Acute Care Hospital

Northeast Georgia Medical Center Gainesville

743 Spring Street, Gainesville, GA 30501
24/7 Emergency Services
2 out of 5 Stars Why 2 stars? Northeast Georgia Medical Center Gainesville's 2-star rating reflects above-average performance on Safety of Care and below-average performance on Timely Care.

CMS Overall Hospital Quality Star Rating · Northeast Georgia Medical Center Gainesville

How was Northeast Georgia Medical Center Gainesville's 2-star rating calculated?

The CMS Overall Hospital Quality Star Rating applies to acute care hospitals like Northeast Georgia Medical Center Gainesville. CMS standardizes every underlying measure against the national rate, computes a weighted score for each of five domains, sums them by the fixed weights below, and assigns 1–5 stars using k-means clustering across all reporting hospitals.

Domains that fed Northeast Georgia Medical Center Gainesville's rating
Domain Weight Measures reported Hospital performance vs. national
Mortality 22% 7 of 7 0 better 7 same 0 worse
Safety of Care 22% 19 of 19 3 better 15 same 1 worse
Readmissions 22% 6 of 6 2 better 2 same 2 worse
Timely & Effective Care 12% 17 of 22 1 better 5 same 11 worse
Patient Experience 22% HCAHPS See HCAHPS detail below

How star meaning varies by hospital type. This CMS Overall Star Rating only applies to acute care hospitals. Children's hospitals (Pediatric Quality), psychiatric hospitals (IPFQR), inpatient rehabilitation facilities (IRF QRP), long-term acute care hospitals (LTACH QRP), and VA medical centers each use separate quality programs designed for their patient populations. Comparing star ratings across these facility types isn't meaningful — see the methodology page for the full mapping of which program applies to which facility.

How CareRanks computes ratings → · CMS official methodology ↗

Quality measures

Mortality

Same as National Average

Measures the rate at which patients die within 30 days of hospital admission for specific conditions. A lower mortality rate indicates better outcomes.

Underlying measures: Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate No Different Than the National Rate Hospital score: 4.10 95% interval: 3.60 – 4.60 Sample size: 4,279 Reporting period: 07/01/2023 – 06/30/2024 CMS measure id: Hybrid_HWM Death rate for CABG surgery patients No Different Than the National Rate Hospital score: 3.10 95% interval: 1.80 – 5.10 Sample size: 272 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_CABG Death rate for COPD patients No Different Than the National Rate Hospital score: 7.90 95% interval: 6.00 – 10.10 Sample size: 397 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_COPD Death rate for heart attack patients No Different Than the National Rate Hospital score: 12.20 95% interval: 10.30 – 14.40 Sample size: 675 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_AMI Death rate for heart failure patients No Different Than the National Rate Hospital score: 13.20 95% interval: 11.60 – 15.00 Sample size: 1,248 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_HF Death rate for pneumonia patients No Different Than the National Rate Hospital score: 15.20 95% interval: 13.40 – 17.20 Sample size: 1,156 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_PN Death rate for stroke patients No Different Than the National Rate Hospital score: 11.80 95% interval: 10.00 – 13.70 Sample size: 707 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: MORT_30_STK

Safety of Care

Better than National Average

Tracks hospital-acquired infections, surgical complications, and other patient safety indicators. Lower rates indicate better safety practices.

Underlying measures: Clostridium Difficile (C.Diff) Better than the National Benchmark Hospital score: 0.37 SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_6_SIR Catheter Associated Urinary Tract Infections (ICU + select Wards) Better than the National Benchmark Hospital score: 0.27 SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_2_SIR Central Line Associated Bloodstream Infection (ICU + select Wards) Better than the National Benchmark Hospital score: 0.42 SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_1_SIR Abdominopelvic accidental puncture or laceration rate No Different Than the National Rate Hospital score: 0.80 95% interval: 0.04 – 1.57 Sample size: 3,238 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_15 Iatrogenic pneumothorax rate No Different Than the National Rate Hospital score: 0.29 95% interval: 0.13 – 0.45 Sample size: 16,640 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_06 Rate of complications for hip/knee replacement patients No Different Than the National Rate Hospital score: 3.60 95% interval: 2.00 – 6.50 Sample size: 43 Reporting period: 04/01/2021 – 03/31/2024 CMS measure id: COMP_HIP_KNEE In-hospital fall-associated fracture rate No Different Than the National Rate Hospital score: 0.37 95% interval: 0.20 – 0.53 Sample size: 17,188 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_08 Postoperative hemorrhage or hematoma rate No Different Than the National Rate Hospital score: 3.00 95% interval: 1.92 – 4.08 Sample size: 4,760 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_09 Perioperative pulmonary embolism or deep vein thrombosis rate No Different Than the National Rate Hospital score: 4.02 95% interval: 2.54 – 5.50 Sample size: 4,552 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_12 Postoperative acute kidney injury requiring dialysis rate No Different Than the National Rate Hospital score: 1.62 95% interval: 0.37 – 2.88 Sample size: 1,741 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_10 Postoperative respiratory failure rate No Different Than the National Rate Hospital score: 7.05 95% interval: 2.89 – 11.21 Sample size: 1,716 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_11 Postoperative sepsis rate No Different Than the National Rate Hospital score: 3.23 95% interval: 0.31 – 6.15 Sample size: 1,435 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_13 Pressure ulcer rate No Different Than the National Rate Hospital score: 0.85 95% interval: 0.45 – 1.26 Sample size: 15,310 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_03 CMS Medicare PSI 90: Patient safety and adverse events composite No Different Than the National Value Hospital score: 0.98 95% interval: 0.77 – 1.19 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_90 SSI - Abdominal Hysterectomy No Different than National Benchmark Hospital score: 1.88 SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_4_SIR SSI - Colon Surgery No Different than National Benchmark Hospital score: 1.07 SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_3_SIR Death rate among surgical inpatients with serious treatable complications No Different Than the National Rate Hospital score: 188.56 95% interval: 156.25 – 220.86 Sample size: 274 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_04 Postoperative wound dehiscence rate No Different Than the National Rate Hospital score: 1.57 95% interval: 0.25 – 2.90 Sample size: 1,143 Reporting period: 07/01/2022 – 06/30/2024 CMS measure id: PSI_14 MRSA Bacteremia Worse than the National Benchmark Hospital score: 1.60 SIR Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: HAI_5_SIR

Readmissions

Same as National Average

Measures how often patients return to the hospital within 30 days of discharge. Lower readmission rates suggest effective treatment and discharge planning.

Underlying measures: 30-day Readmission, COPD Better than expected Hospital score: 0.95 Sample size: 448 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-COPD-HRRP 30-day Readmission, Heart Attack Better than expected Hospital score: 0.89 Sample size: 695 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-AMI-HRRP 30-day Readmission, Heart Failure As expected Hospital score: 0.99 Sample size: 1,417 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-HF-HRRP 30-day Readmission, Pneumonia As expected Hospital score: 0.96 Sample size: 1,222 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-PN-HRRP 30-day Readmission, Bypass Surgery Worse than expected Hospital score: 1.07 Sample size: 263 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-CABG-HRRP 30-day Readmission, Hip/Knee Replacement Worse than expected Hospital score: 1.05 Reporting period: 07/01/2021 – 06/30/2024 CMS measure id: READM-30-HIP-KNEE-HRRP

Patient Experience

Same as National Average

Based on the HCAHPS survey — patient satisfaction with communication, cleanliness, pain management, and discharge information.

Patient survey detail — the questions feeding the Patient Experience domain above expand ↓

CMS computes the Patient Experience domain from the federal HCAHPS survey. Each bar below is one survey question; the percentage is the share of Northeast's recent patients who gave the most positive response. HCAHPS percentages aren't directly comparable across all measures — see the methodology page for how CMS weights them.

  • Communication with Nurses 73%
  • Communication with Doctors 76%
  • Hospital Cleanliness 63%
  • Hospital Quietness 52%
  • Staff Responsiveness N/A
  • Discharge Information 85%
  • Overall Hospital Rating (9 or 10) 68%
  • Would Recommend Hospital 69%

Percentages represent patients who gave the most positive response. Survey conducted by CMS through the HCAHPS program.

Timely & Effective Care

Below National Average

Measures how quickly the hospital provides important treatments such as antibiotics for pneumonia or interventions for heart attacks.

Underlying measures: Left before being seen Better than ~75% of hospitals Hospital score: 1.00 % National median: 1.00 % (lower is better) Sample size: 149,014 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: OP_22 Antithrombotic Therapy by End of Hospital Day 2 Near the national median Hospital score: 94.00 % National median: 94.00 % (higher is better) Sample size: 764 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: STK_05 Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients Near the national median Hospital score: 96.00 % National median: 97.00 % (higher is better) Sample size: 270 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: OP_29 Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better Near the national median Hospital score: 250.00 min National median: 248.00 min (lower is better) Sample size: 23 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18c Septic Shock 6-Hour Bundle Near the national median Hospital score: 91.00 % National median: 89.00 % (higher is better) Sample size: 66 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEP_SH_6HR Healthcare workers given influenza vaccination Near the national median Hospital score: 90.00 % National median: 79.00 % (higher is better) Sample size: 9,730 Reporting period: 10/01/2024 – 03/31/2025 CMS measure id: IMM_3 Discharged on Antithrombotic Therapy Worse than ~75% of hospitals Hospital score: 94.00 % National median: 98.00 % (higher is better) Sample size: 894 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: STK_02 Safe Use of Opioids - Concurrent Prescribing Worse than ~75% of hospitals Hospital score: 19.00 % National median: 15.00 % (lower is better) Sample size: 12,958 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: SAFE_USE_OF_OPIOIDS 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 Worse than ~75% of hospitals Hospital score: 226.00 min National median: 148.00 min (lower is better) Sample size: 468 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18b 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 Worse than ~75% of hospitals Hospital score: 228.00 min National median: 154.00 min (lower is better) Sample size: 496 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_18a Head CT results Worse than ~75% of hospitals Hospital score: 57.00 % National median: 74.00 % (higher is better) Sample size: 49 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: OP_23 Intensive Care Unit Venous Thromboembolism Prophylaxis Worse than ~75% of hospitals Hospital score: 93.00 % National median: 97.00 % (higher is better) Sample size: 5,569 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: VTE_2 Appropriate care for severe sepsis and septic shock Worse than ~75% of hospitals Hospital score: 38.00 % National median: 64.00 % (higher is better) Sample size: 424 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEP_1 Septic Shock 3-Hour Bundle Worse than ~75% of hospitals Hospital score: 58.00 % National median: 72.00 % (higher is better) Sample size: 132 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEP_SH_3HR Severe Sepsis 3-Hour Bundle Worse than ~75% of hospitals Hospital score: 60.00 % National median: 81.00 % (higher is better) Sample size: 425 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEV_SEP_3HR Severe Sepsis 6-Hour Bundle Worse than ~75% of hospitals Hospital score: 86.00 % National median: 94.00 % (higher is better) Sample size: 204 Reporting period: 07/01/2024 – 06/30/2025 CMS measure id: SEV_SEP_6HR ST-Segment Elevation Myocardial Infarction (STEMI) Worse than ~75% of hospitals Hospital score: 65.00 min National median: 53.00 min (lower is better) Sample size: 189 Reporting period: 01/01/2024 – 12/31/2024 CMS measure id: OP_40

Psychiatric Unit Quality (IPFQR)

Northeast Georgia Medical Center Gainesville operates a Medicare-certified inpatient psychiatric unit that reports under the federal IPFQR program. The measures below are specific to that unit — not the hospital as a whole. They cover restraint and seclusion use, screening for medication side effects, substance-use and tobacco treatment, transitions of care, follow-up after discharge, and readmissions.

Physical Restraint Use 0.1 hours per 1,000 patient-hours
National median: 0.1 hours Near national median

HBIPS-2 — hours of physical restraint use per 1,000 patient-hours. Lower is better; restraints carry physical and psychological risks.

Seclusion Use 0.0 hours per 1,000 patient-hours
National median: 0.0 hours Near national median

HBIPS-3 — hours of seclusion per 1,000 patient-hours. Lower is better; seclusion is used only when no other intervention works.

Metabolic Screening (SMD) 93.0 %
National median: 92.0 % Near national median

SMD — % of patients on antipsychotics screened for metabolic side effects (BMI, blood glucose, cholesterol). Antipsychotics raise metabolic-syndrome risk; screening catches it early.

Substance-Use Treatment Provided 80.0 %
National median: 74.0 % Near national median

SUB-2 — % of patients with alcohol/drug use referred for treatment during admission.

Substance-Use Treatment at Discharge 99.0 %
National median: 77.0 % Better than national median

SUB-3 — % of patients with substance-use disorder offered or referred to treatment at discharge.

Tobacco-Use Treatment at Discharge 81.0 %
National median: 64.0 % Better than national median

TOB-3 — % of patients using tobacco who received counseling and/or medication at discharge.

Transition Record Completed 64.0 %
National median: 77.0 % Worse than national median

TR-1 — % of discharges with a completed transition record including medications, follow-up plan, and crisis instructions.

Follow-up Within 7 Days 27.7 %
National median: 35.4 % Worse than national median

FAPH-7 — % of patients with a follow-up outpatient mental-health visit within 7 days of discharge. Predicts lower readmission risk.

Follow-up Within 30 Days 55.4 %
National median: 60.7 % Near national median

FAPH-30 — % of patients with a follow-up outpatient mental-health visit within 30 days of discharge.

Medication Continuation 73.5 %
National median: 78.2 % Near national median

MedCont — % of discharged patients with continued antipsychotic / antidepressant medication post-discharge.

30-Day Readmission Rate 18.6 %
National median: 19.1 % Near national median

READM-30-IPF — risk-standardized 30-day readmission rate. No Different Than the National Rate

Influenza Immunization 96.0 %
National median: 87.0 % Better than national median

IMM-2 — % of patients given a flu vaccine during the inpatient stay.

Source: CMS Inpatient Psychiatric Facility Quality Reporting Program. Reporting period ending 12/31/2024.

Clinical Staff

Northeast Georgia Medical Center Gainesville has 1,418 CMS-affiliated clinicians on its roster — physicians, advanced practice providers, and other Medicare-enrolled professionals who list this hospital as an affiliated facility.

Top specialties

  • Nurse Practitioner 244
  • Physician Assistant 153
  • Family Practice 124
  • Hospitalist 95
  • Internal Medicine 89
  • Anesthesiology Assistant 79
  • Diagnostic Radiology 77
  • Emergency Medicine 43

Self-reported primary specialty in the CMS Doctors & Clinicians dataset. Many clinicians serve multiple facilities.

Practice characteristics

Accept Medicare assignment
1,404 (99%)

Bill Medicare directly at the approved rate — patients only owe co-insurance/deductible.

Offer telehealth
381 (27%)

Indicated by the clinician in their CMS profile as routinely providing virtual visits.

Medicare quality scoring (MIPS)

808 of these clinicians have a published Merit-based Incentive Payment System (MIPS) final score. Of those, 146 (18%) score above the national median of 85.5.

MIPS scoring is heavily compressed at the top of the 0–100 range, so individual scores are not a reliable consumer signal. We surface roster-level coverage and the share above the national median instead.

Source: CMS Doctors and Clinicians (Care Compare) national downloadable file and MIPS Performance Year final scores, as of 2026-05-27. Affiliations from the CMS Facility Affiliations dataset. About 16% of small facilities (critical access, rural emergency, freestanding psych, IRF/LTCH) do not appear in the affiliations file and therefore have no panel.

Find a Doctor

Search the 1,417 clinicians affiliated with Northeast Georgia Medical Center Gainesville. Each name links to that clinician's official Medicare Care Compare profile, where you can see their credentials, secondary specialties, group affiliations, and (when applicable) MIPS quality scores.

Showing 30 of 1,417 clinicians (alphabetical)

Roster from CMS Doctors and Clinicians (Care Compare), updated 2026-05-27. A clinician may also practice at other facilities; "affiliated" means this hospital is on their CMS profile, not that they exclusively work here.

Pricing & Costs

Facility Information

Facility type
Acute Care Hospitals
Ownership
Government - Local
Emergency services
Yes — 24/7

Nearby Hospitals

About this data

Quality and ratings data are sourced from the U.S. Centers for Medicare & Medicaid Services (CMS) Hospital Compare program. Star ratings are CMS's own calculation; CareRanks does not modify or re-weight them. Facility-level details (address, beds, ownership, teaching status) come from CMS provider files and the CMS Provider of Services file.

Pricing data, where shown, is drawn from the hospital's own Machine-Readable File (MRF) published under the federal Hospital Price Transparency Rule. See our methodology for the full update cadence and limitations.

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