NPIMap

Upson Regional Medical Center

Hospital in Thomaston, GA, Medicare certification number 110002. CMS publishes 51 quality measures for it.

Medicare certification

Provider of Services
CCN
110002The number CMS certifies the facility under, not a provider identifier
Status
Active
Provider type
Hospital – Short-term
Listed by Care Compare as
Acute Care Hospitals
Ownership
Voluntary non-profit - Other
Control type
Hospital district or authority
Participating since
Jul 1, 1966
Last certification
Feb 5, 2026
Beds
119
Overall star rating
1 of 5Care Compare
Address
801 W Gordon Street
Thomaston, GA 30286
(706) 647-8111

NPI records for this facility 1

Patient survey (HCAHPS) 9

Medicare Care Compare

Complications and deaths 14

Medicare Care Compare
Measures CMS does not publish for this facility (6)
  • Death rate among surgical inpatients with serious treatable complications — 1
  • Death rate for CABG surgery patients — 5
  • Postoperative acute kidney injury requiring dialysis rate — 1
  • Postoperative respiratory failure rate — 1
  • Postoperative sepsis rate — 1
  • Rate of complications for hip/knee replacement patients — 1

Infections 3

Medicare Care Compare
Measures CMS does not publish for this facility (3)
  • Central Line Associated Bloodstream Infection (ICU + select Wards) — 13
  • MRSA Bacteremia — 13
  • SSI - Abdominal Hysterectomy — 13

Outpatient imaging 2

Medicare Care Compare

Spending per patient 1

Medicare Care Compare

Timely and effective care 14

Medicare Care Compare
Measures CMS does not publish for this facility (16)
  • Anticoagulation Therapy for Atrial Fibrillation/Flutter — 5
  • Antithrombotic Therapy by End of Hospital Day 2 — 5
  • Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better — 1
  • Discharged on Antithrombotic Therapy — 1
  • Emergency department volume — medium
  • Global Malnutrition Composite Score — 5
  • Global Malnutrition Composite Score: Malnutrition Diagnosis Documented — 5
  • Global Malnutrition Composite Score: Malnutrition Risk Screening — 5
  • Global Malnutrition Composite Score: Nutrition Assessment — 5
  • Global Malnutrition Composite Score: Nutritional Care Plan — 5
  • Head CT results — 1
  • Hospital Harm - Opioid Related Adverse Events — 5
  • Hospital Harm - Severe Hyperglycemia — 5
  • Hospital Harm - Severe Hypoglycemia — 5
  • Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
  • ST-Segment Elevation Myocardial Infarction (STEMI) — 5

Unplanned visits 8

Medicare Care Compare
Measures CMS does not publish for this facility (6)
  • Hospital return days for heart attack patients — 1
  • Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4
  • Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy — 1
  • Rate of inpatient admissions for patients receiving outpatient chemotherapy — 1
  • Rate of readmission after hip/knee replacement — 1
  • Rate of readmission for CABG — 5

Sources for this page

Better and worse are CMS's own comparison with the national rate, not ours: for most measures a low score is the good one (deaths, infections) and for others a high one is, so measures where CMS states no comparison are left uncoloured. The exception is star ratings, which are read against the national average here. Quality measures are published by CMS and are not adjusted or re-scored here. Averages marked “computed here” are the mean of every facility reporting that measure, worked out by NPIMap because CMS publishes no comparison for it. Confirm anything you rely on at Medicare Care Compare.