JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Proprietary

Affiliate of Vitruvian Health

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At a glance

Affiliate of Vitruvian Health carries a 2-star CMS overall rating — below the national norm.

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 Limit0.410Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit4.387Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2597Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.861Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases3Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)1.612Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.469Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit2.838Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days4918Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases3.905Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)1.280Same as national
SSI - Colon Surgery: Lower Confidence Limit0.238Same as national
SSI - Colon Surgery: Upper Confidence Limit4.690Same as national
SSI - Colon Surgery: Number of Procedures56Same as national
SSI - Colon Surgery: Predicted Cases1.409Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery1.419Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures18Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.149Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.248Same as national
MRSA Bacteremia: Upper Confidence Limit2.659Same as national
MRSA Bacteremia: Patient Days46824Same as national
MRSA Bacteremia: Predicted Cases3.071Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.977Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.351Same as national
Clostridium Difficile (C.Diff): Upper Confidence Limit1.100Same as national
Clostridium Difficile (C.Diff): Patient Days45263Same as national
Clostridium Difficile (C.Diff): Predicted Cases18.542Same as national
Clostridium Difficile (C.Diff): Observed Cases12Same as national
Clostridium Difficile (C.Diff)0.647Same as 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 patients4.3Same as national29
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.5Same as national905
Death rate for heart attack patients14.4Same as national149
Death rate for CABG surgery patientsNot available
Death rate for COPD patients11.5Same as national98
Death rate for heart failure patients11.9Same as national284
Death rate for pneumonia patients15.9Same as national312
Death rate for stroke patients12.7Same as national78
Pressure ulcer rate0.24Same as national2997
Death rate among surgical inpatients with serious treatable complications178.75Same as national44
Iatrogenic pneumothorax rate0.18Same as national3548
In-hospital fall-associated fracture rate0.32Same as national3518
Postoperative hemorrhage or hematoma rate2.65Same as national616
Postoperative acute kidney injury requiring dialysis rate1.61Same as national146
Postoperative respiratory failure rate5.77Same as national160
Perioperative pulmonary embolism or deep vein thrombosis rate3.86Same as national640
Postoperative sepsis rate4.34Same as national138
Postoperative wound dehiscence rate1.66Same as national137
Abdominopelvic accidental puncture or laceration rate0.94Same as national469
CMS Medicare PSI 90: Patient safety and adverse events composite0.77Same 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 patients11.4Not available138
Hospital return days for heart failure patients33.8Not available310
Hospital return days for pneumonia patients-2.1Not available325
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.2Same as national1330
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.2Same as national780
Rate of inpatient admissions for patients receiving outpatient chemotherapyNot available
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyNot available
Ratio of unplanned hospital visits after hospital outpatient surgery0.8Same as national433
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national138
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients16.9Same as national98
Heart failure (HF) 30-Day Readmission Rate21.3Same as national310
Rate of readmission after hip/knee replacement6.3Same as national31
Pneumonia (PN) 30-Day Readmission Rate15.9Same as national325

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 rating3548
Doctor communication - star rating3548
Communication about medicines - star rating2548
Discharge information - star rating3548
Cleanliness - star rating1548
Quietness - star rating3548
Overall hospital rating - star rating2548
Recommend hospital - star rating2548
Summary star rating3548

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 volumehigh
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 Hyperglycemia
Hospital Harm - Severe Hypoglycemia
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination761448
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 better216413
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 better205387
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better41117
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better62711
Left before being seen345498
Head CT results5012
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9762
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing152431
Appropriate care for severe sepsis and septic shock38199
Septic Shock 3-Hour Bundle3650
Septic Shock 6-Hour Bundle7914
Severe Sepsis 3-Hour Bundle64199
Severe Sepsis 6-Hour Bundle8178
Discharged on Antithrombotic Therapy97134
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 292125
Venous Thromboembolism Prophylaxis904806
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 Affiliate of Vitruvian Health rated?
Affiliate of Vitruvian Health has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Affiliate of Vitruvian Health have emergency services?
Yes. Affiliate of Vitruvian Health operates a 24/7 emergency department.
Where is Affiliate of Vitruvian Health located?
Affiliate of Vitruvian Health is located at 2305 Chambliss Ave Nw, Cleveland, TN 37311.
What type of hospital is Affiliate of Vitruvian Health?
Affiliate of Vitruvian Health is classified by CMS as a Acute Care Hospitals facility (Proprietary).

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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