Acute Care Hospitals · Voluntary non-profit - Private
Ascension Saint Thomas Hospital
- 4220 Harding Rd, Po Box 380, Nashville, TN 37205
- (615) 222-2111
- Acute Care Hospitals
- Emergency services available 24/7
At a glance
Ascension Saint Thomas Hospital 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 24 and worse on 6. For 30-day readmissions, it beats the national rate on 1 measure and trails 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.
| Measure | Score | Compared to national |
|---|---|---|
| Central Line Associated Bloodstream Infection (ICU + select Wards): Lower Confidence Limit | 0.379 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit | 0.879 | Better than national |
| Central Line Associated Bloodstream Infection: Number of Device Days | 34973 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases | 37.271 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases | 22 | Better than national |
| Central Line Associated Bloodstream Infection (ICU + select Wards) | 0.590 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit | 0.156 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit | 0.488 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days | 29825 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases | 41.792 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases | 12 | Better than national |
| Catheter Associated Urinary Tract Infections (ICU + select Wards) | 0.287 | Better than national |
| SSI - Colon Surgery: Lower Confidence Limit | 0.632 | Same as national |
| SSI - Colon Surgery: Upper Confidence Limit | 1.820 | Same as national |
| SSI - Colon Surgery: Number of Procedures | 442 | Same as national |
| SSI - Colon Surgery: Predicted Cases | 12.600 | Same as national |
| SSI - Colon Surgery: Observed Cases | 14 | Same as national |
| SSI - Colon Surgery | 1.111 | Same as national |
| SSI - Abdominal Hysterectomy: Lower Confidence Limit | 1.138 | Worse than national |
| SSI - Abdominal Hysterectomy: Upper Confidence Limit | 4.281 | Worse than national |
| SSI - Abdominal Hysterectomy: Number of Procedures | 439 | Worse than national |
| SSI - Abdominal Hysterectomy: Predicted Cases | 3.858 | Worse than national |
| SSI - Abdominal Hysterectomy: Observed Cases | 9 | Worse than national |
| SSI - Abdominal Hysterectomy | 2.333 | Worse than national |
| MRSA Bacteremia: Lower Confidence Limit | 0.169 | Better than national |
| MRSA Bacteremia: Upper Confidence Limit | 0.868 | Better than national |
| MRSA Bacteremia: Patient Days | 162768 | Better than national |
| MRSA Bacteremia: Predicted Cases | 14.384 | Better than national |
| MRSA Bacteremia: Observed Cases | 6 | Better than national |
| MRSA Bacteremia | 0.417 | Better than national |
| Clostridium Difficile (C.Diff): Lower Confidence Limit | 0.277 | Better than national |
| Clostridium Difficile (C.Diff): Upper Confidence Limit | 0.575 | Better than national |
| Clostridium Difficile (C.Diff): Patient Days | 144841 | Better than national |
| Clostridium Difficile (C.Diff): Predicted Cases | 71.498 | Better than national |
| Clostridium Difficile (C.Diff): Observed Cases | 29 | Better than national |
| Clostridium Difficile (C.Diff) | 0.406 | Better 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Rate of complications for hip/knee replacement patients | 3.1 | Same as national | 288 |
| Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate | 4 | Same as national | 2286 |
| Death rate for heart attack patients | 13 | Same as national | 587 |
| Death rate for CABG surgery patients | 1.8 | Same as national | 639 |
| Death rate for COPD patients | 9.2 | Same as national | 171 |
| Death rate for heart failure patients | 10 | Same as national | 1035 |
| Death rate for pneumonia patients | 14.5 | Same as national | 694 |
| Death rate for stroke patients | 13.4 | Same as national | 523 |
| Pressure ulcer rate | 0.07 | Better than national | 10077 |
| Death rate among surgical inpatients with serious treatable complications | 223.48 | Worse than national | 193 |
| Iatrogenic pneumothorax rate | 0.19 | Same as national | 12028 |
| In-hospital fall-associated fracture rate | 0.29 | Same as national | 12978 |
| Postoperative hemorrhage or hematoma rate | 1.53 | Same as national | 4403 |
| Postoperative acute kidney injury requiring dialysis rate | 1.58 | Same as national | 2171 |
| Postoperative respiratory failure rate | 8.15 | Same as national | 2189 |
| Perioperative pulmonary embolism or deep vein thrombosis rate | 3.21 | Same as national | 4635 |
| Postoperative sepsis rate | 5.38 | Same as national | 2129 |
| Postoperative wound dehiscence rate | 1.37 | Same as national | 947 |
| Abdominopelvic accidental puncture or laceration rate | 0.64 | Same as national | 2396 |
| CMS Medicare PSI 90: Patient safety and adverse events composite | 0.76 | Better than 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.
| Measure | Score | Compared to national | Sample |
|---|---|---|---|
| Hospital return days for heart attack patients | 1.4 | Not available | 717 |
| Hospital return days for heart failure patients | -11.2 | Not available | 1210 |
| Hospital return days for pneumonia patients | -15.4 | Not available | 719 |
| Hybrid Hospital-Wide All-Cause Readmission Measure (HWR) | 13.9 | Better than national | 3423 |
| Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies) | 12.7 | Same as national | 323 |
| Rate of inpatient admissions for patients receiving outpatient chemotherapy | — | Not available | — |
| Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy | — | Not available | — |
| Ratio of unplanned hospital visits after hospital outpatient surgery | 1.2 | Same as national | 234 |
| Acute Myocardial Infarction (AMI) 30-Day Readmission Rate | 13.2 | Same as national | 717 |
| Rate of readmission for CABG | 10.8 | Same as national | 629 |
| Rate of readmission for chronic obstructive pulmonary disease (COPD) patients | 17.4 | Same as national | 187 |
| Heart failure (HF) 30-Day Readmission Rate | 19.5 | Same as national | 1210 |
| Rate of readmission after hip/knee replacement | 5.4 | Same as national | 261 |
| Pneumonia (PN) 30-Day Readmission Rate | 14.5 | Same as national | 719 |
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.
| Measure | Score | Sample |
|---|---|---|
| Nurse communication - star rating | 3 | 353 |
| Doctor communication - star rating | 3 | 353 |
| Communication about medicines - star rating | 2 | 353 |
| Discharge information - star rating | 3 | 353 |
| Cleanliness - star rating | 2 | 353 |
| Quietness - star rating | 3 | 353 |
| Overall hospital rating - star rating | 3 | 353 |
| Recommend hospital - star rating | 4 | 353 |
| Summary star rating | 3 | 353 |
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.
| Measure | Score | Sample |
|---|---|---|
| Emergency department volume | — | — |
| 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 | 6 | 16984 |
| Hospital Harm - Severe Hypoglycemia | 2 | 2584 |
| Hospital Harm - Opioid Related Adverse Events | — | — |
| Healthcare workers given influenza vaccination | 70 | 10937 |
| 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 better | 196 | 603 |
| 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 better | 195 | 566 |
| Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better | 268 | 31 |
| 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 seen | — | — |
| Head CT results | 64 | 11 |
| Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients | — | — |
| Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery | — | — |
| ST-Segment Elevation Myocardial Infarction (STEMI) | 71 | 31 |
| Safe Use of Opioids - Concurrent Prescribing | 13 | 3209 |
| Appropriate care for severe sepsis and septic shock | 48 | 122 |
| Septic Shock 3-Hour Bundle | 58 | 38 |
| Septic Shock 6-Hour Bundle | 80 | 15 |
| Severe Sepsis 3-Hour Bundle | 72 | 122 |
| Severe Sepsis 6-Hour Bundle | 82 | 55 |
| Discharged on Antithrombotic Therapy | — | — |
| Anticoagulation Therapy for Atrial Fibrillation/Flutter | — | — |
| Antithrombotic Therapy by End of Hospital Day 2 | — | — |
| Venous Thromboembolism Prophylaxis | 78 | 4458 |
| 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.
| Measure | Score | Sample |
|---|---|---|
| Cesarean Birth | — | — |
| Risk Adjusted Severe Obstetric Complications (All) | — | — |
| Risk Adjusted Severe Obstetric Complications (excluding blood-transfusion-only cases) | — | — |
| Maternal Morbidity Structural Measure | Yes | — |
Frequently asked questions
- How is Ascension Saint Thomas Hospital rated?
- Ascension Saint Thomas Hospital has a 3 out of 5 CMS overall star rating as of the latest CMS release.
- Does Ascension Saint Thomas Hospital have emergency services?
- Yes. Ascension Saint Thomas Hospital operates a 24/7 emergency department.
- Where is Ascension Saint Thomas Hospital located?
- Ascension Saint Thomas Hospital is located at 4220 Harding Rd, Po Box 380, Nashville, TN 37205.
- What type of hospital is Ascension Saint Thomas Hospital?
- Ascension Saint Thomas Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).
Compare with nearby hospitals
- Compare side-by-side →
Metro Nashville General Hospital
Nashville, TN
- Compare side-by-side →Not rated overall
Saint Thomas Hospital for Spinal Surgery
Nashville, TN
- Compare side-by-side →
Tristar Centennial Medical Center
Nashville, TN
- Compare side-by-side →
Tristar Skyline Medical Center
Nashville, TN
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.