JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Wellstar North Fulton Medical Center

2 / 5

At a glance

Wellstar North Fulton Medical Center carries a 2-star CMS overall rating — below the national norm. On healthcare-associated infection measures, it performs better than the national average on 24 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 Limit0.009Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.893Better than national
Central Line Associated Bloodstream Infection: Number of Device Days6231Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.522Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.181Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.038Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.750Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5473Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases8.815Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.227Better than national
SSI - Colon Surgery: Lower Confidence Limit0.987Same as national
SSI - Colon Surgery: Upper Confidence Limit3.714Same as national
SSI - Colon Surgery: Number of Procedures155Same as national
SSI - Colon Surgery: Predicted Cases4.447Same as national
SSI - Colon Surgery: Observed Cases9Same as national
SSI - Colon Surgery2.024Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures28Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.214Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitBetter than national
MRSA Bacteremia: Upper Confidence Limit0.995Better than national
MRSA Bacteremia: Patient Days56161Better than national
MRSA Bacteremia: Predicted Cases3.010Better than national
MRSA Bacteremia: Observed Cases0Better than national
MRSA Bacteremia0.000Better than national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.015Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.303Better than national
Clostridium Difficile (C.Diff): Patient Days52305Better than national
Clostridium Difficile (C.Diff): Predicted Cases21.798Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.092Better 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 Rate3.7Same as national1057
Death rate for heart attack patients12.6Same as national97
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.5Same as national34
Death rate for heart failure patients11.7Same as national229
Death rate for pneumonia patients14Same as national365
Death rate for stroke patients15.3Same as national266
Pressure ulcer rate1.63Worse than national3480
Death rate among surgical inpatients with serious treatable complications181.73Same as national85
Iatrogenic pneumothorax rate0.23Same as national4036
In-hospital fall-associated fracture rate0.27Same as national3735
Postoperative hemorrhage or hematoma rate2.23Same as national861
Postoperative acute kidney injury requiring dialysis rate1.61Same as national185
Postoperative respiratory failure rate11.88Same as national186
Perioperative pulmonary embolism or deep vein thrombosis rate3.38Same as national880
Postoperative sepsis rate5.99Same as national177
Postoperative wound dehiscence rate1.70Same as national149
Abdominopelvic accidental puncture or laceration rate1.16Same as national582
CMS Medicare PSI 90: Patient safety and adverse events composite1.37Worse than 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 patients15.5Not available84
Hospital return days for heart failure patients17.4Not available251
Hospital return days for pneumonia patients-21.7Not available377
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.5Same as national1787
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.8Same as national351
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 surgery1.2Same as national269
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.8Same as national84
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national40
Heart failure (HF) 30-Day Readmission Rate18.8Same as national251
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.3Same as national377

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 rating2551
Doctor communication - star rating3551
Communication about medicines - star rating1551
Discharge information - star rating1551
Cleanliness - star rating2551
Quietness - star rating2551
Overall hospital rating - star rating2551
Recommend hospital - star rating3551
Summary star rating2551

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 Hyperglycemia714879
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination732218
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 better180374
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 better178352
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better36020
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 seen040565
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients10063
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing162542
Appropriate care for severe sepsis and septic shock66201
Septic Shock 3-Hour Bundle7468
Septic Shock 6-Hour Bundle8643
Severe Sepsis 3-Hour Bundle80201
Severe Sepsis 6-Hour Bundle99108
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis994869
Intensive Care Unit Venous Thromboembolism Prophylaxis1001620

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 Wellstar North Fulton Medical Center rated?
Wellstar North Fulton Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Wellstar North Fulton Medical Center have emergency services?
According to CMS records, Wellstar North Fulton Medical Center does not report a 24/7 emergency department.
Where is Wellstar North Fulton Medical Center located?
Wellstar North Fulton Medical Center is located at 3000 Hospital Boulevard, Roswell, GA 30076.
What type of hospital is Wellstar North Fulton Medical Center?
Wellstar North Fulton Medical Center is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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