WELLSTAR DOUGLAS HOSPITAL Review

Get Information, Ratings, Surveys, and Compare WELLSTAR DOUGLAS HOSPITAL to other hospitals

Overall Hospital Rating: ; HCAPS approval: 60%

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 WELLSTAR DOUGLAS 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 WELLSTAR DOUGLAS HOSPITAL, Survey Analysis.)

In the briefest summary, WELLSTAR DOUGLAS HOSPITAL is one of the types of hospitals called Acute Care Hospitals. It is in DOUGLASVILLE, GA. Its five star rating is 4 . Its type of ownership is Voluntary non-profit - Private. The facility's Medicare ID is 110184. It does provide emergency services. There are 493 medical professionals and 84 doctor groups affiliated with the hospital. On average at WELLSTAR DOUGLAS HOSPITAL, emergency patients were charged $23,313. This is lower than the state average of $25,162. 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, 60% of the patients surveyed definitely recommended WELLSTAR DOUGLAS HOSPITAL, while only 10% did not recommend going to WELLSTAR DOUGLAS 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 WELLSTAR DOUGLAS HOSPITAL

Address:

8954 HOSPITAL DRIVE
DOUGLASVILLE, GA 30134
(770) 949-1500
Click for Map

Medicare Provider Number:

110184

Type:

Acute Care Hospitals

Ownership:

Voluntary non-profit - Private

Overall Hospital Quality Star Rating for WELLSTAR DOUGLAS HOSPITAL

Overall Rating:



The Overall Hospital Quality Star Rating for WELLSTAR DOUGLAS 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 WELLSTAR DOUGLAS HOSPITAL to the national results for similar facilities.

Survey Question Response
Patients who reported that their nurses "Always" communicated well 72 %
Patients who reported that their nurses "Sometimes" or "Never" communicated well 9 %
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 78 %
Patients who reported that their nurses "Sometimes" or "Never" treated them with courtesy and respect 6 %
Patients who reported that their nurses "Usually" treated them with courtesy and respect 16 %
Patients who reported that their nurses "Always" listened carefully to them 69 %
Patients who reported that their nurses "Sometimes" or "Never" listened carefully to them 9 %
Patients who reported that their nurses "Usually" listened carefully to them 22 %
Patients who reported that their nurses "Always" explained things in a way they could understand 68 %
Patients who reported that their nurses "Sometimes" or "Never" explained things in a way they could understand 11 %
Patients who reported that their nurses "Usually" explained things in a way they could understand 21 %
Patients who reported that their doctors "Always" communicated well 76 %
Patients who reported that their doctors "Sometimes" or "Never" communicated well 7 %
Patients who reported that their doctors "Usually" communicated well 17 %
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 81 %
Patients who reported that their doctors "Sometimes" or "Never" treated them with courtesy and respect 6 %
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 75 %
Patients who reported that their doctors "Sometimes" or "Never" listened carefully to them 7 %
Patients who reported that their doctors "Usually" listened carefully to them 18 %
Patients who reported that their doctors "Always" explained things in a way they could understand 72 %
Patients who reported that their doctors "Sometimes" or "Never" explained things in a way they could understand 9 %
Patients who reported that their doctors "Usually" explained things in a way they could understand 19 %
Patients who reported that they "Always" received help as soon as they wanted 55 %
Patients who reported that they "Sometimes" or "Never" received help as soon as they wanted 21 %
Patients who reported that they "Usually" received help as soon as they wanted 24 %
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 56 %
Patients who reported that they "Sometimes" or "Never" received help after using the call button as soon as they wanted 17 %
Patients who reported that they "Usually" received help after using the call button as soon as they wanted 27 %
Patients who reported that they "Always" received bathroom help as soon as they wanted 54 %
Patients who reported that they "Sometimes" or "Never" received bathroom help as soon as they wanted 24 %
Patients who reported that they "Usually" received bathroom help as soon as they wanted 22 %
Patients who reported that staff "Always" explained about medicines before giving it to them 55 %
Patients who reported that staff "Sometimes" or "Never" explained about medicines before giving it to them 27 %
Patients who reported that staff "Usually" explained about medicines before giving it to them 18 %
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 69 %
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" communicated what the medication was for 15 %
Patients who reported that when receiving new medication the staff "Usually" communicated what the medication was for. 16 %
Patients who reported that when receiving new medication the staff "Always" discussed possible side effects 41 %
Patients who reported that when receiving new medication the staff "Sometimes" or "Never" discussed possible side effects 38 %
Patients who reported that when receiving new medication the staff "Usually" discussed possible side effects 21 %
Patients who reported that NO, they were not given information about what to do during their recovery at home 18 %
Patients who reported that YES, they were given information about what to do during their recovery at home 82 %
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 22 %
Patients who reported that YES, they did discuss whether they would need help after discharge 78 %
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 46 %
Patients who "Disagree" or "Strongly Disagree" they understood their care when they left the hospital 8 %
Patients who "Strongly Agree" they understood their care when they left the hospital 46 %
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 49 %
Patients who "Disagree" or "Strongly Disagree" that the staff took my preferences into account when determining my health care needs 11 %
Patients who "Strongly Agree" that the staff took my preferences into account when determining my health care needs 40 %
Patients who "Agree" that they understood their responsiblities in managing their health 47 %
Patients who "Disagree" or "Strongly Disagree" that they understood their responsiblities in managing their health 6 %
Patients who "Strongly Agree" that they understood their responsiblities in managing their health 47 %
Patients who "Agree" that they understood the purposes of their medications when leaving the hospital 40 %
Patients who "Disagree" or "Strongly Disagree" that they understood the purposes of their medications when leaving the hospital 7 %
Patients who "Strongly Agree" that they understood the purposes of their medications when leaving the hospital 53 %
Patients who reported that their room and bathroom were "Always" clean 68 %
Patients who reported that their room and bathroom were "Sometimes" or "Never" clean 10 %
Patients who reported that their room and bathroom were "Usually" clean 22 %
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 60 %
Patients who reported that the area around their room was "Sometimes" or "Never" quiet at night 11 %
Patients who reported that the area around their room was "Usually" quiet at night 29 %
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) 14 %
Patients who gave their hospital a rating of 7 or 8 on a scale from 0 (lowest) to 10 (highest) 25 %
Patients who gave their hospital a rating of 9 or 10 on a scale from 0 (lowest) to 10 (highest) 61 %
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 10 %
Patients who reported YES, they would definitely recommend the hospital 60 %
Patients who reported YES, they would probably recommend the hospital 30 %
Recommend hospital - linear mean score Not Applicable
Recommend hospital - star rating Not Applicable
Summary star rating Not Applicable

Cost of WELLSTAR DOUGLAS 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 WELLSTAR DOUGLAS 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 WELLSTAR DOUGLAS HOSPITAL: Not Available

Detailed table for spending and period for patients at WELLSTAR DOUGLAS HOSPITAL:

Type Amount
Home Health Agency (1 to 3 days Prior to Index Hospital Admission) $15
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) $108
Skilled Nursing Facility (1 to 3 days Prior to Index Hospital Admission) $12
Durable Medical Equipment (1 to 3 days Prior to Index Hospital Admission) $9
Carrier (1 to 3 days Prior to Index Hospital Admission) $627
Home Health Agency (During Index Hospital Admission) $0
Hospice (During Index Hospital Admission) $0
Inpatient (During Index Hospital Admission) $10,756
Outpatient (During Index Hospital Admission) $0
Skilled Nursing Facility (During Index Hospital Admission) $0
Durable Medical Equipment (During Index Hospital Admission) $26
Carrier (During Index Hospital Admission) $1,460
Home Health Agency (1 through 30 days After Discharge from Index Hospital Admission) $704
Hospice (1 through 30 days After Discharge from Index Hospital Admission) $312
Inpatient (1 through 30 days After Discharge from Index Hospital Admission) $4,101
Outpatient (1 through 30 days After Discharge from Index Hospital Admission) $1,189
Skilled Nursing Facility (1 through 30 days After Discharge from Index Hospital Admission) $2,396
Durable Medical Equipment (1 through 30 days After Discharge from Index Hospital Admission) $139
Carrier (1 through 30 days After Discharge from Index Hospital Admission) $1,459
Total (Complete Episode) $23,313

Infection Rates at WELLSTAR DOUGLAS HOSPITAL

These measures show how often patients at WELLSTAR DOUGLAS 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 0.07 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit 1.45 / Same
Central Line Associated Bloodstream Infection: Number of Device Days 5,614.00 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases 4.57 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases 2.00 / Same
Central Line Associated Bloodstream Infection (ICU + select Wards) 0.44 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit 0.24 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit 2.51 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days 3,700.00 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases 3.25 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases 3.00 / Same
Catheter Associated Urinary Tract Infections (ICU + select Wards) 0.92 / Same
SSI - Colon Surgery: Lower Confidence Limit 0.34 / Same
SSI - Colon Surgery: Upper Confidence Limit 3.63 / Same
SSI - Colon Surgery: Number of Procedures 84.00 / Same
SSI - Colon Surgery: Predicted Cases 2.25 / Same
SSI - Colon Surgery: Observed Cases 3.00 / Same
SSI - Colon Surgery 1.34 / 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 13.00 / Not Available
SSI - Abdominal Hysterectomy: Predicted Cases 0.11 / Not Available
SSI - Abdominal Hysterectomy: Observed Cases 0.00 / Not Available
SSI - Abdominal Hysterectomy Not Available / Not Available
MRSA Bacteremia: Lower Confidence Limit 0.03 / Same
MRSA Bacteremia: Upper Confidence Limit 2.75 / Same
MRSA Bacteremia: Patient Days 33,608.00 / Same
MRSA Bacteremia: Predicted Cases 1.80 / Same
MRSA Bacteremia: Observed Cases 1.00 / Same
MRSA Bacteremia 0.56 / Same
Clostridium Difficile (C.Diff): Lower Confidence Limit 0.39 / Same
Clostridium Difficile (C.Diff): Upper Confidence Limit 1.37 / Same
Clostridium Difficile (C.Diff): Patient Days 32,030.00 / Same
Clostridium Difficile (C.Diff): Predicted Cases 12.98 / Same
Clostridium Difficile (C.Diff): Observed Cases 10.00 / Same
Clostridium Difficile (C.Diff) 0.77 / Same

How WELLSTAR DOUGLAS HOSPITAL Compares to Other Similar Facilities

This is how WELLSTAR DOUGLAS HOSPITAL compares to other similar hospitals nationally based on data provided to CMS.

Top Hospitals in DOUGLASVILLE, GA

Worst Hospitals in DOUGLASVILLE, GA

Percentages of Complications and Deaths at WELLSTAR DOUGLAS HOSPITAL

Measure Score Compared to National Rates
Rate of complications for hip/knee replacement patients NA Not Enough Data
Death rate for heart attack patients 12.1% SAME
Death rate for CABG surgery patients NA Not Enough Data
Death rate for COPD patients 8.3% SAME
Death rate for heart failure patients 12.5% SAME
Death rate for pneumonia patients 15.2% SAME
Death rate for stroke patients 11.8% SAME
Pressure ulcer rate 0.41% SAME
Death rate among surgical inpatients with serious treatable complications NA Not Enough Data
Iatrogenic pneumothorax rate 0.27% SAME
In-hospital fall with hip fracture rate 0.09% SAME
Postoperative hemorrhage or hematoma rate 2.37% SAME
Postoperative acute kidney injury requiring dialysis rate 2.03% SAME
Postoperative respiratory failure rate 7.6% SAME
Perioperative pulmonary embolism or deep vein thrombosis rate 3.81% SAME
Postoperative sepsis rate 4.83% SAME
Postoperative wound dehiscence rate 1.92% SAME
Abdominopelvic accidental puncture or laceration rate 0.96% SAME
CMS Medicare PSI 90: Patient safety and adverse events composite 0.92% SAME

Skilled Nursing Facilities Near WELLSTAR DOUGLAS 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 WELLSTAR DOUGLAS HOSPITAL ranked by their CMS 5-Star Overall Rating.

Facility Name Overall Rating
The Terraces at Peachtree Hills Place 5:
Lenbrook 5:
Pruitthealth - Austell 5:
Southland Health and Rehabilitation 4:
Jonesboro Nursing and Rehabilitation Center 4:
Christian City Rehabilitation Center 4:
The Oaks - Carrollton Skilled Nursing 4:
A.G. Rhodes Home Wesley Woods 4:
Presbyterian Village 4:
Wellstar Paulding Nursing Ctr 4:
Rockmart Health 4:
Pine Knoll Nursing and Rehab Ctr 3:
The A.G. Rhodes Home, Inc 3:
Delmar Gardens of Smyrna 3:
East Cobb Center For Nursing and Healing LLC 3:
The Cottages at Rockmart 3:
Fayetteville Center For Nursing and Healing LLC 2:
Pruitthealth - Fairburn 2:
Bonterra Transitional Care and Rehabilitation 2:
Crestview Health and Rehab Ctr 2:
Reliable Health and Rehab at Lakewood 2:
East Lake Arbor 2:
Pruitthealth - West Atlanta 2:
Budd Terrace at Wesley Woods 2:
Anderson Mill Center For Nursing and Healing LLC 2:
The William Breman Jewish Home 2:
Pruitthealth - Marietta 2:
Signature Healthcare at Tower Road 2:
Roselane Health Center By Harborview 2:
Carrollton Manor, Incorporated 1:
Carrollton Nursing and Rehab Ctr 1:
Fairburn Health Care Center 1:
Riverdale Center For Nursing and Healing 1:
Arrowhead Health and Rehab 1:
Lake City Nursing and Rehabilitation Center LLC 1:
Healthcare at College Park, LLC 1:
Fulton Center For Rehabilitation LLC 1:
Douglasville Nursing and Rehabilitation Center 1:
Fountainview Ctr For Alzheimer 1:
Haralson Nsg and Rehab Center 1:
Sadie G. Mays Health and Rehabilitation Center 1:
Westminster Commons 1:
Pruitthealth - Virginia Park 1:
Buckhead Center For Nursing and Healing 1:
Nurse Care of Buckhead 1:
Powder Springs Center For Nursing and Healing 1:
Perimeter Rehabilitation Suites By Harborview 1:
Pruitthealth - Brookhaven 1:
Sandy Springs Center For Nursing and Healing LLC 1:
Autumn Breeze Health and Rehab 1:
A.G. Rhodes Home, Inc - Cobb 1:
Marietta Center For Nursing and Healing 1:
Ross Memorial Health Care Ctr 1:
Roswell Nursing and Rehab Center 1:
Legacy Transitional Care and Rehabilitation No Data

Medical Groups Affiliated with WELLSTAR DOUGLAS HOSPITAL

There are 493 doctors and 84 medical groups that are affiliated with WELLSTAR DOUGLAS HOSPITAL.

Affiliated Doctor Groups


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