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Acute Care Hospitals · Government - Hospital District or Authority

Atrium Health Cleveland

3 / 5

At a glance

Atrium Health Cleveland 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 12 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 Limit0.013Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit1.289Same as national
Central Line Associated Bloodstream Infection: Number of Device Days3711Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.826Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Same as national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.261Same as national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.008Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.806Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5107Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases6.116Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.164Better than national
SSI - Colon Surgery: Lower Confidence LimitSame as national
SSI - Colon Surgery: Upper Confidence Limit2.256Same as national
SSI - Colon Surgery: Number of Procedures50Same as national
SSI - Colon Surgery: Predicted Cases1.328Same as national
SSI - Colon Surgery: Observed Cases0Same as national
SSI - Colon Surgery0.000Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures8Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.077Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.476Same as national
MRSA Bacteremia: Upper Confidence Limit2.882Same as national
MRSA Bacteremia: Patient Days66152Same as national
MRSA Bacteremia: Predicted Cases3.846Same as national
MRSA Bacteremia: Observed Cases5Same as national
MRSA Bacteremia1.300Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.154Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.539Better than national
Clostridium Difficile (C.Diff): Patient Days63544Better than national
Clostridium Difficile (C.Diff): Predicted Cases33.089Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.302Better 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 patients3.3Same as national58
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.4Same as national1149
Death rate for heart attack patients13.7Same as national43
Death rate for CABG surgery patientsNot available
Death rate for COPD patients10Same as national161
Death rate for heart failure patients11.5Same as national369
Death rate for pneumonia patients16.9Same as national453
Death rate for stroke patients16Same as national223
Pressure ulcer rate0.70Same as national4197
Death rate among surgical inpatients with serious treatable complicationsNot available
Iatrogenic pneumothorax rate0.18Same as national4784
In-hospital fall-associated fracture rate0.28Same as national4722
Postoperative hemorrhage or hematoma rate2.13Same as national503
Postoperative acute kidney injury requiring dialysis rate1.63Same as national97
Postoperative respiratory failure rate10.37Same as national103
Perioperative pulmonary embolism or deep vein thrombosis rate2.70Same as national512
Postoperative sepsis rate5.72Same as national83
Postoperative wound dehiscence rate1.99Same as national138
Abdominopelvic accidental puncture or laceration rate1.44Same as national789
CMS Medicare PSI 90: Patient safety and adverse events composite1.03Same 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 patients19.4Not available401
Hospital return days for pneumonia patients3.5Not available442
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.9Same as national1763
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.1Same as national567
Rate of inpatient admissions for patients receiving outpatient chemotherapy12Same as national64
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy5.9Same as national64
Ratio of unplanned hospital visits after hospital outpatient surgery1.1Same as national317
Acute Myocardial Infarction (AMI) 30-Day Readmission RateNot available
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients17.9Same as national163
Heart failure (HF) 30-Day Readmission Rate20.4Same as national401
Rate of readmission after hip/knee replacement5.2Same as national48
Pneumonia (PN) 30-Day Readmission Rate14.9Same as national442

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 rating41049
Doctor communication - star rating31049
Communication about medicines - star rating21049
Discharge information - star rating41049
Cleanliness - star rating31049
Quietness - star rating31049
Overall hospital rating - star rating31049
Recommend hospital - star rating31049
Summary star rating31049

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 volumevery high
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 vaccination842000
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 better153394
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 better151375
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better17214
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 seen289662
Head CT results7419
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients96198
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing183580
Appropriate care for severe sepsis and septic shock44106
Septic Shock 3-Hour Bundle5330
Septic Shock 6-Hour Bundle7315
Severe Sepsis 3-Hour Bundle63106
Severe Sepsis 6-Hour Bundle9841
Discharged on Antithrombotic Therapy98315
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis917729
Intensive Care Unit Venous Thromboembolism Prophylaxis941355

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 Atrium Health Cleveland rated?
Atrium Health Cleveland has a 3 out of 5 CMS overall star rating as of the latest CMS release.
Does Atrium Health Cleveland have emergency services?
Yes. Atrium Health Cleveland operates a 24/7 emergency department.
Where is Atrium Health Cleveland located?
Atrium Health Cleveland is located at 201 E Grover St, Shelby, NC 28150.
What type of hospital is Atrium Health Cleveland?
Atrium Health Cleveland is classified by CMS as a Acute Care Hospitals facility (Government - Hospital District or Authority).

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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