Acute Care Hospitals · Voluntary non-profit - Other
Wellspan Ephrata Community Hospital
- 169 Martin Avenue, Ephrata, PA 17522
- (717) 733-0311
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Wellspan Ephrata Community Hospital carries a 5-star CMS overall rating — above the national norm. For 30-day readmissions, it beats the national rate on 2 measures and trails 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | — | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 1.954 | Same as national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 2179 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 1.533 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 0 | Same as national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.000 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.025 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 2.475 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 2716 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 1.993 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 1 | Same as national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.502 | Same as national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.448 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 4.794 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 69 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 1.703 | Same as national |
| SSI - Colon Surgery: Observed Cases | 3 | Same as national |
| SSI - Colon Surgery | 1.762 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | — | Not available |
| SSI - Abdominal Hysterectomy: Number of Procedures | 32 | Not available |
| SSI - Abdominal Hysterectomy: Predicted Cases | 0.270 | Not available |
| SSI - Abdominal Hysterectomy: Observed Cases | 0 | Not available |
| SSI - Abdominal Hysterectomy | — | Not available |
| MRSA Bacteremia: Lower Confidence Limit | — | Same as national |
| MRSA Bacteremia: Upper Confidence Limit | 2.684 | Same as national |
| MRSA Bacteremia: Patient Days | 26644 | Same as national |
| MRSA Bacteremia: Predicted Cases | 1.116 | Same as national |
| MRSA Bacteremia: Observed Cases | 0 | Same as national |
| MRSA Bacteremia | 0.000 | Same as national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.314 | Same as national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 1.418 | Same as national |
| Clostridium Difficile (C.Diff): Patient Days | 24601 | Same as national |
| Clostridium Difficile (C.Diff): Predicted Cases | 9.764 | Same as national |
| Clostridium Difficile (C.Diff): Observed Cases | 7 | Same as national |
| Clostridium Difficile (C.Diff) | 0.717 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | — | Not available | — |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 3.8 | Same as national | 760 |
| Death rate for heart attack patients | 11.6 | Same as national | 120 |
| Death rate for CABG surgery patients | — | Not available | — |
| Death rate for COPD patients | 9.4 | Same as national | 28 |
| Death rate for heart failure patients | 10.1 | Same as national | 257 |
| Death rate for pneumonia patients | 16.8 | Same as national | 132 |
| Death rate for stroke patients | 11.3 | Same as national | 121 |
| Pressure ulcer rate | 0.29 | Same as national | 2292 |
| Death rate among surgical inpatients with serious treatable complications | 152.44 | Same as national | 26 |
| Iatrogenic pneumothorax rate | 0.18 | Same as national | 2815 |
| In-hospital fall-associated fracture rate | 0.24 | Same as national | 2813 |
| Postoperative hemorrhage or hematoma rate | 2.61 | Same as national | 597 |
| Postoperative acute kidney injury requiring dialysis rate | 1.59 | Same as national | 232 |
| Postoperative respiratory failure rate | 9.03 | Same as national | 213 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.08 | Same as national | 626 |
| Postoperative sepsis rate | 6.12 | Same as national | 213 |
| Postoperative wound dehiscence rate | 2.01 | Same as national | 143 |
| Abdominopelvic accidental puncture or laceration rate | 0.94 | Same as national | 412 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.89 | Same 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | -25.3 | Not available | 94 |
| Hospital return days for heart failure patients | -47.8 | Not available | 277 |
| Hospital return days for pneumonia patients | 0.6 | Not available | 133 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 13.5 | Better than national | 1148 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 13.7 | Same as national | 233 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 11.1 | Same as national | 53 |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 4.8 | Same as national | 53 |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as national | 374 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 12.4 | Same as national | 94 |
| Rate of readmission for CABG | — | Not available | — |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 18.5 | Same as national | 30 |
| Heart failure (HF) 30-Day Readmission Rate | 16.5 | Better than national | 277 |
| Rate of readmission after hip/knee replacement | — | Not available | — |
| Pneumonia (PN) 30-Day Readmission Rate | 15.6 | Same as national | 133 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 4 | 457 |
| Doctor communication - star rating | 3 | 457 |
| Communication about medicines - star rating | 2 | 457 |
| Discharge information - star rating | 4 | 457 |
| Cleanliness - star rating | 2 | 457 |
| Quietness - star rating | 2 | 457 |
| Overall hospital rating - star rating | 3 | 457 |
| Recommend hospital - star rating | 3 | 457 |
| Summary star rating | 3 | 457 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | medium | — |
| 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 vaccination | 96 | 1266 |
| 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 better | 199 | 379 |
| 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 better | 190 | 342 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 312 | 26 |
| Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better | 487 | 11 |
| Left before being seen | 1 | 29800 |
| Head CT results | — | — |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | 100 | 118 |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 61 | 44 |
| Safe Use of Opioids - Concurrent Prescribing | 18 | 1243 |
| Appropriate care for severe sepsis and septic shock | 69 | 188 |
| Septic Shock 3-Hour Bundle | 66 | 41 |
| Septic Shock 6-Hour Bundle | 82 | 22 |
| Severe Sepsis 3-Hour Bundle | 79 | 188 |
| Severe Sepsis 6-Hour Bundle | 99 | 89 |
| Discharged on Antithrombotic Therapy | 98 | 115 |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | 95 | 93 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Wellspan Ephrata Community Hospital rated?
- Wellspan Ephrata Community Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
- Does Wellspan Ephrata Community Hospital have emergency services?
- Yes. Wellspan Ephrata Community Hospital operates a 24/7 emergency department.
- Where is Wellspan Ephrata Community Hospital located?
- Wellspan Ephrata Community Hospital is located at 169 Martin Avenue, Ephrata, PA 17522.
- What type of hospital is Wellspan Ephrata Community Hospital?
- Wellspan Ephrata Community Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).
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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.