Wellstar Kennestone Regional Medical Center

Hospital in Marietta, GA, Medicare certification number 110035. CMS publishes 66 quality measures for it.

Medicare certification

Provider of Services

CCN: 110035The 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: Government - Hospital District or Authority
Control type: Hospital district or authority
Participating since: Nov 6, 1972
Last certification: Jan 17, 2024
Beds: 633
Overall star rating: 4 of 5Care Compare
Address: 677 Church Street
Marietta, GA 30060
(770) 793-5000

NPI records for this facility 1

Kennestone Hospital, Inc.
- General Acute Care Hospital
- Marietta, GA
- NPI 1649248626
Medicare enrollment

Patient survey (HCAHPS) 9

Medicare Care Compare

Cleanliness - star rating Worse3 of 5
- State average 3.3 (computed here)
- National average 3.44 (computed here)
- Period from 10/01/2024
Communication about medicines - star rating Worse2 of 5
- State average 2.46 (computed here)
- National average 2.71 (computed here)
- Period from 10/01/2024
Discharge information - star rating Worse2 of 5
- State average 2.94 (computed here)
- National average 3.31 (computed here)
- Period from 10/01/2024
Doctor communication - star rating Worse2 of 5
- State average 3.08 (computed here)
- National average 3.12 (computed here)
- Period from 10/01/2024
Nurse communication - star rating Worse2 of 5
- State average 3.2 (computed here)
- National average 3.43 (computed here)
- Period from 10/01/2024
Overall hospital rating - star rating Worse3 of 5
- State average 3.27 (computed here)
- National average 3.29 (computed here)
- Period from 10/01/2024
Quietness - star rating Worse3 of 5
- State average 3.77 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024
Recommend hospital - star rating Worse3 of 5
- State average 3.6 (computed here)
- National average 3.64 (computed here)
- Period from 10/01/2024
Summary star rating Worse2 of 5
- State average 3.15 (computed here)
- National average 3.27 (computed here)
- Period from 10/01/2024

Complications and deaths 20

Medicare Care Compare

Abdominopelvic accidental puncture or laceration rate As expected1.78
- State average 1.07 (computed here)
- National average 1.06
- No different than the national rate
- 2,900 patients
- Period from 07/01/2022
CMS Medicare PSI 90: Patient safety and adverse events composite As expected1
- State average 1.07 (computed here)
- National average 1
- No different than the national value
- Period from 07/01/2022
Death rate among surgical inpatients with serious treatable complications As expected165.05
- State average 175.6 (computed here)
- National average 173.3
- No different than the national rate
- 280 patients
- Period from 07/01/2022
Death rate for CABG surgery patients As expected2.1
- State average 2.58 (computed here)
- National average 2.4
- No different than the national rate
- 258 patients
- Period from 07/01/2022
Death rate for COPD patients As expected7.2
- State average 8.69 (computed here)
- National average 8.6
- No different than the national rate
- 258 patients
- Period from 07/01/2022
Death rate for heart attack patients As expected9.9
- State average 12.11 (computed here)
- National average 11.9
- No different than the national rate
- 265 patients
- Period from 07/01/2022
Death rate for heart failure patients As expected9.4
- State average 10.84 (computed here)
- National average 11.1
- No different than the national rate
- 1,157 patients
- Period from 07/01/2022
Death rate for pneumonia patients As expected14.6
- State average 15.21 (computed here)
- National average 15.2
- No different than the national rate
- 1,099 patients
- Period from 07/01/2022
Death rate for stroke patients As expected9.6
- State average 12.45 (computed here)
- National average 11.9
- No different than the national rate
- 1,308 patients
- Period from 07/01/2023
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate Better2.7
- State average 4.08 (computed here)
- National average 3.9
- Better than the national rate
- 9,207 patients
- Period from 07/01/2024
Iatrogenic pneumothorax rate As expected0.13
- State average 0.22 (computed here)
- National average 0.21
- No different than the national rate
- 15,736 patients
- Period from 07/01/2022
In-hospital fall-associated fracture rate As expected0.29
- State average 0.28 (computed here)
- National average 0.27
- No different than the national rate
- 16,210 patients
- Period from 07/01/2022
Perioperative pulmonary embolism or deep vein thrombosis rate As expected4.67
- State average 3.81 (computed here)
- National average 3.52
- No different than the national rate
- 4,210 patients
- Period from 07/01/2022
Postoperative acute kidney injury requiring dialysis rate As expected2.18
- State average 1.8 (computed here)
- National average 1.67
- No different than the national rate
- 1,746 patients
- Period from 07/01/2022
Postoperative hemorrhage or hematoma rate As expected2.44
- State average 2.36 (computed here)
- National average 2.34
- No different than the national rate
- 3,670 patients
- Period from 07/01/2022
Postoperative respiratory failure rate As expected8.65
- State average 10.26 (computed here)
- National average 9.42
- No different than the national rate
- 1,692 patients
- Period from 07/01/2022
Postoperative sepsis rate As expected5.02
- State average 5.77 (computed here)
- National average 5.27
- No different than the national rate
- 1,707 patients
- Period from 07/01/2022
Postoperative wound dehiscence rate As expected2.15
- State average 1.74 (computed here)
- National average 1.77
- No different than the national rate
- 849 patients
- Period from 07/01/2022
Pressure ulcer rate As expected0.42
- State average 0.68 (computed here)
- National average 0.63
- No different than the national rate
- 13,860 patients
- Period from 07/01/2022
Rate of complications for hip/knee replacement patients As expected4
- State average 4.65 (computed here)
- National average 4.1
- No different than the national rate
- 43 patients
- Period from 04/01/2023

Infections 6

Medicare Care Compare

Catheter Associated Urinary Tract Infections (ICU + select Wards) Better0.19
- State average 0.39
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Central Line Associated Bloodstream Infection (ICU + select Wards) Better0.46
- State average 0.61
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
Clostridium Difficile (C.Diff) Better0.34
- State average 0.26
- National average 1
- Better than the national benchmark
- Period from 10/01/2024
MRSA Bacteremia As expected0.81
- State average 0.69
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Abdominal Hysterectomy As expected1.22
- State average 1.41
- National average 1
- No different than national benchmark
- Period from 10/01/2024
SSI - Colon Surgery Better0.35
- State average 1
- National average 1
- Better than the national benchmark
- Period from 10/01/2024

Outpatient imaging 2

Medicare Care Compare

Abdomen CT Use of Contrast Material 5.5
- State average 5.62 (computed here)
- National average 5.83 (computed here)
- Period from 07/01/2024
Breast Cancer Screening Recall Rates 12.5
- State average 6.41 (computed here)
- National average 8.08 (computed here)
- Period from 07/01/2024

Spending per patient 1

Medicare Care Compare

Medicare hospital spending per patient (Medicare Spending per Beneficiary) 0.95
- State average 0.97
- National average 0.99 (computed here)
- Period from 01/01/2024

Timely and effective care 15

Medicare Care Compare

Appropriate care for severe sepsis and septic shock 88
- State average 63
- National average 65
- 183 patients
- Period from 10/01/2024
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 better 266
- State average 169
- National average 168
- 372 patients
- Period from 10/01/2024
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 better 262
- State average 162
- National average 162
- 357 patients
- Period from 10/01/2024
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better 501
- State average 308
- National average 257
- 14 patients
- Period from 10/01/2024
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients 97
- State average 89
- National average 93
- 96 patients
- Period from 01/01/2024
Healthcare workers given influenza vaccination 85
- State average 76
- National average 78
- 8,785 patients
- Period from 10/01/2024
Hospital Harm - Severe Hyperglycemia 7
- State average 6.67 (computed here)
- National average 8.08 (computed here)
- 75,026 patients
- Period from 01/01/2024
Intensive Care Unit Venous Thromboembolism Prophylaxis 100
- State average 95.53 (computed here)
- National average 93.49 (computed here)
- 5,030 patients
- Period from 01/01/2024
Left before being seen 1
- State average 2
- National average 2
- 147,726 patients
- Period from 01/01/2024
Safe Use of Opioids - Concurrent Prescribing 15
- State average 15
- National average 15
- 12,415 patients
- Period from 01/01/2024
Septic Shock 3-Hour Bundle 95
- State average 73
- National average 73
- 80 patients
- Period from 10/01/2024
Septic Shock 6-Hour Bundle 100
- State average 84
- National average 87
- 53 patients
- Period from 10/01/2024
Severe Sepsis 3-Hour Bundle 92
- State average 80
- National average 81
- 183 patients
- Period from 10/01/2024
Severe Sepsis 6-Hour Bundle 99
- State average 92
- National average 93
- 107 patients
- Period from 10/01/2024
Venous Thromboembolism Prophylaxis 99
- State average 83.63 (computed here)
- National average 82.23 (computed here)
- 21,980 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (15)

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 — 5
Emergency department volume — very high
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 Hypoglycemia — 5
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery — 5
ST-Segment Elevation Myocardial Infarction (STEMI) — 1

Unplanned visits 13

Medicare Care Compare

Acute Myocardial Infarction (AMI) 30-Day Readmission Rate As expected14.9
- State average 14.35 (computed here)
- National average 14.4
- No different than the national rate
- 465 patients
- Period from 07/01/2023
Heart failure (HF) 30-Day Readmission Rate As expected20.5
- State average 21.19 (computed here)
- National average 21.3
- No different than the national rate
- 1,756 patients
- Period from 07/01/2023
Hospital return days for heart attack patients 11.5
- State average 5.31 (computed here)
- National average 6.71 (computed here)
- Average days per 100 discharges
- 332 patients
- Period from 07/01/2022
Hospital return days for heart failure patients 1.7
- State average 12.52 (computed here)
- National average 4.02 (computed here)
- Average days per 100 discharges
- 1,319 patients
- Period from 07/01/2022
Hospital return days for pneumonia patients 25.6
- State average 12.69 (computed here)
- National average 5.65 (computed here)
- Average days per 100 discharges
- 1,139 patients
- Period from 07/01/2022
Pneumonia (PN) 30-Day Readmission Rate As expected18
- State average 17.41 (computed here)
- National average 17.3
- No different than the national rate
- 1,629 patients
- Period from 07/01/2023
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy As expected5.1
- State average 5.23 (computed here)
- National average 5.4
- No different than the national rate
- 55 patients
- Period from 01/01/2024
Rate of inpatient admissions for patients receiving outpatient chemotherapy As expected9.6
- State average 10.62 (computed here)
- National average 10.7
- No different than the national rate
- 55 patients
- Period from 01/01/2024
Rate of readmission after hip/knee replacement As expected5.6
- State average 5.93 (computed here)
- National average 5.8
- No different than the national rate
- 37 patients
- Period from 07/01/2023
Rate of readmission for CABG As expected12
- State average 11.83 (computed here)
- National average 11
- No different than the national rate
- 316 patients
- Period from 07/01/2023
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients As expected20.9
- State average 19.84 (computed here)
- National average 20
- No different than the national rate
- 475 patients
- Period from 07/01/2023
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) As expected12.1
- State average 12.97 (computed here)
- National average 13
- No different than the national rate
- 1,036 patients
- Period from 01/01/2022
Ratio of unplanned hospital visits after hospital outpatient surgery As expected0.9
- State average 0.97 (computed here)
- National average 1.01 (computed here)
- No different than expected
- 1,406 patients
- Period from 01/01/2024

Measures CMS does not publish for this facility (1)

Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) — 4

Sources for this page

Provider of Services: the certification, provider type, beds and status.
Medicare Care Compare: the star rating and every measure on this page, with the state and national rates CMS publishes beside them.
NPPES NPI Registry: the NPI records connected to this certification.

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.