JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Other

Asante Three Rivers Medical Center

3 / 5

At a glance

Asante Three Rivers Medical Center carries a 3-star CMS overall rating — in line with 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 LimitSame as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit2.104Same as national
Central Line Associated Bloodstream Infection: Number of Device Days2063Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases1.424Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.659Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit5.002Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days2696Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases1.929Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases4Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards)2.074Same as national
SSI - Colon Surgery: Lower Confidence Limit0.013Same as national
SSI - Colon Surgery: Upper Confidence Limit1.323Same as national
SSI - Colon Surgery: Number of Procedures155Same as national
SSI - Colon Surgery: Predicted Cases3.728Same as national
SSI - Colon Surgery: Observed Cases1Same as national
SSI - Colon Surgery0.268Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures26Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.194Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence LimitSame as national
MRSA Bacteremia: Upper Confidence Limit2.104Same as national
MRSA Bacteremia: Patient Days34853Same as national
MRSA Bacteremia: Predicted Cases1.424Same as national
MRSA Bacteremia: Observed Cases0Same as national
MRSA Bacteremia0.000Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.003Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.301Better than national
Clostridium Difficile (C.Diff): Patient Days33686Better than national
Clostridium Difficile (C.Diff): Predicted Cases16.366Better than national
Clostridium Difficile (C.Diff): Observed Cases1Better than national
Clostridium Difficile (C.Diff)0.061Better 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 Rate4.4Same as national804
Death rate for heart attack patients11.3Same as national69
Death rate for CABG surgery patientsNot available
Death rate for COPD patients8.9Same as national61
Death rate for heart failure patients10.5Same as national165
Death rate for pneumonia patients14.2Same as national178
Death rate for stroke patients12.7Same as national100
Pressure ulcer rate0.30Same as national2444
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.24Same as national2951
In-hospital fall-associated fracture rate0.25Same as national2879
Postoperative hemorrhage or hematoma rate2.43Same as national467
Postoperative acute kidney injury requiring dialysis rate1.62Same as national114
Postoperative respiratory failure rate7.89Same as national110
Perioperative pulmonary embolism or deep vein thrombosis rate2.77Same as national489
Postoperative sepsis rate4.80Same as national84
Postoperative wound dehiscence rate1.64Same as national181
Abdominopelvic accidental puncture or laceration rate0.92Same as national375
CMS Medicare PSI 90: Patient safety and adverse events composite0.81Same 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-16.2Not available189
Hospital return days for pneumonia patients-22.9Not available175
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.7Same as national1169
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national1664
Rate of inpatient admissions for patients receiving outpatient chemotherapy9.9Same as national232
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy6Same as national232
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national390
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.3Same as national35
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.4Same as national64
Heart failure (HF) 30-Day Readmission Rate18.2Same as national189
Rate of readmission after hip/knee replacementNot available
Pneumonia (PN) 30-Day Readmission Rate14.3Same as national175

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 rating41777
Doctor communication - star rating31777
Communication about medicines - star rating31777
Discharge information - star rating41777
Cleanliness - star rating41777
Quietness - star rating31777
Overall hospital rating - star rating41777
Recommend hospital - star rating41777
Summary star rating41777

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 Hypoglycemia11631
Hospital Harm - Opioid Related Adverse Events
Healthcare workers given influenza vaccination681646
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 better216370
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 better204307
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better22415
Average (median) time patients spent in the emergency department before being transferred to another facility. A lower number of minutes is better26653
Left before being seen545243
Head CT results7423
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients9574
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)5751
Safe Use of Opioids - Concurrent Prescribing131816
Appropriate care for severe sepsis and septic shock48162
Septic Shock 3-Hour Bundle6469
Septic Shock 6-Hour Bundle6531
Severe Sepsis 3-Hour Bundle73162
Severe Sepsis 6-Hour Bundle9371
Discharged on Antithrombotic Therapy99140
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 293112
Venous Thromboembolism Prophylaxis
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 Asante Three Rivers Medical Center rated?
Asante Three Rivers Medical Center has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Asante Three Rivers Medical Center have emergency services?
Yes. Asante Three Rivers Medical Center operates a 24/7 emergency department.
Where is Asante Three Rivers Medical Center located?
Asante Three Rivers Medical Center is located at 500 Sw Ramsey Avenue, Grants Pass, OR 97527.
What type of hospital is Asante Three Rivers Medical Center?
Asante Three Rivers Medical Center is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Other).

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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