
Postoperative acute kidney injury requiring dialysis rate1.47Same as national273
Postoperative respiratory failure rate7.60Same as national243
Perioperative pulmonary embolism or deep vein thrombosis rate2.61Same as national1215
Postoperative sepsis rate6.12Same as national245
Postoperative wound dehiscence rate1.67Same as national257
Abdominopelvic accidental puncture or laceration rate0.89Same as national1043
CMS Medicare PSI 90: Patient safety and adverse events composite0.84Same 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 patients23Not available266
Hospital return days for heart failure patients-11.1Not available633
Hospital return days for pneumonia patients-9.1Not available492
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national2992
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.2Same as national53
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 surgery1.1Same as national736
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.1Same as national266
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.5Same as national147
Heart failure (HF) 30-Day Readmission Rate18.6Same as national633
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national492

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 rating4673
Doctor communication - star rating3673
Communication about medicines - star rating3673
Discharge information - star rating3673
Cleanliness - star rating3673
Quietness - star rating3673
Overall hospital rating - star rating3673
Recommend hospital - star rating3673
Summary star rating3673

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 volumehigh
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 vaccination912334
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 better179381
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 better177366
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better32213
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 seen158741
Head CT results6025
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)7168
Safe Use of Opioids - Concurrent Prescribing152466
Appropriate care for severe sepsis and septic shock57315
Septic Shock 3-Hour Bundle67100
Septic Shock 6-Hour Bundle7752
Severe Sepsis 3-Hour Bundle73315
Severe Sepsis 6-Hour Bundle98149
Discharged on Antithrombotic Therapy99168
Anticoagulation Therapy for Atrial Fibrillation/Flutter6942
Antithrombotic Therapy by End of Hospital Day 294144
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis

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 Wellspan Chambersburg Hospital rated?
Wellspan Chambersburg Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Wellspan Chambersburg Hospital have emergency services?
Yes. Wellspan Chambersburg Hospital operates a 24/7 emergency department.
Where is Wellspan Chambersburg Hospital located?
Wellspan Chambersburg Hospital is located at 112 North Seventh Street, Chambersburg, PA 17201.
What type of hospital is Wellspan Chambersburg Hospital?
Wellspan Chambersburg Hospital 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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