JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Adventhealth Hendersonville

5 / 5

At a glance

Adventhealth Hendersonville carries a 5-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 6 and worse on 0.

Healthcare-Associated Infections

lower is better · 36 measures reported

Rates of infections patients can acquire while receiving care, such as central-line and catheter-associated infections, MRSA, and C. difficile.

MeasureScoreCompared to national
Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence LimitNot available
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence LimitNot available
Central Line Associated Bloodstream Infection: Number of Device Days776Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases0.525Not available
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Not available
Central Line Associated Bloodstream Infection (ICU + select Wards)Not available
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.217Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit4.277Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2269Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.545Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases2Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.294Same as national
SSI - Colon Surgery: Lower Confidence Limit0.026Same as national
SSI - Colon Surgery: Upper Confidence Limit2.565Same as national
SSI - Colon Surgery: Number of Procedures74Same as national
SSI - Colon Surgery: Predicted Cases1.923Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.520Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures66Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.511Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitNot available
MRSA Bacteremia: Upper Confidence LimitNot available
MRSA Bacteremia: Patient Days17997Not available
MRSA Bacteremia: Predicted Cases0.726Not available
MRSA Bacteremia: Observed Cases1Not available
MRSA BacteremiaNot available
Clostridium Difficile (C.Diff): Lower Confidence LimitBetter than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.463Better than national
Clostridium Difficile (C.Diff): Patient Days16830Better than national
Clostridium Difficile (C.Diff): Predicted Cases6.477Better than national
Clostridium Difficile (C.Diff): Observed Cases0Better than national
Clostridium Difficile (C.Diff)0.000Better than national

Complications & Deaths

lower is better · 20 measures reported

Rates of serious complications (like hip/knee replacement problems or accidental cuts during surgery) and 30-day mortality rates for common conditions.

MeasureScoreCompared to nationalSample
Rate of complications for hip/knee replacement patientsNot available
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.6Same as national594
Death rate for heart attack patientsNot available
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.1Same as national55
Death rate for heart failure patients10.3Same as national139
Death rate for pneumonia patients14Same as national226
Death rate for stroke patients12.3Same as national58
Pressure ulcer rate0.75Same as national1744
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.19Same as national2215
In-hospital fall-associated fracture rate0.29Same as national2189
Postoperative hemorrhage or hematoma rate2.16Same as national370
Postoperative acute kidney injury requiring dialysis rate1.62Same as national172
Postoperative respiratory failure rate7.96Same as national160
Perioperative pulmonary embolism or deep vein thrombosis rate4.18Same as national378
Postoperative sepsis rate5.32Same as national166
Postoperative wound dehiscence rate1.69Same as national119
Abdominopelvic accidental puncture or laceration rate0.96Same as national328
CMS Medicare PSI 90: Patient safety and adverse events composite1.02Same as national

Unplanned Hospital Visits & Readmissions

lower is better · 14 measures reported

How often patients return to the hospital unexpectedly within 30 days of discharge — a marker of care quality and discharge planning.

MeasureScoreCompared to nationalSample
Hospital return days for heart attack patientsNot available
Hospital return days for heart failure patients-24.7Not available144
Hospital return days for pneumonia patients-4.8Not available228
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.3Same as national844
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)13.1Same as national126
Rate of inpatient admissions for patients receiving outpatient chemotherapy10.3Same as national192
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.6Same as national192
Ratio of unplanned hospital visits after hospital outpatient surgery0.9Same as national606
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.1Same as national61
Heart failure (HF) 30-Day Readmission Rate18.4Same as national144
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate15.3Same as national228

Patient Experience (HCAHPS)

higher is better · 9 measures reported

What patients say about their hospital stay — communication with nurses and doctors, responsiveness, cleanliness, pain management, and whether they would recommend the hospital.

MeasureScoreSample
Nurse communication - star rating4835
Doctor communication - star rating4835
Communication about medicines - star rating3835
Discharge information - star rating4835
Cleanliness - star rating4835
Quietness - star rating4835
Overall hospital rating - star rating4835
Recommend hospital - star rating5835
Summary star rating4835

Timely & Effective Care

higher is better (unless a wait time) · 30 measures reported

How consistently hospitals follow recommended care processes — for example, giving heart-attack patients aspirin on arrival, or the average time spent in the emergency department.

MeasureScoreSample
Emergency department volumemedium
Global Malnutrition Composite Score
Global Malnutrition Composite Score: Malnutrition Diagnosis Documented
Global Malnutrition Composite Score: Malnutrition Risk Screening
Global Malnutrition Composite Score: Nutrition Assessment
Global Malnutrition Composite Score: Nutritional Care Plan
Hospital Harm - Severe Hyperglycemia63748
Hospital Harm - Severe Hypoglycemia1793
Hospital Harm - Opioid Related Adverse Events02230
Healthcare workers given influenza vaccination751971
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 better168431
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 better165411
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better
Left before being seen133842
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients8918
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing141062
Appropriate care for severe sepsis and septic shock68367
Septic Shock 3-Hour Bundle80106
Septic Shock 6-Hour Bundle8677
Severe Sepsis 3-Hour Bundle79368
Severe Sepsis 6-Hour Bundle99186
Discharged on Antithrombotic Therapy
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis872137
Intensive Care Unit Venous Thromboembolism Prophylaxis

Maternal Health

lower is better · 4 measures reported

Measures of maternal outcomes and safe delivery practices, including severe complications during childbirth.

MeasureScoreSample
Cesarean Birth
Risk Adjusted Severe Obstetric Complications (All)
Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases)
Maternal Morbidity Structural MeasureYes

Frequently asked questions

How is Adventhealth Hendersonville rated?
Adventhealth Hendersonville has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Adventhealth Hendersonville have emergency services?
Yes. Adventhealth Hendersonville operates a 24/7 emergency department.
Where is Adventhealth Hendersonville located?
Adventhealth Hendersonville is located at 100 Hospital Drive, Hendersonville, NC 28792.
What type of hospital is Adventhealth Hendersonville?
Adventhealth Hendersonville is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

Data as of 2026-06-14. Source: CMS Provider Data Catalog. This is public data provided for informational purposes only and is not medical advice. See our methodology and editorial policy.

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