
Background: Heart failure is the inability of the heart to maintain adequate circulation to meet tissue needs for oxygen and nutrient. Heart failure is a public agenda due to increase of its prevalence, significant morbidity, high mortality and rapidly expanding health care cost worldwide. Objective: To assess treatment outcome of heart failure patients admitted in kemissie general hospital from January 1, 2017 to May 28, 2019. Method: Institutional based two years and five months retrospective cross sectional study was conducted from January 1, 2017 to May 28, 2019. All heart failure patients card which had clear outcome were included in the study. The data source was hospital medical records to collect necessary variables. The data was analyzed by using SPSS and described in frequency tables and graphs. Result: 300 heart failure patient cards were retrieved. Among these heart failure patients 33 (11%) were died and 267(89%) of them were improved at discharge. Among died patients 17 (5.7%) of their serum of creatinine level was not documented. From those died 27(9%) were New York heart association class four. Conclusion: High numbers of heart failure patients were died. Therefore health workers should strictly follow their patients and proper documentation also mandatory. In-depth further research also recommended by using primary data.