WELLSPAN EPHRATA COMMUNITY HOSPITAL Review

Get Information, Ratings, Surveys, and Compare WELLSPAN EPHRATA COMMUNITY HOSPITAL to other hospitals

Overall Hospital Rating: ; HCAPS approval: 63%

Database data as of January 31, 2024

A Review of the Data

Prepared by Richard Saunders as of January 31, 2024.

The Centers for Medicare & Medicaid Services ("CMS") distributes more than 80 tables of data on hospitals on a quarterly basis. That is a lot of information to pour through to try and build a comprehensive review of WELLSPAN EPHRATA COMMUNITY HOSPITAL. Luckily, we are here to help! I’ve put together this page to help you to get a better idea of what the hospital does, who is affiliated with it, share any patient survey data and much more. (If you want to jump to a specific section of the review, here are the section headers: General Hospital Data, Ratings, Cost Analysis, Infections, Comparison, Nearby Skilled Nursing Facilities, Doctors Associated with WELLSPAN EPHRATA COMMUNITY HOSPITAL, Survey Analysis.)

In the briefest summary, WELLSPAN EPHRATA COMMUNITY HOSPITAL is one of the types of hospitals called Acute Care Hospitals. It is in EPHRATA, PA. Its five star rating is 4 . Its type of ownership is Voluntary non-profit - Other. The facility's Medicare ID is 390225. It does provide emergency services. There are 480 medical professionals and 112 doctor groups affiliated with the hospital. On average at WELLSPAN EPHRATA COMMUNITY HOSPITAL, emergency patients were charged $23,378. This is lower than the state average of $25,156. It is also lower than the national average of $25,828.

According to the Hospital Consumer Assessment of Healthcare Providers and Systems ("HCAHPS") that ended in September 30, 2021, 63% of the patients surveyed definitely recommended WELLSPAN EPHRATA COMMUNITY HOSPITAL, while only 5% did not recommend going to WELLSPAN EPHRATA COMMUNITY HOSPITAL.

The information presented below is based on data provided by U.S. Centers for Medicare & Medicaid Services (CMS). It is updated as new data is made available.

General Information for WELLSPAN EPHRATA COMMUNITY HOSPITAL

Address:

169 MARTIN AVENUE
EPHRATA, PA 17522
(717) 733-0311
Click for Map

Medicare Provider Number:

390225

Type:

Acute Care Hospitals

Ownership:

Voluntary non-profit - Other

Overall Hospital Quality Star Rating for WELLSPAN EPHRATA COMMUNITY HOSPITAL

Overall Rating:



The Overall Hospital Quality Star Rating for WELLSPAN EPHRATA COMMUNITY HOSPITAL summarizes a variety of measures across 5 areas of quality into a single star rating for each hospital. Once reporting thresholds are met, a hospital’s Overall Star Rating is calculated using only those measures for which data are available. Hospitals report data to The Centers for Medicare & Medicaid Services ("CMS") through the Hospital Inpatient Quality Reporting (IQR) Program, Hospital Outpatient Quality Reporting (OQR) Program, Hospital Readmission Reduction Program (HRRP), Hospital-Acquired Condition (HAC) Reduction Program, and Hospital Value-Based Purchasing (VBP) Program. Overall Star Ratings aren’t calculated for Veterans Health Administration (VHA) or Department of Defense (DoD) hospitals.

Most hospitals will have an Overall Hospital Quality Star Rating of 3.

National distribution of the Overall Hospital Quality Star Rating The following table shows the national distribution of the Overall Star Rating based on July 2022 results.

Overall rating Number of hospitals / Percentage
1 star 198 (6.34%)
2 stars 702 (22.49%)
3 stars 895 (28.68%)
4 stars 895 (28.68%)
5 stars 431 (13.81%)
N/A 1,368 (30.47%)

Additional detailed on the method for calculating the Overall Hospital Quality Star Rating from this document.

Patient Survey Results

Below is information compiled by CMS on the percentage of patients who respond to specific treatments and a comparison of the results for WELLSPAN EPHRATA COMMUNITY HOSPITAL to the national results for similar facilities.

Survey Question Response
Patients who reported that their nurses "Always" communicated well 77 %
Patients who reported that their nurses "Sometimes" or "Never" communicated well 4 %
Patients who reported that their nurses "Usually" communicated well 19 %
Nurse communication - linear mean score Not Applicable
Nurse communication - star rating Not Applicable
Patients who reported that their nurses "Always" treated them with courtesy and respect 86 %
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect 3 %
Patients who reported that their nurses "Usually" treated them with courtesy and respect 11 %
Patients who reported that their nurses "Always" listened carefully to them 72 %
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them 4 %
Patients who reported that their nurses "Usually" listened carefully to them 24 %
Patients who reported that their nurses "Always" explained things in a way they could understand 71 %
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand 4 %
Patients who reported that their nurses "Usually" explained things in a way they could understand 25 %
Patients who reported that their doctors "Always" communicated well 75 %
Patients who reported that their doctors "Sometimes" or "Never" communicated well 5 %
Patients who reported that their doctors "Usually" communicated well 20 %
Doctor communication - linear mean score Not Applicable
Doctor communication - star rating Not Applicable
Patients who reported that their doctors "Always" treated them with courtesy and respect 84 %
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect 3 %
Patients who reported that their doctors "Usually" treated them with courtesy and respect 13 %
Patients who reported that their doctors "Always" listened carefully to them 71 %
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them 5 %
Patients who reported that their doctors "Usually" listened carefully to them 24 %
Patients who reported that their doctors "Always" explained things in a way they could understand 69 %
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand 7 %
Patients who reported that their doctors "Usually" explained things in a way they could understand 24 %
Patients who reported that they "Always" received help as soon as they wanted 62 %
Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted 8 %
Patients who reported that they "Usually" received help as soon as they wanted 30 %
Staff responsiveness - linear mean score Not Applicable
Staff responsiveness - star rating Not Applicable
Patients who reported that they "Always" received help after using the call button as soon as they wanted 58 %
Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wanted 9 %
Patients who reported that they "Usually" received help after using the call button as soon as they wanted 33 %
Patients who reported that they "Always" received bathroom help as soon as they wanted 67 %
Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wanted 8 %
Patients who reported that they "Usually" received bathroom help as soon as they wanted 25 %
Patients who reported that staff "Always" explained about medicines before giving it to them 51 %
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them 25 %
Patients who reported that staff "Usually" explained about medicines before giving it to them 24 %
Communication about medicines - linear mean score Not Applicable
Communication about medicines - star rating Not Applicable
Patients who reported that when receiving new medication the staff "Always" communicated what the medication was for 66 %
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for 11 %
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. 23 %
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects 36 %
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects 39 %
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects 25 %
Patients who reported that NO, they were not given information about what to do during their recovery at home 11 %
Patients who reported that YES, they were given information about what to do during their recovery at home 89 %
Discharge information - linear mean score Not Applicable
Discharge information - star rating Not Applicable
Patients who reported that NO, they did not discuss whether they would need help after discharge 9 %
Patients who reported that YES, they did discuss whether they would need help after discharge 91 %
Patients who reported that NO, they did not receive written information about possible symptoms to look out for after discharge 14 %
Patients who reported that YES, they did receive written information about possible symptoms to look out for after discharge 86 %
Patients who "Agree" they understood their care when they left the hospital 48 %
Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospital 5 %
Patients who "Strongly Agree" they understood their care when they left the hospital 47 %
Care transition - linear mean score Not Applicable
Care transition - star rating Not Applicable
Patients who "Agree" that the staff took my preferences into account when determining my health care needs 54 %
Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs 5 %
Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs 41 %
Patients who "Agree" that they understood their responsiblities in managing their health 50 %
Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health 4 %
Patients who "Strongly Agree" that they understood their responsiblities in managing their health 46 %
Patients who "Agree" that they understood the purposes of their medications when leaving the hospital 41 %
Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital 5 %
Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital 54 %
Patients who reported that their room and bathroom were "Always" clean 62 %
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean 12 %
Patients who reported that their room and bathroom were "Usually" clean 26 %
Cleanliness - linear mean score Not Applicable
Cleanliness - star rating Not Applicable
Patients who reported that the area around their room was "Always" quiet at night 43 %
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night 19 %
Patients who reported that the area around their room was "Usually" quiet at night 38 %
Quietness - linear mean score Not Applicable
Quietness - star rating Not Applicable
Patients who gave their hospital a rating of 6 or lower on a scale from 0 (lowest) to 10 (highest) 7 %
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) 26 %
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) 67 %
Overall hospital rating - linear mean score Not Applicable
Overall hospital rating - star rating Not Applicable
Patients who reported NO, they would probably not or definitely not recommend the hospital 5 %
Patients who reported YES, they would definitely recommend the hospital 63 %
Patients who reported YES, they would probably recommend the hospital 32 %
Recommend hospital - linear mean score Not Applicable
Recommend hospital - star rating Not Applicable
Summary star rating Not Applicable

Cost of WELLSPAN EPHRATA COMMUNITY HOSPITAL, Compare to National and State Averages

Understanding how much a hospital is going to cost is extremely difficult. Hospitals themselves actively obscure what they charge and have negotiated different rates with different insurers. Then you have the problem of the wide variety of treatments which the WELLSPAN EPHRATA COMMUNITY HOSPITAL provides.

To provide some standard metric to compare hospital costs, CMS publishes the MSPB (or "Medicare Spending Per Beneficiary"). Even though you may not be on Medicare, this metric may still be useful. The MSPB is expressed as a percentage compared to the national average for costs that Medicare incurs. A percentage higher than 100% means the hospital charges more than the national average while a percentage less than 100% means the hospital charges less than the national average.

MSPB for WELLSPAN EPHRATA COMMUNITY HOSPITAL: Not Available

Detailed table for spending and period for patients at WELLSPAN EPHRATA COMMUNITY HOSPITAL:

Type Amount
Home Health Agency (1 to 3 days Prior to Index Hospital Admission) $18
Hospice (1 to 3 days Prior to Index Hospital Admission) $0
Inpatient (1 to 3 days Prior to Index Hospital Admission) $0
Outpatient (1 to 3 days Prior to Index Hospital Admission) $36
Skilled Nursing Facility (1 to 3 days Prior to Index Hospital Admission) $1
Durable Medical Equipment (1 to 3 days Prior to Index Hospital Admission) $14
Carrier (1 to 3 days Prior to Index Hospital Admission) $596
Home Health Agency (During Index Hospital Admission) $0
Hospice (During Index Hospital Admission) $0
Inpatient (During Index Hospital Admission) $11,460
Outpatient (During Index Hospital Admission) $0
Skilled Nursing Facility (During Index Hospital Admission) $0
Durable Medical Equipment (During Index Hospital Admission) $24
Carrier (During Index Hospital Admission) $1,418
Home Health Agency (1 through 30 days After Discharge from Index Hospital Admission) $841
Hospice (1 through 30 days After Discharge from Index Hospital Admission) $250
Inpatient (1 through 30 days After Discharge from Index Hospital Admission) $3,506
Outpatient (1 through 30 days After Discharge from Index Hospital Admission) $839
Skilled Nursing Facility (1 through 30 days After Discharge from Index Hospital Admission) $3,191
Durable Medical Equipment (1 through 30 days After Discharge from Index Hospital Admission) $135
Carrier (1 through 30 days After Discharge from Index Hospital Admission) $1,048
Total (Complete Episode) $23,378

Infection Rates at WELLSPAN EPHRATA COMMUNITY HOSPITAL

These measures show how often patients at WELLSPAN EPHRATA COMMUNITY HOSPITAL contract certain infections during the course of their medical treatment, when compared to other hospitals nationally.

Infection Type Score / Compare to National Average
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit -- / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit 1.87 / Same
Central Line Associated Bloodstream Infection: Number of Device Days 2,195.00 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases 1.61 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases 0.00 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards) 0.00 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit -- / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit 1.24 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days 3,377.00 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases 2.42 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases 0.00 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards) 0.00 / Same
SSI - Colon Surgery: Lower Confidence Limit 0.04 / Same
SSI - Colon Surgery: Upper Confidence Limit 4.21 / Same
SSI - Colon Surgery: Number of Procedures 46.00 / Same
SSI - Colon Surgery: Predicted Cases 1.17 / Same
SSI - Colon Surgery: Observed Cases 1.00 / Same
SSI - Colon Surgery 0.85 / Same
SSI - Abdominal Hysterectomy: Lower Confidence Limit Not Available / Not Available
SSI - Abdominal Hysterectomy: Upper Confidence Limit Not Available / Not Available
SSI - Abdominal Hysterectomy: Number of Procedures 26.00 / Not Available
SSI - Abdominal Hysterectomy: Predicted Cases 0.27 / Not Available
SSI - Abdominal Hysterectomy: Observed Cases 0.00 / Not Available
SSI - Abdominal Hysterectomy Not Available / Not Available
MRSA Bacteremia: Lower Confidence Limit Not Available / Not Available
MRSA Bacteremia: Upper Confidence Limit Not Available / Not Available
MRSA Bacteremia: Patient Days 27,756.00 / Not Available
MRSA Bacteremia: Predicted Cases 0.99 / Not Available
MRSA Bacteremia: Observed Cases 0.00 / Not Available
MRSA Bacteremia Not Available / Not Available
Clostridium Difficile (C.Diff): Lower Confidence Limit 0.18 / Same
Clostridium Difficile (C.Diff): Upper Confidence Limit 1.11 / Same
Clostridium Difficile (C.Diff): Patient Days 25,863.00 / Same
Clostridium Difficile (C.Diff): Predicted Cases 9.95 / Same
Clostridium Difficile (C.Diff): Observed Cases 5.00 / Same
Clostridium Difficile (C.Diff) 0.50 / Same

How WELLSPAN EPHRATA COMMUNITY HOSPITAL Compares to Other Similar Facilities

This is how WELLSPAN EPHRATA COMMUNITY HOSPITAL compares to other similar hospitals nationally based on data provided to CMS.

Top Hospitals in EPHRATA, PA

Worst Hospitals in EPHRATA, PA

Percentages of Complications and Deaths at WELLSPAN EPHRATA COMMUNITY HOSPITAL

Measure Score Compared to National Rates
Rate of complications for hip/knee replacement patients 3.2% SAME
Death rate for heart attack patients 10.5% SAME
Death rate for CABG surgery patients NA Not Enough Data
Death rate for COPD patients 9.4% SAME
Death rate for heart failure patients 11.8% SAME
Death rate for pneumonia patients 21.1% SAME
Death rate for stroke patients 12.6% SAME
Pressure ulcer rate 0.25% SAME
Death rate among surgical inpatients with serious treatable complications NA Not Enough Data
Iatrogenic pneumothorax rate 0.22% SAME
In-hospital fall with hip fracture rate 0.09% SAME
Postoperative hemorrhage or hematoma rate 2.53% SAME
Postoperative acute kidney injury requiring dialysis rate 1.48% SAME
Postoperative respiratory failure rate 8.58% SAME
Perioperative pulmonary embolism or deep vein thrombosis rate 3.56% SAME
Postoperative sepsis rate 4.68% SAME
Postoperative wound dehiscence rate 1.89% SAME
Abdominopelvic accidental puncture or laceration rate 0.95% SAME
CMS Medicare PSI 90: Patient safety and adverse events composite 0.86% SAME

Skilled Nursing Facilities Near WELLSPAN EPHRATA COMMUNITY HOSPITAL

Many hospital patients are not ready to return home after a hospital visit. If recovery is going to be protracted, doctors will often advise that the patients recuperate at a skilled nursing facility. Below is a list of the skilled nursing homes near WELLSPAN EPHRATA COMMUNITY HOSPITAL ranked by their CMS 5-Star Overall Rating.

Facility Name Overall Rating
Quarryville Presbyterian Retirement Community 5:
Glen at Willow Valley 5:
Inn at Freedom Village,the 5:
St Anne's Retirement Community 5:
Homestead Village, Inc 5:
Tel Hai Retirement Community 5:
Calvary Fellowship Homes Inc 5:
The Mennonite Home 5:
Hickory House Nursing Home 5:
Garden Spot Village 5:
Rehabilitation Center at Brethren Village LLC 5:
Landis Homes 5:
Fairmount Homes 5:
Masonic Village at Elizabethtown 5:
Luther Acres Manor 5:
Moravian Manor 5:
Maple Farm 5:
United Zion Retirement Communi 5:
Cornwall Manor 5:
Lebanon Valley Brethren Home 5:
Highlands at Wyomissing 5:
Spang Crest Manor 5:
Lebanon Valley Home The 5:
Spruce Manor Nursing and Rehabilitation Center 5:
Transitional Sub-Acute Unit 5:
Stoneridge Towne Centre 5:
Lakeside at Willow Valley 4:
Hamilton Arms Center 4:
Ephrata Manor 4:
Zerbe Sisters Nursing Center 4:
Pleasant View Communities 4:
Mt Hope Nazarene Retirement Community 4:
The Gardens at Stevens 4:
Complete Care at Berkshire LLC 4:
Fairlane Gardens Nursing and Rehab at Reading 4:
Phoebe Berks 4:
Stoneridge Poplar Run 4:
Laureldale Skilled Nursing and Rehabilitation Cent 4:
Twin Pines Health Care Center 3:
Abbeyville Skilled Nursing and Rehabilitation Cent 3:
Brethren Village 3:
Mifflin Center 3:
Lebanon Skilled Nursing and Rehabilitation Center 3:
Wyomissing Health and Rehabilitation Center 3:
Berks County Home- Berks Heim 3:
Inners Creek Skilled Nursing and Rehabilitation Ce 2:
St Martha Center For Rehabilitation and Healthcare 2:
Lancaster Nursing and Rehabilitation Center 2:
Neffsville Nursing and Rehabilitation 2:
Emerald Nursing and Rehabilitation 2:
Kadima Rehabilitation and Nursing at Campbelltown 2:
Sinking Spring Skilled Nursing and Rehabilitation 2:
Cedar Haven Healthcare Center 2:
West Reading Skilled Nursing and Rehabilitation Ce 2:
Willow Brook Rehabilitation and Healthcare Center 2:
Newport Meadows Health and Rehabilitation Center 1:
Susquehanna Health and Wellness Center 1:
Rose City Nursing and Rehab at Lancaster 1:
Elizabethtown Nursing and Rehabilitation 1:
Kadima Rehabilitation and Nursing at Lititz 1:
Kadima Rehabilitation and Nursing at Palmyra 1:

Medical Groups Affiliated with WELLSPAN EPHRATA COMMUNITY HOSPITAL

There are 480 doctors and 112 medical groups that are affiliated with WELLSPAN EPHRATA COMMUNITY HOSPITAL.

Affiliated Doctor Groups


The list of medical professionals associated with WELLSPAN EPHRATA COMMUNITY HOSPITAL is very long, so we have added another pages. See a list of medical professionals associated with WELLSPAN EPHRATA COMMUNITY HOSPITAL.