JCIPatientSafety.orgHospital Quality Directory

Acute Care Hospitals · Government - Local

Cookeville Regional Medical Center

2 / 5

At a glance

Cookeville Regional Medical Center carries a 2-star CMS overall rating — below 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 Limit0.007Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Upper Confidence Limit0.711Better than national
Central Line Associated Bloodstream Infection: Number of Device Days8652Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Predicted Cases6.932Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards): Observed Cases1Better than national
Central Line Associated Bloodstream Infection (ICU + select Wards)0.144Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Lower Confidence Limit0.128Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Upper Confidence Limit0.775Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Number of Urinary Catheter Days16613Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Predicted Cases14.298Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards): Observed Cases5Better than national
Catheter Associated Urinary Tract Infections (ICU + select Wards)0.350Better than national
SSI - Colon Surgery: Lower Confidence Limit0.117Same as national
SSI - Colon Surgery: Upper Confidence Limit2.303Same as national
SSI - Colon Surgery: Number of Procedures106Same as national
SSI - Colon Surgery: Predicted Cases2.869Same as national
SSI - Colon Surgery: Observed Cases2Same as national
SSI - Colon Surgery0.697Same as national
SSI - Abdominal Hysterectomy: Lower Confidence LimitNot available
SSI - Abdominal Hysterectomy: Upper Confidence LimitNot available
SSI - Abdominal Hysterectomy: Number of Procedures2Not available
SSI - Abdominal Hysterectomy: Predicted Cases0.012Not available
SSI - Abdominal Hysterectomy: Observed Cases1Not available
SSI - Abdominal HysterectomyNot available
MRSA Bacteremia: Lower Confidence Limit0.198Same as national
MRSA Bacteremia: Upper Confidence Limit2.117Same as national
MRSA Bacteremia: Patient Days63887Same as national
MRSA Bacteremia: Predicted Cases3.856Same as national
MRSA Bacteremia: Observed Cases3Same as national
MRSA Bacteremia0.778Same as national
Clostridium Difficile (C.Diff): Lower Confidence Limit0.150Better than national
Clostridium Difficile (C.Diff): Upper Confidence Limit0.526Better than national
Clostridium Difficile (C.Diff): Patient Days60612Better than national
Clostridium Difficile (C.Diff): Predicted Cases33.913Better than national
Clostridium Difficile (C.Diff): Observed Cases10Better than national
Clostridium Difficile (C.Diff)0.295Better 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 national43
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality Rate4.3Same as national1973
Death rate for heart attack patients12.1Same as national339
Death rate for CABG surgery patients2.2Same as national146
Death rate for COPD patients10.8Same as national213
Death rate for heart failure patients11.5Same as national622
Death rate for pneumonia patients16.7Same as national854
Death rate for stroke patients14.5Same as national279
Pressure ulcer rate0.12Same as national6522
Death rate among surgical inpatients with serious treatable complications185.43Same as national82
Iatrogenic pneumothorax rate0.40Same as national7528
In-hospital fall-associated fracture rate0.21Same as national7796
Postoperative hemorrhage or hematoma rate3.37Same as national1881
Postoperative acute kidney injury requiring dialysis rate1.50Same as national860
Postoperative respiratory failure rate15.17Worse than national874
Perioperative pulmonary embolism or deep vein thrombosis rate3.43Same as national1939
Postoperative sepsis rate7.09Same as national852
Postoperative wound dehiscence rate1.63Same as national326
Abdominopelvic accidental puncture or laceration rate1.06Same as national1171
CMS Medicare PSI 90: Patient safety and adverse events composite1.09Same 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 patients11Not available336
Hospital return days for heart failure patients29.2Not available714
Hospital return days for pneumonia patients38.5Not available872
Hybrid Hospital-Wide All-Cause Readmission Measure (HWR)15.7Same as national3053
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)11.2Same as national2622
Rate of inpatient admissions for patients receiving outpatient chemotherapy12Same as national170
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapy4.3Same as national170
Ratio of unplanned hospital visits after hospital outpatient surgery1Same as national1010
Acute Myocardial Infarction (AMI) 30-Day Readmission Rate14Same as national336
Rate of readmission for CABG12.6Same as national143
Rate of readmission for chronic obstructive pulmonary disease (COPD) patients19Same as national215
Heart failure (HF) 30-Day Readmission Rate20.5Same as national714
Rate of readmission after hip/knee replacement5Same as national45
Pneumonia (PN) 30-Day Readmission Rate18.3Worse than national872

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 rating4668
Doctor communication - star rating3668
Communication about medicines - star rating2668
Discharge information - star rating3668
Cleanliness - star rating3668
Quietness - star rating3668
Overall hospital rating - star rating3668
Recommend hospital - star rating4668
Summary star rating3668

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 volumemedium
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 vaccination593421
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 better250398
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 better249373
Average (median) time psychiatric/mental health patients spent in the emergency department before leaving from the visit. A lower number of minutes is better34918
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 seen133907
Head CT results6718
Endoscopy/polyp surveillance: appropriate follow-up interval for normal colonoscopy in average risk patients90638
Improvement in Patient's Visual Function within 90 Days Following Cataract Surgery
ST-Segment Elevation Myocardial Infarction (STEMI)
Safe Use of Opioids - Concurrent Prescribing113011
Appropriate care for severe sepsis and septic shock461124
Septic Shock 3-Hour Bundle61341
Septic Shock 6-Hour Bundle75155
Severe Sepsis 3-Hour Bundle661124
Severe Sepsis 6-Hour Bundle92569
Discharged on Antithrombotic Therapy8046
Anticoagulation Therapy for Atrial Fibrillation/Flutter
Antithrombotic Therapy by End of Hospital Day 28636
Venous Thromboembolism Prophylaxis
Intensive Care Unit Venous Thromboembolism Prophylaxis73139

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 Cookeville Regional Medical Center rated?
Cookeville Regional Medical Center has a 2 out of 5 CMS overall star rating as of the latest CMS release.
Does Cookeville Regional Medical Center have emergency services?
Yes. Cookeville Regional Medical Center operates a 24/7 emergency department.
Where is Cookeville Regional Medical Center located?
Cookeville Regional Medical Center is located at 1 Medical Center Boulevard, Cookeville, TN 38501.
What type of hospital is Cookeville Regional Medical Center?
Cookeville Regional Medical Center is classified by CMS as a Acute Care Hospitals facility (Government - Local).

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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