JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Wellspan Good Samaritan Hospital

5 / 5

At a glance

Wellspan Good Samaritan Hospital carries a 5-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 Limit0.013Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.318Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4308Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.743Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.267Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.118Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.261Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6956Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.476Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases3Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.463Same as national
SSI - Colon Surgery: Lower Confidence Limit0.111Same as national
SSI - Colon Surgery: Upper Confidence Limit2.181Same as national
SSI - Colon Surgery: Number of Procedures119Same as national
SSI - Colon Surgery: Predicted Cases3.030Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.660Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures52Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.459Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.026Same as national
MRSA Bacteremia: Upper Confidence Limit2.581Same as national
MRSA Bacteremia: Patient Days40991Same as national
MRSA Bacteremia: Predicted Cases1.911Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.523Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.155Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.795Better than national
Clostridium Difficile (C.Diff): Patient Days39626Better than national
Clostridium Difficile (C.Diff): Predicted Cases15.703Better than national
Clostridium Difficile (C.Diff): Observed Cases6Better than national
Clostridium Difficile (C.Diff)0.382Better 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 Rate3.1Better than national864
Death rate for heart attack patients11Same as national152
Death rate for CABG surgery patients2.4Same as national47
Death rate for COPD patients7.9Same as national76
Death rate for heart failure patients9.9Same as national365
Death rate for pneumonia patients15.8Same as national207
Death rate for stroke patients11.4Same as national137
Pressure ulcer rate0.26Same as national2880
Death rate among surgical inpatients with serious treatable complications155.34Same as national33
Iatrogenic pneumothorax rate0.17Same as national3351
In-hospital fall-associated fracture rate0.36Same as national3387
Postoperative hemorrhage or hematoma rate2.36Same as national509
Postoperative acute kidney injury requiring dialysis rate1.52Same as national116
Postoperative respiratory failure rate6.77Same as national120
Perioperative pulmonary embolism or deep vein thrombosis rate3.65Same as national557
Postoperative sepsis rate4.56Same as national107
Postoperative wound dehiscence rate1.68Same as national139
Abdominopelvic accidental puncture or laceration rate0.95Same as national491
CMS Medicare PSI 90: Patient safety and adverse events composite0.80Same 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 patients-26.2Not available154
Hospital return days for heart failure patients6.5Not available410
Hospital return days for pneumonia patients1.7Not available195
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national1380
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12Same as national1144
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.2Same as national69
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.2Same as national69
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national387
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate11.8Same as national154
Rate of readmission for CABG9Same as national46
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.7Same as national79
Heart failure (HF) 30-Day Readmission Rate18.9Same as national410
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national195

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 rating4462
Doctor communication - star rating3462
Communication about medicines - star rating2462
Discharge information - star rating4462
Cleanliness - star rating4462
Quietness - star rating2462
Overall hospital rating - star rating3462
Recommend hospital - star rating3462
Summary star rating3462

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 vaccination951384
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 better205377
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 better197354
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better30415
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 seen145699
Head CT results10013
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9588
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)6869
Safe Use of Opioids - Concurrent Prescribing181391
Appropriate care for severe sepsis and septic shock54328
Septic Shock 3-Hour Bundle5368
Septic Shock 6-Hour Bundle8131
Severe Sepsis 3-Hour Bundle67328
Severe Sepsis 6-Hour Bundle98114
Discharged on Antithrombotic Therapy97178
Anticoagulation Therapy for Atrial Fibrillation/Flutter8153
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 Good Samaritan Hospital rated?
Wellspan Good Samaritan Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Wellspan Good Samaritan Hospital have emergency services?
Yes. Wellspan Good Samaritan Hospital operates a 24/7 emergency department.
Where is Wellspan Good Samaritan Hospital located?
Wellspan Good Samaritan Hospital is located at 252 South 4th Street, Lebanon, PA 17042.
What type of hospital is Wellspan Good Samaritan Hospital?
Wellspan Good Samaritan 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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