JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Voluntary non-profit - Private

Cleveland Clinic Hospital

5 / 5

At a glance

Cleveland Clinic Hospital carries a 5-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. For 30-day readmissions, it beats the national rate on 0 measures and trails on 1.

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 Limit0.004Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.404Better than national
Central Line Associated Bloodstream Infection: Number of Device Days11132Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases12.220Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.082Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.004Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.385Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days8473Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases12.796Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases1Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.078Better than national
SSI - Colon Surgery: Lower Confidence Limit0.361Same as national
SSI - Colon Surgery: Upper Confidence Limit1.268Same as national
SSI - Colon Surgery: Number of Procedures548Same as national
SSI - Colon Surgery: Predicted Cases14.057Same as national
SSI - Colon Surgery: Observed Cases10Same as national
SSI - Colon Surgery0.711Same as national
SSI - Abdominal Hysterectomy: Lower Confidence Limit0.382Same as national
SSI - Abdominal Hysterectomy: Upper Confidence Limit4.082Same as national
SSI - Abdominal Hysterectomy: Number of Procedures256Same as national
SSI - Abdominal Hysterectomy: Predicted Cases2.000Same as national
SSI - Abdominal Hysterectomy: Observed Cases3Same as national
SSI - Abdominal Hysterectomy1.500Same as national
MRSA Bacteremia: Lower Confidence Limit0.011Same as national
MRSA Bacteremia: Upper Confidence Limit1.086Same as national
MRSA Bacteremia: Patient Days71732Same as national
MRSA Bacteremia: Predicted Cases4.542Same as national
MRSA Bacteremia: Observed Cases1Same as national
MRSA Bacteremia0.220Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.205Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.643Better than national
Clostridium Difficile (C.Diff): Patient Days71732Better than national
Clostridium Difficile (C.Diff): Predicted Cases31.704Better than national
Clostridium Difficile (C.Diff): Observed Cases12Better than national
Clostridium Difficile (C.Diff)0.379Better 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 patients4.1Same as national42
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate3.3Better than national1563
Death rate for heart attack patients9.7Same as national88
Death rate for CABG surgery patients2.3Same as national57
Death rate for COPD patients6.5Same as national65
Death rate for heart failure patients8.1Better than national387
Death rate for pneumonia patients11.5Better than national292
Death rate for stroke patients9.9Better than national150
Pressure ulcer rate0.31Same as national5545
Death rate among surgical inpatients with serious treatable complications135.20Same as national148
Iatrogenic pneumothorax rate0.28Same as national6811
In-hospital fall-associated fracture rate0.24Same as national7407
Postoperative hemorrhage or hematoma rate2.17Same as national2162
Postoperative acute kidney injury requiring dialysis rate2.73Same as national1359
Postoperative respiratory failure rate9.59Same as national1434
Perioperative pulmonary embolism or deep vein thrombosis rate3.20Same as national2436
Postoperative sepsis rate5.10Same as national1297
Postoperative wound dehiscence rate1.31Same as national888
Abdominopelvic accidental puncture or laceration rate1.22Same as national2074
CMS Medicare PSI 90: Patient safety and adverse events composite0.94Same 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 patients-30.3Not available104
Hospital return days for heart failure patients16.9Not available480
Hospital return days for pneumonia patients51.9Not available332
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.9Same as national2764
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)14.2Same as national2382
Rate of inpatient admissions for patients receiving outpatient chemotherapy11.1Same as national439
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.7Same as national439
Ratio of unplanned hospital visits after hospital outpatient surgery1.2Worse than national789
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate13.2Same as national104
Rate of readmission for CABG10.3Same as national54
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients18.6Same as national74
Heart failure (HF) 30-Day Readmission Rate18.5Same as national480
Rate of readmission after hip/knee replacement4Same as national40
Pneumonia (PN) 30-Day Readmission Rate16.3Same as national332

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 rating31098
Doctor communication - star rating31098
Communication about medicines - star rating21098
Discharge information - star rating31098
Cleanliness - star rating41098
Quietness - star rating31098
Overall hospital rating - star rating41098
Recommend hospital - star rating51098
Summary star rating31098

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 vaccination834454
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 better216403
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 better214389
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34812
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 seen050704
Head CT results
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients92110
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing173790
Appropriate care for severe sepsis and septic shock61183
Septic Shock 3-Hour Bundle2434
Septic Shock 6-Hour Bundle
Severe Sepsis 3-Hour Bundle79183
Severe Sepsis 6-Hour Bundle9360
Discharged on Antithrombotic Therapy99207
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 295150
Venous Thromboembolism Prophylaxis885665
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 MeasureNot Applicable (our hospital does not provide inpatient labor/delivery care)

Frequently asked questions

How is Cleveland Clinic Hospital rated?
Cleveland Clinic Hospital has a 5 out of 5 CMS overall star rating as of the latest CMS release.
Does Cleveland Clinic Hospital have emergency services?
Yes. Cleveland Clinic Hospital operates a 24/7 emergency department.
Where is Cleveland Clinic Hospital located?
Cleveland Clinic Hospital is located at 3100 Weston Rd, Weston, FL 33331.
What type of hospital is Cleveland Clinic Hospital?
Cleveland Clinic Hospital is classified by CMS as a Acute Care Hospitals facility (Voluntary non-profit - Private).

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.

Report an issue with this page