JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Wellstar West Georgia Medical Center

5 / 5

At a glance

Wellstar West Georgia Medical Center 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 Limit0.233Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.488Same as national
Central Line Associated Bloodstream Infection: Number of Device Days4193Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.281Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.914Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence LimitSame as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.208Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days3170Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases2.480Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases0Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.000Same as national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit1.375Same as national
SSI - Colon Surgery: Number of Procedures78Same as national
SSI - Colon Surgery: Predicted Cases2.178Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures34Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.335Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.386Same as national
MRSA Bacteremia: Upper Confidence Limit4.134Same as national
MRSA Bacteremia: Patient Days39721Same as national
MRSA Bacteremia: Predicted Cases1.975Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.519Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.023Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.446Better than national
Clostridium Difficile (C.Diff): Patient Days38208Better than national
Clostridium Difficile (C.Diff): Predicted Cases14.813Better than national
Clostridium Difficile (C.Diff): Observed Cases2Better than national
Clostridium Difficile (C.Diff)0.135Better 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 Rate3.6Same as national660
Death rate for heart attack patients11.5Same as national68
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.2Same as national71
Death rate for heart failure patients10.4Same as national261
Death rate for pneumonia patients16.6Same as national222
Death rate for stroke patients16.7Same as national81
Pressure ulcer rate0.23Same as national2469
Death rate among surgical inpatients with serious treatable complications169.88Same as national29
Iatrogenic pneumothorax rate0.18Same as national3089
In-hospital fall-associated fracture rate0.24Same as national3082
Postoperative hemorrhage or hematoma rate2.13Same as national375
Postoperative acute kidney injury requiring dialysis rate2.10Same as national77
Postoperative respiratory failure rate9.19Same as national82
Perioperative pulmonary embolism or deep vein thrombosis rate3.21Same as national409
Postoperative sepsis rate6.18Same as national72
Postoperative wound dehiscence rate2.02Same as national109
Abdominopelvic accidental puncture or laceration rate0.95Same as national381
CMS Medicare PSI 90: Patient safety and adverse events composite0.90Same 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 patients0Not available64
Hospital return days for heart failure patients7.4Not available299
Hospital return days for pneumonia patients3.8Not available214
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.8Same as national1102
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)15.3Same as national861
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.6Same as national46
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.6Same as national46
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national177
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14.2Same as national64
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.6Same as national79
Heart failure (HF) 30-Day Readmission Rate20.5Same as national299
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15Same as national214

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 rating5565
Doctor communication - star rating4565
Communication about medicines - star rating3565
Discharge information - star rating4565
Cleanliness - star rating4565
Quietness - star rating4565
Overall hospital rating - star rating4565
Recommend hospital - star rating5565
Summary star rating4565

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 Hyperglycemia914705
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination852406
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 better151378
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 better150363
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better24214
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 seen059578
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 Prescribing192701
Appropriate care for severe sepsis and septic shock72155
Septic Shock 3-Hour Bundle6647
Septic Shock 6-Hour Bundle8927
Severe Sepsis 3-Hour Bundle87155
Severe Sepsis 6-Hour Bundle98100
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis1005136
Intensive Care Unit Venous Thromboembolism Prophylaxis100942

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 West Georgia Medical Center rated?
Wellstar West Georgia Medical Center has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Wellstar West Georgia Medical Center have emergency services?
Yes. Wellstar West Georgia Medical Center operates a 24/7 emergency department.
Where is Wellstar West Georgia Medical Center located?
Wellstar West Georgia Medical Center is located at 1514 Vernon Road, Lagrange, GA 30240.
What type of hospital is Wellstar West Georgia Medical Center?
Wellstar West Georgia Medical Center 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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