JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

West Chester Hospital

3 / 5

At a glance

West Chester Hospital carries a 3-star CMS overall rating — in line with the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.129Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.385Same as national
Central Line Associated Bloodstream Infection: Number of Device Days6676Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases5.895Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.509Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.200Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit1.522Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days6076Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.339Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.631Same as national
SSI - Colon Surgery: Lower Confidence Limit0.017Same as national
SSI - Colon Surgery: Upper Confidence Limit1.640Same as national
SSI - Colon Surgery: Number of Procedures109Same as national
SSI - Colon Surgery: Predicted Cases3.008Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.332Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures76Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.680Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.343Same as national
MRSA Bacteremia: Upper Confidence Limit3.673Same as national
MRSA Bacteremia: Patient Days51432Same as national
MRSA Bacteremia: Predicted Cases2.223Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia1.350Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.094Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.571Better than national
Clostridium Difficile (C.Diff): Patient Days49334Better than national
Clostridium Difficile (C.Diff): Predicted Cases19.426Better than national
Clostridium Difficile (C.Diff): Observed Cases5Better than national
Clostridium Difficile (C.Diff)0.257Better 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 patients3.4Same as national35
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4Same as national1174
Death rate for heart attack patients11.8Same as national160
Death rate for CABG surgery patientsNot available
Death rate for COPD patients9.3Same as national111
Death rate for heart failure patients10.5Same as national288
Death rate for pneumonia patients17.7Same as national387
Death rate for stroke patients10Same as national142
Pressure ulcer rate0.26Same as national3894
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.23Same as national4610
In-hospital fall-associated fracture rate0.31Same as national4582
Postoperative hemorrhage or hematoma rate2.04Same as national762
Postoperative acute kidney injury requiring dialysis rate1.59Same as national305
Postoperative respiratory failure rate7.03Same as national280
Perioperative pulmonary embolism or deep vein thrombosis rate4.21Same as national805
Postoperative sepsis rate4.48Same as national279
Postoperative wound dehiscence rate1.69Same as national168
Abdominopelvic accidental puncture or laceration rate0.91Same as national675
CMS Medicare PSI 90: Patient safety and adverse events composite0.83Same 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 patients2.1Not available127
Hospital return days for heart failure patients53.1Not available348
Hospital return days for pneumonia patients16.1Not available402
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.4Same as national2030
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.8Same as national860
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 national465
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.6Same as national127
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.3Same as national112
Heart failure (HF) 30-Day Readmission Rate24.1Worse than national348
Rate of readmission after hip/knee replacement4.5Same as national35
Pneumonia (PN) 30-Day Readmission Rate15.6Same as national402

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 rating31233
Doctor communication - star rating31233
Communication about medicines - star rating21233
Discharge information - star rating31233
Cleanliness - star rating21233
Quietness - star rating31233
Overall hospital rating - star rating31233
Recommend hospital - star rating41233
Summary star rating31233

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 volumemedium
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 vaccination942063
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 better219400
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 better218384
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better33013
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 seen031594
Head CT results6819
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients100289
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing163388
Appropriate care for severe sepsis and septic shock60505
Septic Shock 3-Hour Bundle80252
Septic Shock 6-Hour Bundle72155
Severe Sepsis 3-Hour Bundle84506
Severe Sepsis 6-Hour Bundle91285
Discharged on Antithrombotic Therapy97119
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis914956
Intensive Care Unit Venous Thromboembolism Prophylaxis941989

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 West Chester Hospital rated?
West Chester Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does West Chester Hospital have emergency services?
Yes. West Chester Hospital operates a 24/7 emergency department.
Where is West Chester Hospital located?
West Chester Hospital is located at 7700 University Drive, West Chester, OH 45069.
What type of hospital is West Chester Hospital?
West Chester 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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