Complications & Deaths Measures
20
CMS-tracked
Georgia · Acute Care
Emory Decatur Hospital
Emory Decatur Hospital holds a 1 of 5 CMS overall star rating - below the national average of 3.1 - in Decatur, GA.
- 1★
- CMS overall rating
- 0th
- National percentile
- 20
- Quality measures
- 6
- Infection types
Data currency: Hospital quality, safety, and patient-experience measures from the CMS Care Compare program (published quarterly), last refreshed May 2026. See our methodology for source dates. Spot a figure that looks wrong? Report a correction.
2701 N Decatur Road, Decatur, GA 30033 · De Kalb County · (404) 501-1000
The verdict
Emory Decatur Hospital earns 1 of 5 stars from CMS - below the 3.1-star national average, and reports 2 quality measures better than the national benchmark against 1 worse.
- 1 / 5
- CMS overall star rating
- Higher than 0%
- of 2,866 rated US hospitals
- 2
- measures better than national of 24 compared
- No
- emergency department on site
Where Emory Decatur Hospital sits among rated US hospitals
1 Top 100% higher than 0% of 2,866 rated hospitals
Each bar is a band; taller bars hold more rated hospitals. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.
Source CMS Hospital Compare, overall hospital rating · 2026-05-15
Emory Decatur Hospital vs. Georgia and the nation
- Emory Decatur Hospital 1
Emory Decatur Hospital
1 stars
- Georgia avg
Georgia state average
2.6 stars
- US avg
National average
3.1 stars
What this shows At 1 stars, Emory Decatur Hospital rates below the Georgia average of 2.6 and below the national average of 3.1.
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Emergency Services
No
Birthing Friendly
Yes
Patient Experience
17
HCAHPS domains
Infection Types
6
CDC NHSN
CMS Overall Star Rating 20.0%
1 of 5 stars
Quality profile vs. the national benchmark
Mortality 6 measures
Safety of care 8 measures
Readmission 10 measures
Better than national Same as national Worse than national
Quality Measures
| Measure | Score | vs. National |
|---|---|---|
| Abdominopelvic accidental puncture or laceration rate | 2.2 | Worse than National |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 1.45 | Worse than National |
| Death rate among surgical inpatients with serious treatable complications | 213.29 | Same as National |
| Death rate for CABG surgery patients | N/A | Not Available |
| Death rate for COPD patients | 10.1 | Same as National |
| Death rate for heart attack patients | 14.3 | Same as National |
| Death rate for heart failure patients | 9.4 | Same as National |
| Death rate for pneumonia patients | 15.8 | Same as National |
| Death rate for stroke patients | 10.8 | Same as National |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4.1 | Same as National |
| Iatrogenic pneumothorax rate | 0.24 | Same as National |
| In-hospital fall-associated fracture rate | 0.28 | Same as National |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.46 | Same as National |
| Postoperative acute kidney injury requiring dialysis rate | 2.52 | Same as National |
| Postoperative hemorrhage or hematoma rate | 2.55 | Same as National |
Patient Experience (HCAHPS)
Experience profile vs. the national average
Source: CMS Hospital Compare, HCAHPS patient survey star ratings.
| Survey Question | Star Rating |
|---|---|
| Cleanliness - linear mean score | N/A |
| Cleanliness - star rating | 2 |
| Communication about medicines - linear mean score | N/A |
| Communication about medicines - star rating | 2 |
| Discharge information - linear mean score | N/A |
| Discharge information - star rating | 3 |
| Doctor communication - linear mean score | N/A |
| Doctor communication - star rating | 4 |
| Nurse communication - linear mean score | N/A |
| Nurse communication - star rating | 3 |
| Overall hospital rating - linear mean score | N/A |
| Overall hospital rating - star rating | 3 |
| Quietness - linear mean score | N/A |
| Quietness - star rating | 3 |
| Recommend hospital - linear mean score | N/A |
| Recommend hospital - star rating | 3 |
| Summary star rating | 3 |
Safety & Infections
| Measure | Score | vs. National |
|---|---|---|
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.861 | Same as National |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.225 | Better than National |
| Clostridium Difficile (C.Diff) | 0.414 | Better than National |
| MRSA Bacteremia | 0.228 | Better than National |
| SSI - Abdominal Hysterectomy | 1.538 | Same as National |
| SSI - Colon Surgery | 1.035 | Same as National |
Staffing & Spending
Unplanned Visits & Readmissions
| Measure | Score | vs. National |
|---|---|---|
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 14.6 | Same as National |
| Heart failure (HF) 30-Day Readmission Rate | 20 | Same as National |
| Hospital return days for heart attack patients | 69 | More Days Than Average per 100 Discharges |
| Hospital return days for heart failure patients | 30.9 | More Days Than Average per 100 Discharges |
| Hospital return days for pneumonia patients | 5.2 | Average Days per 100 Discharges |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 14.7 | Same as National |
| Pneumonia (PN) 30-Day Readmission Rate | 15.9 | Same as National |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | 5.3 | Same as National |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | 10.1 | Same as National |
| Rate of readmission after hip/knee replacement | 5.6 | Same as National |
| Rate of readmission for CABG | N/A | Not Available |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 19.1 | Same as National |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.3 | Same as National |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 0.9 | Same as National |
Medicare Spending
| Measure | Score |
|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary) | 0.97 |
Maternal Health
| Measure | Score |
|---|---|
| Cesarean Birth | N/A |
| Maternal Morbidity Structural Measure | N/A |
| Risk Adjusted Severe Obstetric Complications (All) | N/A |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | N/A |
Nearby Hospitals in Georgia
Other Medicare-certified hospitals in Georgia.
Adventhealth Gordon
Calhoun, GA
3/5
Acute Care Hospitals
Adventhealth Murray
Chatsworth, GA
5/5
Acute Care Hospitals
Adventhealth Redmond
Rome, GA
4/5
Acute Care Hospitals
Appling Healthcare
Baxley, GA
No rating Acute Care Hospitals
Archbold Brooks
Quitman, GA
No rating Critical Access Hospitals
Archbold Memorial Hospital
Thomasville, GA
3/5
Acute Care Hospitals
Hospital Quality Guides
Frequently Asked Questions
What is the CMS star rating for Emory Decatur Hospital?
Emory Decatur Hospital has an overall CMS star rating of 1 out of 5, below the 3.1-star national average.
How does Emory Decatur Hospital perform on quality measures?
2 of 24 compared mortality, safety, and readmission measures rate better than the national average at Emory Decatur Hospital; 1 rate worse.
What do patients say about Emory Decatur Hospital?
Emory Decatur Hospital reports 17 HCAHPS patient-experience domain scores. Star ratings range from 2 to 4 out of 5.
What are the infection rates at Emory Decatur Hospital?
Emory Decatur Hospital tracks 6 healthcare-associated infection types (CDC NHSN). 3 are better than the national benchmark, 0 are worse, and 3 are at the national average.
Does Emory Decatur Hospital have emergency services?
No, Emory Decatur Hospital does not provide emergency services. For emergencies, seek care at a nearby facility with an emergency department.
What type of hospital is Emory Decatur Hospital?
Emory Decatur Hospital is a Acute Care Hospitals facility with Voluntary non-profit - Private ownership, located in Decatur, GA. This facility has received the CMS Birthing-Friendly designation.
How much does Medicare spend at Emory Decatur Hospital?
1 Medicare spending category is on file for Emory Decatur Hospital, per episode vs. the national median.
Does Emory Decatur Hospital offer maternal health services?
Yes, Emory Decatur Hospital reports 4 maternal health measures. This facility has been designated as Birthing-Friendly by CMS.
Data Sources
Source: Centers for Medicare & Medicaid Services (CMS) Hospital Compare. Last refreshed from CMS: . About PlainHospital
Read our methodology & full data source list
Every figure on PlainHospital is rendered directly from federal source data, no number is typed in by an editor. This page draws directly on federal source data, no figure is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error.