CMS certification 180128
Three Rivers Medical Center
2485 Highway 644, Louisa, KY 41230
Three Rivers Medical Center has a CMS overall rating of 3 out of 5 stars. 78% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. Of the 12 death, complication, infection and readmission measures CMS could compare, it does better than the nation on none and worse on 1. Emergency patients spend a median of 2 h 44 min in its emergency department before leaving (US median 2 h 42 min).
Every figure on this page is published by CMS; we arrange and explain it, and score nothing ourselves.
What patients said
Answers from patients who stayed here, collected by CMS in the national HCAHPS survey: 119 completed surveys, 17% response rate, Oct 2024 – Sep 2025.
Emergency department
How long emergency patients spent here and how some time-critical care went, from CMS's timely and effective care measures, Oct 2024 – Sep 2025. CMS classes this emergency department's patient volume as low; busier departments tend to have longer times, so the national median for departments of the same volume is shown too. These are medians over a year of visits, not a live wait time.
| Measure | This hospital | KY | US |
|---|---|---|---|
| Median time in the emergency department before leaving Lower is better · 394 visits sampled · US median for EDs of the same volume: 2 h 3 min | 2 h 44 min | 2 h 30 min | 2 h 42 min |
| Left before being seen Lower is better · 16,139 patients | 2% | 2% | 2% |
| Severe sepsis and septic shock: all recommended care given Higher is better · 97 patients | 98% | 68% | 65% |
Deaths
How many patients died within 30 days of admission, adjusted by CMS for how sick they were. Lower is better. Data from Jul 2022 – Jun 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| All patients, hospital-wide 266 cases | Too few cases | 4.7% | 3.9% |
| Heart failure 26 cases | Too few cases | 13.9% | 11.1% |
| Pneumonia 66 cases | Too few cases | 19% | 15.2% |
4 more measures had too few cases here to report.
Complications
How often patients had serious complications, most of them after surgery, adjusted for how sick they were. Lower is better. Data from Jul 2022 – Jun 2024.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Serious complications, combined measure | No different | 0.96 likely 0.47 – 1.46 | 1 |
| Pressure ulcers (bed sores) 319 cases | No different | 0.54 per 1,000 likely 0 per 1,000 – 1.78 per 1,000 | 0.63 per 1,000 |
| Collapsed lung caused by a procedure 527 cases | No different | 0.21 per 1,000 likely 0 per 1,000 – 0.44 per 1,000 | 0.21 per 1,000 |
| Broken bones from falls in the hospital 529 cases | No different | 0.27 per 1,000 likely 0.05 per 1,000 – 0.48 per 1,000 | 0.27 per 1,000 |
| Bleeding or hematoma after surgery 51 cases | No different | 2.32 per 1,000 likely 0.59 per 1,000 – 4.05 per 1,000 | 2.34 per 1,000 |
| Blood clots in the lungs or legs after surgery 62 cases | No different | 3.43 per 1,000 likely 0.81 per 1,000 – 6.04 per 1,000 | 3.52 per 1,000 |
| Accidental cut or tear during abdominal surgery 81 cases | No different | 1.05 per 1,000 likely 0 per 1,000 – 2.14 per 1,000 | 1.06 per 1,000 |
6 more measures had too few cases here to report.
Infections caught in the hospital
Standardized infection ratio: 1.0 means as many infections as CMS predicted for a hospital like this one. Lower is better. Data from Oct 2024 – Sep 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| C. diff intestinal infections | No different | 0 | 1 |
5 more measures had too few cases here to report.
Readmissions and return visits
How often patients had to come back to a hospital after going home. Lower is better. Data from Jul 2023 – Jun 2025.
| Measure | CMS comparison | This hospital | National |
|---|---|---|---|
| Readmitted after heart failure 43 cases | Too few cases | 21.9% | 21.3% |
| Readmitted after pneumonia 151 cases | Too few cases | 17.1% | 17.3% |
| Readmitted after COPD 45 cases | Too few cases | 18.9% | 20% |
| Days back in hospital after heart failure 32 cases | Too few cases | -29.4 days per 100 | — |
| Days back in hospital after pneumonia 71 cases | Too few cases | 48.4 days per 100 | — |
| Unplanned visits after an outpatient colonoscopy 260 cases | No different | 14.4 per 1,000 likely 10.7 per 1,000 – 19.4 per 1,000 | 13 per 1,000 |
| Unplanned visits after outpatient surgery 44 cases | No different | 1 likely 0.7 – 1.5 | — |
7 more measures had too few cases here to report.
How to read this page
- Everything here is published by CMS on Care Compare. We arrange it and explain it; the star ratings and the better / worse verdicts are CMS's, not ours.
- “No different” is the most common result on most measures at most hospitals. CMS only calls a result better or worse when the difference from the national rate is statistically clear.
- Death, complication and readmission rates are adjusted by CMS for how sick patients were, so hospitals that treat sicker patients can be compared fairly.
- Infection results are ratios: 1.0 means as many infections as CMS predicted for a hospital like this one, below 1.0 is fewer.
- These are hospital-wide results. They do not rate an individual doctor, nurse or department, and they are not medical advice.
CMS Care Compare data retrieved 4 Oct 2026, refreshed weekly. Where this data comes from and how we handle it · Report an error
Common questions about Three Rivers Medical Center
Is Three Rivers Medical Center a good hospital?
Three Rivers Medical Center has a CMS overall rating of 3 out of 5 stars. Of the 12 death, complication, infection and readmission measures CMS could compare, it does better than the nation on none and worse on 1. These are hospital-wide results published by CMS; they do not rate individual doctors or departments.
Would patients recommend Three Rivers Medical Center?
78% of patients who answered CMS's national survey would definitely recommend it, against a US average of 71%. The figure comes from 119 completed HCAHPS surveys.
How long is the wait in the Three Rivers Medical Center emergency room?
Emergency patients spend a median of 2 h 44 min in its emergency department before leaving (US median 2 h 42 min). Among US emergency departments with low patient volume, like this one, the median is 2 h 3 min. 2% of emergency patients left before being seen (US 2%). These are medians over a year of visits, not a live wait time.