Complications & Deaths Measures
20
CMS-tracked
Georgia · Acute Care
Jefferson Hospital
Jefferson Hospital is a CMS-tracked acute care hospitals in Louisville, GA. CMS has not issued an overall star rating for this facility yet.
- 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.
1067 Peachtree St, Louisville, GA 30434 · Jefferson County · (478) 625-7000
The verdict
Jefferson Hospital is Medicare-certified but has no CMS overall star rating yet, typically a sign its reporting volumes fell below CMS thresholds during the latest measurement window. 20 individual quality measures are still on file.
- 0
- measures better than national of 3 compared
- Yes
- emergency department on site
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Emergency Services
Yes
Birthing Friendly
N/A
Patient Experience
17
HCAHPS domains
Infection Types
6
CDC NHSN
Better-than-national profile for Jefferson Hospital
Mortality 1 measure
Safety of care 0 measures
Readmission 2 measures
Better than national Same as national Worse than national
Quality Measures
| Measure | Score | vs. National |
|---|---|---|
| Abdominopelvic accidental puncture or laceration rate | N/A | Not Available |
| CMS Medicare PSI 90: Patient safety and adverse events composite | N/A | Not Available |
| Death rate among surgical inpatients with serious treatable complications | N/A | Not Available |
| Death rate for CABG surgery patients | N/A | Not Available |
| Death rate for COPD patients | N/A | Number of Cases Too Small |
| Death rate for heart attack patients | N/A | Number of Cases Too Small |
| Death rate for heart failure patients | N/A | Number of Cases Too Small |
| Death rate for pneumonia patients | 18.8 | Same as National |
| Death rate for stroke patients | N/A | Number of Cases Too Small |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | N/A | Number of Cases Too Small |
| Iatrogenic pneumothorax rate | 0.21 | Same as National |
| In-hospital fall-associated fracture rate | 0.27 | Same as National |
| Perioperative pulmonary embolism or deep vein thrombosis rate | N/A | Not Available |
| Postoperative acute kidney injury requiring dialysis rate | N/A | Not Available |
| Postoperative hemorrhage or hematoma rate | N/A | Not Available |
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 | 3 |
| Discharge information - linear mean score | N/A |
| Discharge information - star rating | 1 |
| Doctor communication - linear mean score | N/A |
| Doctor communication - star rating | 5 |
| Nurse communication - linear mean score | N/A |
| Nurse communication - star rating | 4 |
| Overall hospital rating - linear mean score | N/A |
| Overall hospital rating - star rating | 4 |
| Quietness - linear mean score | N/A |
| Quietness - star rating | 5 |
| 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) | N/A | Not Available |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | N/A | Not Available |
| Clostridium Difficile (C.Diff) | N/A | Not Available |
| MRSA Bacteremia | N/A | Not Available |
| SSI - Abdominal Hysterectomy | N/A | Not Available |
| SSI - Colon Surgery | N/A | Not Available |
Staffing & Spending
Unplanned Visits & Readmissions
| Measure | Score | vs. National |
|---|---|---|
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | N/A | Number of Cases Too Small |
| Heart failure (HF) 30-Day Readmission Rate | N/A | Number of Cases Too Small |
| Hospital return days for heart attack patients | N/A | Number of Cases Too Small |
| Hospital return days for heart failure patients | N/A | Number of Cases Too Small |
| Hospital return days for pneumonia patients | 27.3 | Average Days per 100 Discharges |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 15.2 | Same as National |
| Pneumonia (PN) 30-Day Readmission Rate | 15.6 | Same as National |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | N/A | Not Available |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | N/A | Not Available |
| Rate of readmission after hip/knee replacement | N/A | Not Available |
| Rate of readmission for CABG | N/A | Not Available |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | N/A | Number of Cases Too Small |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | N/A | Number of Cases Too Small |
| Ratio of unplanned hospital visits after hospital outpatient surgery | N/A | Not Available |
Medicare Spending
| Measure | Score |
|---|---|
| Medicare hospital spending per patient (Medicare Spending per Beneficiary) | N/A |
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 |
Nationwide hospitals with similar CMS profiles
Peer sets for Jefferson Hospital outside Georgia, keyed to the sparse better-than-national share.
Similar mortality outcomes
Nearest mortality measures rated better than national, outside GA (0 better here).
Nearby Hospitals in Georgia
Other Medicare-certified hospitals in Georgia.
One of 148 Medicare-certified hospitals in Georgia, 6 are shown here.
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
2/5
Acute Care Hospitals
Frequently Asked Questions
How does Jefferson Hospital compare to other hospitals on CMS star rating?
Jefferson Hospital has no CMS overall star rating, so it is excluded from the rated-hospital corpus placement (unrated).
What is the CMS star rating for Jefferson Hospital?
Jefferson Hospital does not currently have a CMS star rating, typically because reporting volumes fell below CMS's calculation threshold.
How does Jefferson Hospital perform on quality measures?
0 of 3 compared mortality, safety, and readmission measures rate better than the national average at Jefferson Hospital (sparse better-share tercile); 0 rate worse (quiet).
What do patients say about Jefferson Hospital?
Jefferson Hospital reports 17 HCAHPS patient-experience domain scores. Star ratings range from 1 to 5 out of 5.
What are the infection rates at Jefferson Hospital?
Jefferson Hospital tracks 6 healthcare-associated infection types (CDC NHSN). 0 are better than the national benchmark, 0 are worse, and 0 are at the national average.
Does Jefferson Hospital have emergency services?
Yes, Jefferson Hospital provides emergency services.
What type of hospital is Jefferson Hospital?
Jefferson Hospital is a Acute Care Hospitals facility with Government - Hospital District or Authority ownership, located in Louisville, GA.
How much does Medicare spend at Jefferson Hospital?
1 Medicare spending category is on file for Jefferson Hospital, per episode vs. the national median.
Does Jefferson Hospital offer maternal health services?
Yes, Jefferson Hospital reports 4 maternal health measures.
Read our methodology & full data source list · Source: CMS Hospital Compare · measure windows