JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Hospital District or Authority

Atrium Health Union

4 / 5

At a glance

Atrium Health Union carries a 4-star CMS overall rating — above the national norm. On healthcare-associated infection measures, it performs better than the national average on 18 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 LimitBetter than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.977Better than national
Central Line Associated Bloodstream Infection: Number of Device Days3690Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases3.066Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases0Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.000Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.010Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.945Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days5777Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases5.219Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.192Better than national
SSI - Colon Surgery: Lower Confidence Limit0.109Same as national
SSI - Colon Surgery: Upper Confidence Limit2.145Same as national
SSI - Colon Surgery: Number of Procedures120Same as national
SSI - Colon Surgery: Predicted Cases3.081Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.649Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures34Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.334Not available
SSI - Abdominal Hysterectomy: Observed Cases0Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.016Same as national
MRSA Bacteremia: Upper Confidence Limit1.560Same as national
MRSA Bacteremia: Patient Days65021Same as national
MRSA Bacteremia: Predicted Cases3.162Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.316Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.171Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.598Better than national
Clostridium Difficile (C.Diff): Patient Days60954Better than national
Clostridium Difficile (C.Diff): Predicted Cases29.791Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.336Better 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 patients3.7Same as national49
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national1351
Death rate for heart attack patients10.7Same as national96
Death rate for CABG surgery patientsNot available
Death rate for COPD patients7.8Same as national150
Death rate for heart failure patients11.8Same as national436
Death rate for pneumonia patients14.8Same as national545
Death rate for stroke patients13.1Same as national242
Pressure ulcer rate1.51Worse than national4367
Death rate among surgical inpatients with serious treatable complications172.19Same as national32
Iatrogenic pneumothorax rate0.23Same as national5373
In-hospital fall-associated fracture rate0.34Same as national5285
Postoperative hemorrhage or hematoma rate2.12Same as national533
Postoperative acute kidney injury requiring dialysis rate1.53Same as national118
Postoperative respiratory failure rate6.94Same as national127
Perioperative pulmonary embolism or deep vein thrombosis rate3.51Same as national569
Postoperative sepsis rate4.83Same as national115
Postoperative wound dehiscence rate1.67Same as national159
Abdominopelvic accidental puncture or laceration rate0.94Same as national658
CMS Medicare PSI 90: Patient safety and adverse events composite1.18Same 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 patients27.5Not available84
Hospital return days for heart failure patients24.8Not available478
Hospital return days for pneumonia patients11.9Not available545
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)14.1Same as national2059
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)12.7Same as national492
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 surgery1Same as national382
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.7Same as national84
Rate of readmission for CABGNot available
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.2Same as national159
Heart failure (HF) 30-Day Readmission Rate20.9Same as national478
Rate of readmission after hip/knee replacement5.2Same as national53
Pneumonia (PN) 30-Day Readmission Rate15.2Same as national545

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 rating41051
Doctor communication - star rating41051
Communication about medicines - star rating21051
Discharge information - star rating31051
Cleanliness - star rating41051
Quietness - star rating41051
Overall hospital rating - star rating41051
Recommend hospital - star rating41051
Summary star rating41051

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 vaccination821774
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 better123400
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 better122378
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better16313
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 seen1101073
Head CT results8738
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients99164
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing152993
Appropriate care for severe sepsis and septic shock37119
Septic Shock 3-Hour Bundle4337
Septic Shock 6-Hour Bundle5616
Severe Sepsis 3-Hour Bundle65119
Severe Sepsis 6-Hour Bundle9357
Discharged on Antithrombotic Therapy97353
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 2
Venous Thromboembolism Prophylaxis937262
Intensive Care Unit Venous Thromboembolism Prophylaxis981326

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 Union rated?
Atrium Health Union has a 4 out of 5 CMS overall star rating as of the latest CMS release.
Does Atrium Health Union have emergency services?
Yes. Atrium Health Union operates a 24/7 emergency department.
Where is Atrium Health Union located?
Atrium Health Union is located at 600 Hospital Dr, Monroe, NC 28112.
What type of hospital is Atrium Health Union?
Atrium Health Union 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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