JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Wellspan York Hospital

4 / 5

At a glance

Wellspan York 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 18 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 Limit0.179Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.672Better than national
Central Line Associated Bloodstream Infection: Number of Device Days22325Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases24.580Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases9Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.366Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.423Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.102Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days16228Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases24.201Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases17Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.702Same as national
SSI - Colon Surgery: Lower Confidence Limit0.695Same as national
SSI - Colon Surgery: Upper Confidence Limit2.182Same as national
SSI - Colon Surgery: Number of Procedures359Same as national
SSI - Colon Surgery: Predicted Cases9.349Same as national
SSI - Colon Surgery: Observed Cases12Same as national
SSI - Colon Surgery1.284Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.179Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit3.518Same as national
SSI - Abdominal Hysterectomy: Number of Procedures219Same as national
SSI - Abdominal Hysterectomy: Predicted Cases1.878Same as national
SSI - Abdominal Hysterectomy: Observed Cases2Same as national
SSI - Abdominal Hysterectomy1.065Same as national
MRSA Bacteremia: Lower Confidence Limit0.124Better than national
MRSA Bacteremia: Upper Confidence Limit0.945Better than national
MRSA Bacteremia: Patient Days175560Better than national
MRSA Bacteremia: Predicted Cases10.209Better than national
MRSA Bacteremia: Observed Cases4Better than national
MRSA Bacteremia0.392Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.253Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.526Better than national
Clostridium Difficile (C.Diff): Patient Days160313Better than national
Clostridium Difficile (C.Diff): Predicted Cases78.141Better than national
Clostridium Difficile (C.Diff): Observed Cases29Better than national
Clostridium Difficile (C.Diff)0.371Better 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 Rate3.6Better than national3195
Death rate for heart attack patients12.1Same as national279
Death rate for CABG surgery patients2.2Same as national107
Death rate for COPD patients6.6Same as national179
Death rate for heart failure patients11.1Same as national910
Death rate for pneumonia patients17.3Same as national609
Death rate for stroke patients13.7Same as national552
Pressure ulcer rate0.94Same as national11457
Death rate among surgical inpatients with serious treatable complications132.89Better than national224
Iatrogenic pneumothorax rate0.30Same as national12635
In-hospital fall-associated fracture rate0.26Same as national13061
Postoperative hemorrhage or hematoma rate2.14Same as national3556
Postoperative acute kidney injury requiring dialysis rate1.56Same as national1184
Postoperative respiratory failure rate7.67Same as national1090
Perioperative pulmonary embolism or deep vein thrombosis rate3.44Same as national3683
Postoperative sepsis rate4.89Same as national1162
Postoperative wound dehiscence rate1.40Same as national676
Abdominopelvic accidental puncture or laceration rate0.74Same as national2854
CMS Medicare PSI 90: Patient safety and adverse events composite1.02Same 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 patients8.2Not available351
Hospital return days for heart failure patients-3.8Not available1002
Hospital return days for pneumonia patients-2.2Not available603
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national5501
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)15.2Same as national884
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national369
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6.1Same as national369
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national588
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.4Same as national351
Rate of readmission for CABG10.9Same as national104
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national195
Heart failure (HF) 30-Day Readmission Rate17.8Same as national1002
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.7Same as national603

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 rating3403
Doctor communication - star rating3403
Communication about medicines - star rating2403
Discharge information - star rating4403
Cleanliness - star rating1403
Quietness - star rating2403
Overall hospital rating - star rating3403
Recommend hospital - star rating3403
Summary star rating3403

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 volumevery high
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 vaccination956137
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 better263375
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 better255343
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better46128
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 seen193163
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9790
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)54111
Safe Use of Opioids - Concurrent Prescribing146844
Appropriate care for severe sepsis and septic shock45255
Septic Shock 3-Hour Bundle4571
Septic Shock 6-Hour Bundle6224
Severe Sepsis 3-Hour Bundle65255
Severe Sepsis 6-Hour Bundle9991
Discharged on Antithrombotic Therapy96635
Anticoagulation Therapy for Atrial Fibrillation/Flutter60202
Antithrombotic Therapy by End of Hospital Day 289580
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 York Hospital rated?
Wellspan York Hospital has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Wellspan York Hospital have emergency services?
Yes. Wellspan York Hospital operates a 24/7 emergency department.
Where is Wellspan York Hospital located?
Wellspan York Hospital is located at 1001 South George Street, York, PA 17403.
What type of hospital is Wellspan York Hospital?
Wellspan York 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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